ADULT - NEUROLOGIC PROBLEMS (Primary Care, Dunphy, Winland-Brown, Porter, & Thomas) Questions with 100% Correct Answers Latest 2024 Version

ADULT - NEUROLOGIC PROBLEMS (Primary Care, Dunphy, Winland-Brown, Porter, & Thomas) Questions with 100% Correct Answers Latest 2024 Version VERTIGO - DEF: Sensation of rotation; Spinning DIZZINESS - DEF: Sensation of unsteadiness, movement w/in head; "Lightheadedness, weakness, faintness" VERTIGO vs CNS LESION: HX & PHYS. EXAM - Key Questions: Duration, severity, nature of episodes, assoc'd SX's (i.e. hearing loss, weakness) Key Assessment: **Ear - cerumen, otitis media; **Hearing - Whisper test, Weber test, Rinne test; **Neuro - cranial nerves; **"Hallpike" maneuver - R/O Benign Vertigo vs. CNS Lesion; **Rotate head to 1 side & lowering it 30 deg. below body line; **Watch for nystagmus during head rotation. BENIGN VERTIGO - DEF: Rotational nystagmus SEVERE VERTIGO - DEF: Occurs in 1 direction, resolves quickly & CANNOT be reproduced CNS LESION - DEF: Nystagmus is longer and continues with each repetition NYSTAGMUS - DEF: Involuntary rapid eye movements VERTIGO vs CNS LESION: DIFF. DIAGNOSES - 1) PERIPHERAL VESTIBULAR DIS. - Labyrinth of inner ear; dizziness, N & V, diaphoresis, balance prob's, tinnitus, fluctuating hearing loss, vertigo, ear pressure, diplopia; **DX - MRI, MRA, audiologic eval; **RX - meclizine, Benadryl, promethazine, Diamox; Vestibular exercises.