Question 1

When performing the Dix-Hallpike Test the therapist should first:

Accepted Answer

A)  Extend the neck 20 degrees before moving the patient from long-sitting to supine.
B)  Rotate the head 45 degrees to one side before moving the patient from long-sitting to supine.
C)  Maintain the head in midline and move the patient from long-sitting to supine.
D)  Rotate the head 90 degrees to one side before moving the patient from long-sitting to supine.E) All of the above
F) A) and D)

Question 2

According to research by Schubert (2004)  the Horizontal Head Thrust Test is most sensitive when the patient's head is flexed

Accepted Answer

A)  10 degrees.
B)  20 degrees.
C)  30 degrees.
D)  40 degrees.E) A) and D)
F) A) and B) C

Question 3

Based on evidence by Marchetti (2006)  the 4-item Dynamic Gait Index (DGI)  can:

Accepted Answer

A)  Be used to determine fall risk in patients with vestibular disease.
B)  Differentiate between people without vestibular and balance deficits and people with vestibular disease.
C)  Take the same amount of time and equipment as the 8-item DGI
D)  Differentiate between people who have not fallen and people who have experienced multiple falls in the past 6 months.E) A) and B)
F) A) and C)

Question 4

Which of the following are components of the peripheral vestibular system?

Accepted Answer

A)  The otoliths,the vestibular nerve,sensory hair cells
B)  The vestibular nerve,semicircular canals,vestibular nuclei
C)  The semicircular canals,cerebellum,the otoliths
D)  The sensory hair cells,vestibulospinal tract,the vestibular nerveE) All of the above
F) A) and C)

Question 5

A 76 year-old patient complains of falling at least once every 2 weeks in a variety of situations and he is concerned about the frequency of falls increasing.Which outcome measure might best assess this patient's fall risk?

Accepted Answer

A)  Activities-Specific Balance Confidence Scale
B)  Dizziness Handicap Inventory
C)  Vertigo Handicap Questionnaire
D)  Vestibular Disorders Activities of Daily LivingE) C) and D)
F) A) and B)

Question 6

Which of the following would be characteristics of a peripheral vestibular pathology?

Accepted Answer

A)  Sudden onset of vertigo with vertical nystagmus and nausea
B)  Gradual onset of dizziness with torsional nystagmus and hearing loss
C)  Sudden onset of vertigo with torsional/horizontal nystagmus and hearing loss
D)  Gradual onset of dizziness with vertical nystagmus and upper limb weaknessE) None of the above
F) B) and C)

Question 7

A therapist is using the sidelying test to examine the posterior canal for BPPV.Which of the following statements would be true?

Accepted Answer

A)  The sidelying test may be poorly tolerated by some patients as an alternative to the Dix-Hallpike Test.
B)  The scientific evidence indicates that there is no significant difference in efficacy between the sidelying test and the Dix-Hallpike Test.
C)  The scientific evidence indicates that there is a significant difference between the sidelying test and the Dix-Hallpike Test.
D)  The sidelying test is better tolerated by some patients when used as an alternative to the Dix-Hallpike Test.E) None of the above
F) C) and D)

Question 8

A patient with a vestibular disorder complains of decreased concentration,feeling embarrassed when around people outside of his immediate family,and difficulty doing light house work.Which outcome measure would best evaluate the emotional aspect of his complaints?

Accepted Answer

A)  Activities-Specific Balance Confidence Scale
B)  Dizziness Handicap Inventory (DHI) 
C)  Vertigo Handicap Questionnaire
D)  Vestibular Disorders Activities of Daily LivingE) B) and C)
F) C) and D)

Question 9

Posterior canal BPPV is characterized by:

Accepted Answer

A)  Pure downbeat nystagmus.
B)  Horizontal torsional nystagmus.
C)  Upbeat torsional nystagmus.
D)  Pure upbeat nystagmus.E) A) and D)
F) None of the above

Question 10

A patient complains of sudden onset of spinning,with imbalance,nausea,and vomiting for the past 24 hours.This patient has symptoms consistent with:

Accepted Answer

A)  Benign paroxysmal positional vertigo
B)  Vestibular neuritis
C)  Superior canal dehiscence
D)  Meniere's diseaseE) All of the above
F) C) and D)

Question 11

Which of the following would be characteristics of a central vestibular pathology?

Accepted Answer

A)  Sudden onset of vertigo with vertical nystagmus and nausea
B)  Gradual onset of dizziness with torsional nystagmus and hearing loss
C)  Sudden onset of vertigo with torsional/horizontal nystagmus and hearing loss
D)  Gradual onset of dizziness with vertical nystagmus and upper limb weaknessE) C) and D)
F) B) and C)

Question 12

Which of the following outcome measures was found to have excellent test-retest, (inter-rater and intra-rater reliability)  when used with school-aged children with mild to moderate impairment?

Accepted Answer

A)  Bruininks-Oseretsky Test of Motor Proficiency 2
B)  Functional Reach Test
C)  Peabody Developmental Motor Scales II
D)  Pediatric Balance ScaleE) A) and C)
F) B) and D)

Question 13

A patient complains of her hearing fading in and out,high-pitch ringing in the left ear,and episodes of severe spinning lasting for 2 hours once every 3 months.This patient has symptoms consistent with:

Accepted Answer

A)  Benign paroxysmal positional vertigo
B)  Vestibular neuritis
C)  Superior canal dehiscence
D)  Meniere's diseaseE) B) and C)
F) C) and D) D

Question 14

A patient complains of dizziness and imbalance with loud noises and when coughing.She also reports she can hear her heart beat in one ear.This patient most likely has:

Accepted Answer

A)  Benign paroxysmal positional vertigo (BPPV) 
B)  Vestibular neuritis
C)  Superior canal dehiscence
D)  Meniere's diseaseE) None of the above
F) A) and B) C

Question 15

A patient with a complaint of vertigo that began 48 hours ago is presenting with horizontal eye movements with slow phases directed toward right side and quick phases directed toward the left side.The therapist is most likely observing:

Accepted Answer

A)  Gaze-evoked nystagmus due to a low tonic output on the left
B)  Positional nystagmus due damage to the vestibular nuclei
C)  Spontaneous nystagmus due to the low tonic output on the right
D)  Jerk nystagmus due to the a peripheral lesion on the rightE) B) and C)
F) A) and C)

Question 16

Which of the following assessment tools would best assess a patient's functional problems related to vestibular dysfunction?

Accepted Answer

A)  Balance Evaluation Systems Test (BESTest) 
B)  Bithermal caloric testing
C)  Manual muscle testing
D)  Auditory brainstem responseE) B) and C)
F) B) and D)

Exam 8: Examination and Evaluation of Vestibular Function

When performing the Dix-Hallpike Test the therapist should first:

Correct Answer
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According to research by Schubert (2004) the Horizontal Head Thrust Test is most sensitive when the patient's head is flexed

Correct Answer
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C

Based on evidence by Marchetti (2006) the 4-item Dynamic Gait Index (DGI) can:

Correct Answer
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Which of the following are components of the peripheral vestibular system?

Correct Answer
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A 76 year-old patient complains of falling at least once every 2 weeks in a variety of situations and he is concerned about the frequency of falls increasing.Which outcome measure might best assess this patient's fall risk?

Correct Answer
verified

Which of the following would be characteristics of a peripheral vestibular pathology?

Correct Answer
verified

A therapist is using the sidelying test to examine the posterior canal for BPPV.Which of the following statements would be true?

Correct Answer
verified

A patient with a vestibular disorder complains of decreased concentration,feeling embarrassed when around people outside of his immediate family,and difficulty doing light house work.Which outcome measure would best evaluate the emotional aspect of his complaints?

Correct Answer
verified

Posterior canal BPPV is characterized by:

Correct Answer
verified

A patient complains of sudden onset of spinning,with imbalance,nausea,and vomiting for the past 24 hours.This patient has symptoms consistent with:

Correct Answer
verified

Which of the following would be characteristics of a central vestibular pathology?

Correct Answer
verified

Which of the following outcome measures was found to have excellent test-retest, (inter-rater and intra-rater reliability) when used with school-aged children with mild to moderate impairment?

Correct Answer
verified

A patient complains of her hearing fading in and out,high-pitch ringing in the left ear,and episodes of severe spinning lasting for 2 hours once every 3 months.This patient has symptoms consistent with:

Correct Answer
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D

A patient complains of dizziness and imbalance with loud noises and when coughing.She also reports she can hear her heart beat in one ear.This patient most likely has:

Correct Answer
verified
C

A patient with a complaint of vertigo that began 48 hours ago is presenting with horizontal eye movements with slow phases directed toward right side and quick phases directed toward the left side.The therapist is most likely observing:

Correct Answer
verified

Which of the following assessment tools would best assess a patient's functional problems related to vestibular dysfunction?

Correct Answer
verified

Exam 8: Examination and Evaluation of Vestibular Function

When performing the Dix-Hallpike Test the therapist should first:

Correct AnswerverifiedShow Answer

According to research by Schubert (2004) the Horizontal Head Thrust Test is most sensitive when the patient's head is flexed

Correct AnswerverifiedC

Based on evidence by Marchetti (2006) the 4-item Dynamic Gait Index (DGI) can:

Correct AnswerverifiedShow Answer

Which of the following are components of the peripheral vestibular system?

Correct AnswerverifiedShow Answer

A 76 year-old patient complains of falling at least once every 2 weeks in a variety of situations and he is concerned about the frequency of falls increasing.Which outcome measure might best assess this patient's fall risk?

Correct AnswerverifiedShow Answer

Which of the following would be characteristics of a peripheral vestibular pathology?

Correct AnswerverifiedShow Answer

A therapist is using the sidelying test to examine the posterior canal for BPPV.Which of the following statements would be true?

Correct AnswerverifiedShow Answer

A patient with a vestibular disorder complains of decreased concentration,feeling embarrassed when around people outside of his immediate family,and difficulty doing light house work.Which outcome measure would best evaluate the emotional aspect of his complaints?

Correct AnswerverifiedShow Answer

Posterior canal BPPV is characterized by:

Correct AnswerverifiedShow Answer

A patient complains of sudden onset of spinning,with imbalance,nausea,and vomiting for the past 24 hours.This patient has symptoms consistent with:

Correct AnswerverifiedShow Answer

Which of the following would be characteristics of a central vestibular pathology?

Correct AnswerverifiedShow Answer

Which of the following outcome measures was found to have excellent test-retest, (inter-rater and intra-rater reliability) when used with school-aged children with mild to moderate impairment?

Correct AnswerverifiedShow Answer

A patient complains of her hearing fading in and out,high-pitch ringing in the left ear,and episodes of severe spinning lasting for 2 hours once every 3 months.This patient has symptoms consistent with:

Correct AnswerverifiedD

A patient complains of dizziness and imbalance with loud noises and when coughing.She also reports she can hear her heart beat in one ear.This patient most likely has:

Correct AnswerverifiedC

A patient with a complaint of vertigo that began 48 hours ago is presenting with horizontal eye movements with slow phases directed toward right side and quick phases directed toward the left side.The therapist is most likely observing:

Correct AnswerverifiedShow Answer

Which of the following assessment tools would best assess a patient's functional problems related to vestibular dysfunction?

Correct AnswerverifiedShow Answer

Correct Answer
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C

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D

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C

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