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GNRS 5669 Exam 3 Questions with Detailed
Verified Answers
Lab evaluation in patients with delirium: Ans:— electrolytes
creatinine
glucose
calcium
CBC
urinalysis and urine culture
Vertigo: Ans:— sensation of spinning or motion
Prescyncopal lightheadedness: Ans:— sensation of impending faint
Disequilibrium: Ans:— sensation of unsteadiness
Continuous dizzy symptoms: Ans:— stroke
Episodic or brief dizziness: Ans:— BPPV, labryinthitis
Hours or days of dizziness: Ans:— menieres disease
Dix-Hallpike maneuver: Ans:— -help differentiate benign vertigo vs.
vertigo from a CNS lesion
-expect vomiting
-BPPV treatment
-CNS lesion: longer duration nystagmus, continues with each repetition of
hallpike, does not decrease in intensity
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-benign vertigo: rotation nystagmus during head rotation, resolves
quickly and cannot be reproduced after 2-3 repetitions of hallpike
BPPV: Ans:— -episodic w/ no vertigo
-N/V, worse with movement
-positive dix-hallpike maneuver
-using anti-emetics may prolong BPPV course
Labyrinthitis: Ans:— -ABRUPT onset of dizziness
-sometimes occurs with viral URI
Postural hypotension: Ans:— -20mm drop in SBP, 10mm drop in DBP
without pulse change
-wait 2 min after standing from lying position
Diseased vestibular nerve: Ans:— Menieres disease
-loss of low frequencies
-dizzy, N/V, diaphoresis, difficulty with balance, vertigo, tinnitus,
fluctuating hearing loss, feeling of pressure in the ear, diplopia
Basilar CVA: Ans:— facial numbness, hemiparesis, diplopia, dysarthria,
HA, N/V
Veterbrobasilar stroke syndromes: Ans:— nausea, vertigo, facial
numbness, hearing loss
Cerebellar infaction: Ans:— severe vomiting, vertigo, ataxia
Tx of dizziness: Ans:— -antihistamines- meclizine, benadryl,
phenergan
-take medication for a week and then taper to PRN
-antiemetics- for n/v
-sedation precautions!
S/S of bells palsy: Ans:— -50% max paralysis within in 48hrs
GNRS 5669 Exam 3 Questions with Detailed
Verified Answers
Lab evaluation in patients with delirium: Ans:— electrolytes
creatinine
glucose
calcium
CBC
urinalysis and urine culture
Vertigo: Ans:— sensation of spinning or motion
Prescyncopal lightheadedness: Ans:— sensation of impending faint
Disequilibrium: Ans:— sensation of unsteadiness
Continuous dizzy symptoms: Ans:— stroke
Episodic or brief dizziness: Ans:— BPPV, labryinthitis
Hours or days of dizziness: Ans:— menieres disease
Dix-Hallpike maneuver: Ans:— -help differentiate benign vertigo vs.
vertigo from a CNS lesion
-expect vomiting
-BPPV treatment
-CNS lesion: longer duration nystagmus, continues with each repetition of
hallpike, does not decrease in intensity
, Page | 2
-benign vertigo: rotation nystagmus during head rotation, resolves
quickly and cannot be reproduced after 2-3 repetitions of hallpike
BPPV: Ans:— -episodic w/ no vertigo
-N/V, worse with movement
-positive dix-hallpike maneuver
-using anti-emetics may prolong BPPV course
Labyrinthitis: Ans:— -ABRUPT onset of dizziness
-sometimes occurs with viral URI
Postural hypotension: Ans:— -20mm drop in SBP, 10mm drop in DBP
without pulse change
-wait 2 min after standing from lying position
Diseased vestibular nerve: Ans:— Menieres disease
-loss of low frequencies
-dizzy, N/V, diaphoresis, difficulty with balance, vertigo, tinnitus,
fluctuating hearing loss, feeling of pressure in the ear, diplopia
Basilar CVA: Ans:— facial numbness, hemiparesis, diplopia, dysarthria,
HA, N/V
Veterbrobasilar stroke syndromes: Ans:— nausea, vertigo, facial
numbness, hearing loss
Cerebellar infaction: Ans:— severe vomiting, vertigo, ataxia
Tx of dizziness: Ans:— -antihistamines- meclizine, benadryl,
phenergan
-take medication for a week and then taper to PRN
-antiemetics- for n/v
-sedation precautions!
S/S of bells palsy: Ans:— -50% max paralysis within in 48hrs
