Sem Vestibular

Front 1

A gelatinous substance responsible for detecting linear & vertical acceleration

Back 1

Otoconia

Front 2

an illusion of being off balance

Back 2

disequilibrium

Front 3

an illusion of movement

Back 3

Vertigo

Front 4

bony labyrinth of the vestibular system is line by the~

Back 4

perilymph

Front 5

Part of the semicircular canal that is oriented 30° upward

Back 5

Horizontal SCC

Front 6

Gelatinous barrier that contains sensory hair cells; within ampula

Back 6

cupula

Front 7

aka "Scarpa's Fluid"; it fills the ampulla & moves in response to the direction of the angular head rot

Back 7

endolymph

Front 8

Most important management for Vestibular Hypofunction to improve motion sensitivity

Back 8

Habituatiin Exercises

Front 9

Romberg test is (+) in closed eyes if _____ is affected

a. proprioception

b. cerebellum

c. CNS

Back 9

A.

B is for + in eyes open

Front 10

Inner Ear Test is (+) when applied cold stimulus near the ear eyes~

a. deviate towards

b. deviate away

c. stays the same

Back 10

B.

Front 11

Explain pathophyisology of Vestibular Hypofunction

Back 11

CN8 is damaged> info cannot travel up from CN8 to brain > eyes are fast enough for brain to react to mov't which results to dizziness/ disequilibrium> info is incorrect when sent to the retina; info is sent to brain & perceived as mov't

Front 12

tx for Vestibular Hypofunction

Back 12

promote inner ear adaptation and to challenge the balance component of the vestibular system.; Gaze Stability Exercise, Postural Stab, Habituation Exercises (Motion sensitivity)

Front 13

2 types of vestibular hypofunction

Back 13

Unilat & Bilat

Front 14

abnormal bone growth in the middle ear that cause hearing loss (idiopathic)

Back 14

Bilat Vestibular Hypofunction

Front 15

BBPPV is short for~

Back 15

Benign Paroxysmal Positional Vertigo

Front 16

test for BBPPV

Back 16

Dix-Hallpike Maneuver

Front 17

Vestibular d/o that has inner ear problems that causes short periods of dizziness when head is moved

Back 17

BPPV

Front 18

Occurs mostly when lying fown, turning over in bed & looking up

a. Perilymphatic Fistula

b. BPPV

c. Vestibular Schwannoma

Back 18

B

Front 19

Hallmark of Meniere's dse

Back 19

htv

• hearing loss

• tinnitus

• vertigo

Front 20

medical management for Meniere's dse

Back 20

Habituation Exercises (Motion Sensitivity): HEP

Front 21

explain Meniere's dse (any idea about the dse/ how can u differentiate it with other vestib dse)

Back 21

d/o of the inner ear marked by an INCREASED ENDOLYMPHATIC FLUID in the ear membranes results to > LOW FREQUENCY HEARING LOSS (due to inc. fluid P° & decrease hair cell mov't), VERTIGO, TINNITUS (auditory afferent nerves fire due to inc. P°)

Front 22

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:

•with heating loss

Back 22

Peripheral

Front 23

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:• severe ataxia

Back 23

Central

Front 24

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:• no hearing loss

Back 24

Central

Front 25

this management is called what?

Back 25

Gaze Stability/Stabilization Exercise

Front 26

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:• Pendulum Nystagmus

Back 26

C

Front 27

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:• Nystagmus occuring matagal na~

Back 27

P

Front 28

tell if it's PERIPHERAL Vestibular d/o or CENTRAL Vestibular d/o:• + Ocular Tilt Reaction

Back 28

C

Front 29

Pseudoexacerbation that lasts for <24hrs & triggered by exposure to heat in Multiple Sclerosis

Back 29

Uthoff's Phenomenon

Front 30

aka Epley's Manuever

Back 30

Canalith Repositioning Maneuver

Front 31

BPPV due to canalithiasis

Back 31

Canalith Repositioning Manuever

Front 32

how to test for Dix-Hallpike Manuever?

Back 32

pt is sitting & passively ROT 45°, head is maintained & quickly moved to supine c cervical E 30°

Front 33

BPPV due to cupulolithiasis

Back 33

Liberatory/ Semont Manuever

Front 34

what is Cervicogenic Dizziness (any idea...)

Back 34

presence of dizziness, imbalance or unsteadiness related to the mov'ts or position of the CERVICAL SPINE or occuring with a STIFF or PAINFUL NECK

Front 35

pic on right is what vestibular dse?

Back 35

Meniere's Dse

Front 36

tx for both cupulolithiasis & canalithiasis

Back 36

Brandt-Daroff Exercise

Front 37

Golden Standard for Vestibulat Schwannoma

Back 37

Gadolinium-enhanced MRI

Front 38

explain Perilympgatic Fistula

Back 38

occurs due to a rupture of the oval & round windows that result to leakage of Perilymph from inner ear to the middle ear

Front 39

Clinical Manifestation in Vestibular Schwannoma are the ff except:

a. Emesis

b. Tic Douloureux

c Bell's Palsy

d. Tinnitus

e. hearing loss

Back 39

A.

Front 40

Tic Douloureux is~?

Back 40

Facial Hyperesthesia (CN5: Maxillary Division affectation; also seen in Herpes Zoster)

Front 41

all are true in Multiple System Atrophy except:

a. increase in Alpha-synuclein protein

b. it is a progressive degenarative dse of the NS c 4 clinical domains: Autonomic dysfx, Parkinsonism dse-lime Sxs, Cerebellar ataxia & Corticospinal Dysfx

c. Hallmark of MSA is Gliosis>Papp-Lantos bodies/scars

d. MSA c predominat parkinsonism includes Striagnigral Degeneration

e. None of the above

Back 41

e

Front 42

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:

• fx Spinocerebellum (trunk)

Back 42

Paleocrebellum

Front 43

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Clinical findings is balance problems

Back 43

Archicerebellum

Front 44

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Anatomic is located in Floculonodular

Back 44

Archicerebellum

Front 45

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Sx is Nystagmus

Back 45

Arc

Front 46

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Anatomic structure located in Posterior lobe

Back 46

Neo

Front 47

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Sx is Hypotonia / Ataxia

Back 47

Paleo

Front 48

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• Sx is Dysmetria

Back 48

Neo

Front 49

tell if it's Palleocrebellum, Archicerebellum or Neocerebellum:• fx in fine mov't & coordination

Back 49

Neo

Front 50

It forwards efferent signal to ciliary ganglion of both sides for direct and consensual light responses

Back 50

Edinger–Westphal nucleus

Front 51

is the parasympathetic pre-ganglionic nucleus that innervates the iris sphincter muscle and the ciliary muscle.

Back 51

Edinger–Westphal nucleus

Front 52

What component of the macula causes the membrane to shift?

Back 52

Otoconia (calcium carbonate crystals)

Front 53

Explain how Otoliths work?

Back 53

Change in head position --> Force of gravity causes displacement of otoconia --> Hair cells bend. Stimulation = depolarization. Inhibiting = hyperpolarization.