Vestibular Clinical Exam Questions and Answers Fully Solved Graded A+
what is the best clinical test we have for the vestibular system? - Answershistory
what is included in the history of a vestibular eval? - Answers1) description of dizziness
2) provoking activities
3) symptoms related to movement
4) duration and frequency of episodes of dizziness
5) when did the symptoms start (getting better?)
should you provide categories to a patient when asking them to describe their dizziness? - Answersno
what is a big cue that the peripheral vestibular system is involved based on the description of dizziness?
- Answersblurry vision or not seeing right
what aspects should you ask about regarding balance/unsteadiness? - Answers1) light vs. dark
2) inside vs. outside
3) head movement LOB
4) surfaces
5) fatigue
6) time of end
7) attentional factors
the further out in time you ask about fall history, the (more/less) accurate the history is - Answersless
what forms are good for collective subjective data on vestibular? - Answers1) DHI
2) VAS
3) disability scale
4) ABC scale
5) vestibular rehabilitation benefits questionnaire
25-item self-assessment inventory designed to evaluate the self-perceived handicapping effects
imposed by dizziness - AnswersDizziness Handicap Inventory (DHI)
what are the three subscores of the DHI? - Answers1) social
, 2) physical
3) emotional
in the DHI, what values correspond to the following handicap?
Mild
Moderate
Severe - Answersmild: 0-30
moderate: 31-60
severe: 61-100
a self-report scale in which the individual is asked to rate their level of disability based on description of
symptoms and limited activities - Answersdisability scale
self-report measure of balance confidence in performing various activities without losing balance or
experiencing a sense of unsteadiness - AnswersABC Scale
measures the difference between the individual's current state of symptoms and QoL as compared to
state that is normal for the individual - Answersvestibular rehabilitation benefits questionnaire
nonvoluntary rhythmic oscillation of the eyes - Answersnystagmus
nystagmus is always named by the ______ component - Answersfast
the vestibular drives the _____ phase of nystagmus - Answersslow
T/F: nystagmus is the only positive result you see if the vestibular system is impaired - Answersfalse
nystagmus is beats towards the (more/less) active side - Answersmore
nystagmus usually beats towards the (involved/uninvolved) side, except for BPPV - Answersuninvolved
nystagmus strengthened or revealed with fixation removal is likely (central/peripheral) in origin -
Answersperipheral
why can fixation removal trigger nystagmus? - Answerstake out visual component
pure vertical or pure torsional nystagmus indicate (central/peripheral) involvement - Answerscentral
direction changing gaze evoked nystagmus indicates (central/peripheral) involvement - Answerscentral
(cerebellar)
why is a pure horizontal nystagmus not a concern? - Answersit happens naturally in normal people (such
as watching a train pass by)
what is the best clinical test we have for the vestibular system? - Answershistory
what is included in the history of a vestibular eval? - Answers1) description of dizziness
2) provoking activities
3) symptoms related to movement
4) duration and frequency of episodes of dizziness
5) when did the symptoms start (getting better?)
should you provide categories to a patient when asking them to describe their dizziness? - Answersno
what is a big cue that the peripheral vestibular system is involved based on the description of dizziness?
- Answersblurry vision or not seeing right
what aspects should you ask about regarding balance/unsteadiness? - Answers1) light vs. dark
2) inside vs. outside
3) head movement LOB
4) surfaces
5) fatigue
6) time of end
7) attentional factors
the further out in time you ask about fall history, the (more/less) accurate the history is - Answersless
what forms are good for collective subjective data on vestibular? - Answers1) DHI
2) VAS
3) disability scale
4) ABC scale
5) vestibular rehabilitation benefits questionnaire
25-item self-assessment inventory designed to evaluate the self-perceived handicapping effects
imposed by dizziness - AnswersDizziness Handicap Inventory (DHI)
what are the three subscores of the DHI? - Answers1) social
, 2) physical
3) emotional
in the DHI, what values correspond to the following handicap?
Mild
Moderate
Severe - Answersmild: 0-30
moderate: 31-60
severe: 61-100
a self-report scale in which the individual is asked to rate their level of disability based on description of
symptoms and limited activities - Answersdisability scale
self-report measure of balance confidence in performing various activities without losing balance or
experiencing a sense of unsteadiness - AnswersABC Scale
measures the difference between the individual's current state of symptoms and QoL as compared to
state that is normal for the individual - Answersvestibular rehabilitation benefits questionnaire
nonvoluntary rhythmic oscillation of the eyes - Answersnystagmus
nystagmus is always named by the ______ component - Answersfast
the vestibular drives the _____ phase of nystagmus - Answersslow
T/F: nystagmus is the only positive result you see if the vestibular system is impaired - Answersfalse
nystagmus is beats towards the (more/less) active side - Answersmore
nystagmus usually beats towards the (involved/uninvolved) side, except for BPPV - Answersuninvolved
nystagmus strengthened or revealed with fixation removal is likely (central/peripheral) in origin -
Answersperipheral
why can fixation removal trigger nystagmus? - Answerstake out visual component
pure vertical or pure torsional nystagmus indicate (central/peripheral) involvement - Answerscentral
direction changing gaze evoked nystagmus indicates (central/peripheral) involvement - Answerscentral
(cerebellar)
why is a pure horizontal nystagmus not a concern? - Answersit happens naturally in normal people (such
as watching a train pass by)
