Rosh 51 Review Questions And Answers

A patient presents with dizziness. Romberg testing with the eyes open is normal, but with the eyes closed, the patient sways and almost falls over. Given this Romberg test result, pathology in which of the following systems is most likely? A Cardiovascular B Cerebellar C Vestibular D Visual - ️️Vestibular In the US, what is a common cause of imbalance due to peripheral disease? - ️️Diabetic distal peripheral polyneuropathy An elderly man complains of dizziness upon standing. He denies being dizzy once he has stood for 5 minutes, and also denies being dizzy when supine or seated. He denies associated chest pain, palpitations, or dyspnea. Which of the following tests should first be performed during the evaluation of this positional dizziness? A Chest radiograph B Head-up tilt-table testing C Orthostatic vital signs D Transesophageal echocardiography - ️️C orthostatic vital signs List some medications whose side effects can cause symptoms of orthostasis? - ️️Antiparkinsonian drugs, antiadrenergics, anticholinergics, antidepressants, antiarrhythmics, antipsychotics, diuretics, narcotics and sedatives.