Question 1

During a Hallpike-Dix maneuver a patient presents with nystagmus.What does that indicate?

Accepted Answer

A) Malignant paroxysmal positional vertigo 
B) Benign paroxysmal positional vertigo 
C) Positional nystagmus inducing oscillopsia 
D) Positional nystagmus reducing oscillopsia 
A) Malignant paroxysmal positional vertigo 
B) Benign paroxysmal positional vertigo 
C) Positional nystagmus inducing oscillopsia 
D) Positional nystagmus reducing oscillopsia

Question 2

What would be a normal response of the semicircular canals to the rotary chair test?

Accepted Answer

A) Nystagmus will be generated by the rotations. 
B) No nystagmus will be present at completion. 
C) The patient will report dizziness and nausea. 
D) Loss of balance will occur upon standing. 
A) Nystagmus will be generated by the rotations. 
B) No nystagmus will be present at completion. 
C) The patient will report dizziness and nausea. 
D) Loss of balance will occur upon standing.

Question 3

Following the sound application (series of loud clicks)during a vestibular-evoked myogenic potential test of the otoliths,the patient demonstrates an initial inhibitory potential in the sternocleidomastoid muscle.What follows that response in a patient with a normal vestibular system?

Accepted Answer

A) Nothing,that is considered a normal response 
B) Continued inhibition of the sternocleidomastoid 
C) Initial inhibitory potential followed by an excitatory potential 
D) An excitatory potential in the opposite muscle followed by an inhibitory potential 
A) Nothing,that is considered a normal response 
B) Continued inhibition of the sternocleidomastoid 
C) Initial inhibitory potential followed by an excitatory potential 
D) An excitatory potential in the opposite muscle followed by an inhibitory potential

Question 4

What is lightheadedness?

Accepted Answer

A) The sensation that the environment is moving 
B) The sensation that one is about to faint 
C) The sensation that objects are moving 
D) The sensation of being off balance 
A) The sensation that the environment is moving 
B) The sensation that one is about to faint 
C) The sensation that objects are moving 
D) The sensation of being off balance

Question 5

A patient presents with vertigo,spontaneous nystagmus,complaints of oscillopsia with head movement,and dysequilibrium following a viral infection.What is the most likely problem?

Accepted Answer

A) Malignant paroxysmal positional vertigo 
B) Benign paroxysmal positional vertigo 
C) Bilateral vestibular hypofunction 
D) Unilateral vestibular hypofunction 
A) Malignant paroxysmal positional vertigo 
B) Benign paroxysmal positional vertigo 
C) Bilateral vestibular hypofunction 
D) Unilateral vestibular hypofunction

Question 6

What would be a reasonable expectation for recovery for a patient with central vestibular hypofunction?

Accepted Answer

A) The patient should expect full recovery. 
B) Aggressive therapy will improve outcomes. 
C) Recovery may take up to 2 months. 
D) The patient may have residual symptoms. 
A) The patient should expect full recovery. 
B) Aggressive therapy will improve outcomes. 
C) Recovery may take up to 2 months. 
D) The patient may have residual symptoms.

Question 7

What is vertigo?

Accepted Answer

A) The sensation that the environment is moving 
B) The sensation that one is about to faint 
C) The sensation that objects are moving 
D) The sensation of being off balance 
A) The sensation that the environment is moving 
B) The sensation that one is about to faint 
C) The sensation that objects are moving 
D) The sensation of being off balance

Question 8

The therapist observes that the patient demonstrates pendular nystagmus.What might this indicate?

Accepted Answer

A) The patient has peripheral vestibular pathology. 
B) The patient has central vestibular pathology. 
C) The patient has bilateral vestibular hypofunction. 
D) The patient has unilateral vestibular hypofunction. 
A) The patient has peripheral vestibular pathology. 
B) The patient has central vestibular pathology. 
C) The patient has bilateral vestibular hypofunction. 
D) The patient has unilateral vestibular hypofunction.

Exam 24: Vestibular Disorders

During a Hallpike-Dix maneuver a patient presents with nystagmus.What does that indicate?

What would be a normal response of the semicircular canals to the rotary chair test?

Following the sound application (series of loud clicks)during a vestibular-evoked myogenic potential test of the otoliths,the patient demonstrates an initial inhibitory potential in the sternocleidomastoid muscle.What follows that response in a patient with a normal vestibular system?

What is lightheadedness?

A patient presents with vertigo,spontaneous nystagmus,complaints of oscillopsia with head movement,and dysequilibrium following a viral infection.What is the most likely problem?

What would be a reasonable expectation for recovery for a patient with central vestibular hypofunction?

What is vertigo?

The therapist observes that the patient demonstrates pendular nystagmus.What might this indicate?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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