Irene Gold PART II
BOARDS Questions and
Answers
Barre-Lieou
Ans- Patient seated, instruct to rotate head maximally from side to side. Done
slowly at first then accelerated to patient tolerance
Test for vertebrobasilar artery insufficiency
DeKleyn's
Ans- Patient supine, instruct patient to rotate and extend head off table then
turn to each side for 15-45 seconds. Dr. lends minimal support.
,Test for vertebrobasilar artery insufficiency
Hallpike
Ans- (enhanced DeKleyn's)
Patient supine, head extended off table. Examiner supports head & brings head
into extension, rotation & lateral flexion.
Test for vertebrobasilar artery insufficiency
Hautant's
Ans- Patient seated, arms extended forward to shoulder level w/hands
supinated. Maintain position for a few seconds. Patient then closes the eyes,
rotates and hyperextends neck to one side. Repeated to opposite side.
Test for vertebrobasilar artery insufficiency
,Underberg
Ans- Patient stands with eyes open, arms at side, feet close together. Patient
closes eyes, extends arms and supinates hands, then patient extends and
rotates head to one side. Then in this position patient is instructed to march in
place.
Test for vertebrobasilar artery insufficiency
Maigne's
Ans- Patient is seated, examiner brings head into extension and rotation.
Test for vertebrobasilar artery insufficiency
Adie's pupil
Ans- sluggish pupillary rxn to light that is unilateral and caused by
parasympathetic lesion of CN III
, Anisocoria
Ans- unequal pupil size
Argyll Robertson Pupil
Ans- bilaterally small & irregular pupils that accommodate but do not react to
light. Seen with syphilis (prostitute's pupil)
Arroyo sign
Ans- sluggish pupillary rxn due to hypo-adrenalism (Addison's disease)
Blepharitis
Ans- inflammation of eyelid seen with seborrhea, staph infection &
inflammatory process
Chalazion
Ans- infection of meibomian gland causing a nodule which points inside the
eyelid
BOARDS Questions and
Answers
Barre-Lieou
Ans- Patient seated, instruct to rotate head maximally from side to side. Done
slowly at first then accelerated to patient tolerance
Test for vertebrobasilar artery insufficiency
DeKleyn's
Ans- Patient supine, instruct patient to rotate and extend head off table then
turn to each side for 15-45 seconds. Dr. lends minimal support.
,Test for vertebrobasilar artery insufficiency
Hallpike
Ans- (enhanced DeKleyn's)
Patient supine, head extended off table. Examiner supports head & brings head
into extension, rotation & lateral flexion.
Test for vertebrobasilar artery insufficiency
Hautant's
Ans- Patient seated, arms extended forward to shoulder level w/hands
supinated. Maintain position for a few seconds. Patient then closes the eyes,
rotates and hyperextends neck to one side. Repeated to opposite side.
Test for vertebrobasilar artery insufficiency
,Underberg
Ans- Patient stands with eyes open, arms at side, feet close together. Patient
closes eyes, extends arms and supinates hands, then patient extends and
rotates head to one side. Then in this position patient is instructed to march in
place.
Test for vertebrobasilar artery insufficiency
Maigne's
Ans- Patient is seated, examiner brings head into extension and rotation.
Test for vertebrobasilar artery insufficiency
Adie's pupil
Ans- sluggish pupillary rxn to light that is unilateral and caused by
parasympathetic lesion of CN III
, Anisocoria
Ans- unequal pupil size
Argyll Robertson Pupil
Ans- bilaterally small & irregular pupils that accommodate but do not react to
light. Seen with syphilis (prostitute's pupil)
Arroyo sign
Ans- sluggish pupillary rxn due to hypo-adrenalism (Addison's disease)
Blepharitis
Ans- inflammation of eyelid seen with seborrhea, staph infection &
inflammatory process
Chalazion
Ans- infection of meibomian gland causing a nodule which points inside the
eyelid
