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57 Cards in this Set

  • Front
  • Back

What are the 3 systems responsible for balance control

Visual, vestibular, and proprioception

Which vestibular organ is closest to the oval window and cochlea

Saccule

What are the sthree findings that would suggest malingering

Disagreement between pure tones and speech


No shadow curves


Behavioral test don't agree with objective tests


No response to bone oscillator crazy Audiogram configuration

Which for vestibular organ is responsible for vertical up-and-down movement

Saccule

Which for vestibular organ is responsible for Rotational movement

Semi sircular canals

Which for vestibular organ is responsible for horizontal movement

Utricle

What does the stenger phenomenon help us verify

Malingering when loss is unilateral

How is the stenger phenomenon test given

Present 2 tones of same frequency simultaneously. 10db above threshold in "Better" ear and 10bd below threshold in "bad" ear

How do you interpret the results of the stenger phenomenon

A response means they really have a hearing loss. A lack of response means they are faking because they only precieve the sound in the "good" ear and they don't WANT to respond to that one

What is the tulio phenomenon

Vestibular symptoms evoked by a change in pressure or a loud noise

List three tests other than ENG that are used to test the vestibular system

Rotary chair


Vhit


Platform posturography


Eveoked potentials: VEMP

What is nystagmus

Involuntary eye movement


Has a Slow and fast phase


Nystagmus is named by

direction of fast phase

The greater the angles of the slow phase....

The more intense the nystagmus

Can nystagmus be congenit/pathologic, physiogic or induced

Yes

What is VOR

Vestibulo-ocular reflex

How do we test VOR

Oculomotor testing in ENG or rotary chair

Why is VOR important

Helps us maintain focus on an object while moving

What are calorics

Bi-thermal air or water to the ear canals to stimulate the SSC and produce nystagmus response COWS

How do we interpret caloric test results

Look for unilateral weakness or suggest peripheral pathology


Failure of fixation suppression for central pathology

What is BPPV

Positional vertigo

How do we test for BPPV

Dix hallpike

What are the 4 tests with in ENG

Gaze


Saccades


Smooth pursuit


Optokinetics positional/dix hallpike

What is an auditory processing disorder

Difficulty processing auditory info regardless of peripheral auditory function

APD can be difficult to diagnose because the symptoms are similar to....

ADHD


Dyslexia


Learning disabilities


Language disorders


Low is


Hearing loss

What are the 2 strategies used to help visualize the small AEP responses in a lot of background noise

Averaging


Differential amplification

What is absolute latency

Time of a given peak

What is interpeak latency

Time between two peaks

How does stimulus intensity affect the abr

As intensity decreases the latency shifts

What will a conductive HL look like in an abr

All waves prolonged, normal peak latencies, morphology is relatively unchanged

What will a SNHL look like in an abr

Morphology changes, amplitudes reduced, waves absent, absikutle interpeak latencies are unaffected

What is meant by electrode impedance impedance

Resistance to flow of energy between the electrode and the person being tested

What are the clinical uses of AEPs

Differential diagnosis of retrocochlear


Objective threshold estimation


Interaoperative monitoring

What is the term used to describe the shape of an APE Wave

Morphology

What are the items most often evaluated for neurodiagonstic ABR

Latency and amplitude

What are the expected values for wave 1

1.5-2msec

What are the expected values for wave 3

3.5-4msec

What are the expected values for wave 5

5.5-6msec

Peripheral pathology involve what

Semicircular canals


Utricle


Saccule

Central pathologies involve what

Vestibular nuclei


Cerebellum

The SSC houses what?

The crista (hair bundles, cupola, hair cells)

Is meniere's disease a central or peripheral pathology

Peripheral

Is vestibular neuritis a central or peripheral pathology

Peripheral

Is labrynthitis a central or peripheral pathology

Peripheral

Is BPPV a central or peripheral pathology

Peripheral

Is vertuginous migraine a central or peripheral pathology

Central

Is perilymph fistula a central or peripheral pathology

Peripheral

Is vestibular schwanomma a central or peripheral pathology

Peripheral

Is mal de dabarquememt syndrome a central or peripheral pathology

Central

Is cerebellar degeneration a central or peripheral pathology

Central

Positive dix hallpike suggests

peripheral pathology

Lack of fixation suppression during calorics suggests





central pathology

Unilateral or bilateral weakness in calorics suggests

Peripheral pathology

Saccades during gaze testing suggests

Central pathology

Asymmetric optokinetics responses suggests

Central pathology

Cogwheeling during sinusoidal tracking suggests

Central pathology

Abnormal saccades suggests

Central pathology