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25 Cards in this Set
- Front
- Back
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117. Presentation of vertigo?
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a. All pts w/vertigo will have a subjective sensation of the room spinning around them.
b. This is often associated w/N/V. c. All have nystagmus (horizontal). d. When the pt thinks the room is spinning, the eyes should dart back and forth to give the feeling of looking at a single point. |
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118. Workup of all pts w/vertigo?
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a. Generally, all pts w/vertigo should have an MRI of the internal auditory canal.
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119. 6 conditions that cause vertigo?
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1. Benign position vertigo
2. Vestibular neuritis 3. Labyrinthitis 4. Meniere’s disease 5. Acoustic neuroma. 6. Perilymph fistula. |
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120. Characteristic of Benign position vertigo?
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a. Changes w/position
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121. Characteristics of Vestibular neuritis?
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a. Vertigo occurs w/o position changes.
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122. Characteristics of Labyrinthitis?
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a. Acute
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123. Characteristics of Meniere’s disease?
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a. Chronic
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124. Characteristics of Acoustic neuroma?
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a. Ataxia
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125. Characteristics of Perilymph fistula?
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a. Hx of trauma.
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126. BPV associated w/hearing loss?
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a. No
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127. Vestibular neuritis associated w/hearing loss?
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a. No
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128. Labyrinthitis associated w/hearing loss?
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a. Yes
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129. Meniere’s disease associated w/hearing loss?
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a. Yes
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130. Acoustic neuroma associated w/hearing loss?
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a. Yes
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131. Perilymph fistula associated w/hearing loss?
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a. Yes
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132. Presentation of benign Positional Vertigo (BPV)?
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a. Presents as vertigo alone w/no hearing loss, no tinnitus, and no ataxia.
b. Positive Dix-Hallpike maneuver. c. Hx may describe onset of symptoms when quickly changing positions. |
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133. Diagnosis of BPV?
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a. There is no specific diagnostic test.
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134. Tx of BPV?
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a. Responds modestly to meclizine (antivert).
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135. Vestibular neuritis?
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a. Idiopathic inflammation of the vestibular portion of the 8th cranial nerve.
b. Because only the vestibular portion is involved, there is no hearing loss and no tinnitus. c. Presumably, this condition is viral. d. It is entirely characterized by vertigo dizziness and is not related to changes in position. |
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136. Diagnostic test for vestibular neuritis?
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a. No specific diagnostic test.
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137. Tx of vestibular neuritis?
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a. Treat w/meclizine.
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138. Labyrinthitis
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a. Inflammation of the cochlear portion of the inner ear.
b. There is hearing loss as well as tinnitus. |
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139. Tx of labyrinthitis?
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a. Acute and self-limited, and may be treated w/meclizine.
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140. Presentation of Meniere’s disease?
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a. Same presentation as labyrinthitis (vertigo, hearing loss, tinnitus), but Meniere’s is chronic w/remitting and relapsing episodes.
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141. Tx of Meniere’s disease?
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a. Salt restriction and diuretics.
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