what is the goal of audiology assessment? - Answersdetermine if there is a vestibular system problems
& where in the system that the problem might be
what type of assessments are done with patients that have auditory symptoms? - Answers1.
Videonystagmopgraphy
2. computerized dynamic posturography
3. hearing assessment
4. auditory brainstem response
5. electocochleography
6. rotary chair
7. Otolith test
what is the main test for auditory symptoms? - Answersvidonystagmography (VNG)
what 2 ways can the VNG be done? - Answers1. indirectly
2. directly
how is the VNG done directly? - Answersusing a video recording of eye movements
how is the VNG done indirectly? - Answersusing electrodes to record electrical field changes
what type of system is the VNG? - Answerscomplete computer-based
what are the subsets testing of the VNG? - Answers1. ocular motor functions
2. spontaneous nystagmus
3. post-head shaking nystagmus
4. positional testing and Dix-hallpike
5. caloric testing
what are the ocular motor functions subsets of the VNG? - Answers1. fixation or gaze stability
2. saccades
3. smooth pursuit
4. optokinetics
, what is fixation or gaze stability? - Answersthe eye movement associated with an effort to keep the eyes
still with respect to the head
what is saccades? - Answersrapid eye movement between points
what is smooth pursuit? - Answerstracking
the subset test of ocular motor functions primarily tests for what? - AnswersBS/cerebellar oculomotor
pathways
what is caloric testing? - Answersthermal stimulation of the vestibular system
how do you perform the caloric testing? - Answers-put warm and cool water into the external ear canal
for a specified time while the resultant nystagmus is recorded for both eyes
-change temp of water
by changing the temp of the water what does that affect? - Answersthe horizontal canal in the same
way as head rotation
what makes a + caloric test? - Answersa weakness of 20% or greater
what is directional preponderance for caloric testing? - Answers-compares nystagmus beating to the R
with that of nystagmus to the L
what type of sign of vestibular dysfunction is the directional preponderance? - Answersnon-localizing
sign
what makes a + directional preponderance? - Answersa measure of 30% difference between the R and
the L response is consider the EDGE of normal
what does the auditory brainstem response test? - Answersfunction of CN 8
what does the auditory brainstem response rule out? - Answersretrocochlear lesion
in the rotary chair what is the oscillating movement speed? - Answers0.2-0.64Hz
what does the rotary chair test? - AnswersVOR
what the rotary chair compare? - Answersgain and phase of one side to the other
what is VEMP? - Answersvestibular-evoke myogenic potential
what does the Otolith test? - AnswersVEMP
**both cervical and ocular**
what is the cervical test for Otolith? - Answers-exposed to loud clicks in one ear