VR Assessment for Vertigo and Balance Impairments

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Questions and Answers

What is the gold standard testing for the vestibular system?

  • Caloric testing (correct)
  • Rotatory chair testing
  • Dynamic posturography using force plates
  • Assessing muscle activity in response to stimuli

Which technology is used in the assessment of vertigo issues?

  • X-ray machines
  • Frenzel optical goggles (correct)
  • Ultrasound devices
  • MRI scans

What does the modified clinical test of sensory integration and balance help understand?

  • How the individual uses their vestibular system only
  • How the individual uses their somatosensory system only
  • How the individual uses their vision only
  • How the individual uses their vision, somatosensory system, and vestibular system (correct)

What type of questions are essential in the subjective assessment of vertigo?

<p>Questions regarding presence or absence of auditory symptoms (B)</p> Signup and view all the answers

Which type of vertigo origin involves understanding how the individual uses their vision, somatosensory system, and vestibular system?

<p>Central/non-vestibular origin (D)</p> Signup and view all the answers

What is gathered in the assessment of vertigo to facilitate clinical reasoning during differential diagnosis?

<p>Preceding illness or trauma and other symptoms (B)</p> Signup and view all the answers

What is a key component to include in the subjective assessment of vertigo?

<p>Assessment of vertigo triggers (A)</p> Signup and view all the answers

Which outcome measure is recommended for assessing balance confidence in individuals with vertigo?

<p>Activities-Specific Balance Confidence Scale (ABC scale) (C)</p> Signup and view all the answers

What is the purpose of assessing for red flags in patients with vertigo?

<p>To identify potential CNS involvement (B)</p> Signup and view all the answers

What is the significance of direction-changing nystagmus and skew eye deviation in a patient with vertigo?

<p>They require immediate neurological assessment (B)</p> Signup and view all the answers

Which test should be used to assess the Vestibulo-Ocular Reflex (VOR) system in individuals with vertigo?

<p>Head Impulse Test (B)</p> Signup and view all the answers

Why is it important to perform HINTS + examination in individuals with acute, unrelenting vertigo?

<p>To identify potential vertebral basilar artery stroke (D)</p> Signup and view all the answers

Which type of vertigo is characterized by a 3-5 second delay due to otoconia movement in the canal?

<p>Cupulolithiasis (B)</p> Signup and view all the answers

Which assessment involves rotating the patient's head 45 degrees and then moving them into a supine position to check for nystagmus?

<p>Dix Hallpike test (D)</p> Signup and view all the answers

In which condition do positional changes worsen symptoms and there is no delay in symptom alleviation upon resting?

<p>Cupulolithiasis (B)</p> Signup and view all the answers

Which type of vertigo is more common in elderly or young individuals with TBI?

<p>Cupulolithiasis (B)</p> Signup and view all the answers

What can happen during head extension and rotation over the edge of a bed in relation to the vertebral artery?

<p>Close off one side of the vertebral artery (D)</p> Signup and view all the answers

What characteristic differentiates cupulolithiasis from BPPV in terms of nystagmus?

<p>Fatigable nystagmus in cupulolithiasis vs. non-fatigable in BPPV (B)</p> Signup and view all the answers

What is the most common type of vertigo in adults?

<p>Benign Paroxysmal Positional Vertigo (BPPV) (C)</p> Signup and view all the answers

Where are otoconia located for signaling acceleration in linear movement?

<p>Saccules and utricles (D)</p> Signup and view all the answers

What happens to otoconia in BPPV?

<p>They escape and run into the semicircular canals (B)</p> Signup and view all the answers

Which type of BPPV involves displacement of otoconia in the canals?

<p>Canalithiasis (D)</p> Signup and view all the answers

What occurs during canalithiasis vertigo?

<p>Severe vertigo when moving in the plane of the semicircular canal (D)</p> Signup and view all the answers

What is used for videonystagmography during BPPV assessment?

<p>Goggles with built-in camera (B)</p> Signup and view all the answers

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