Question 1

You would not proceed with interventions for vestibular disease if your patient experiences which of the following symptoms?&#10;A)Increased feeling of pressure in the ears&#10;B)Sudden loss of hearing&#10;C)Fluid discharge from the nose&#10;D)All of the above

Accepted Answer

All of the symptoms listed (increased feeling of pressure in the ears, sudden loss of hearing, and fluid discharge from the nose) could indicate more serious underlying conditions that need to be addressed before proceeding with interventions specifically for vestibular disease. These symptoms could suggest complications or different diagnoses that require immediate attention.

Question 2

A vestibular schwannoma is a benign tumor of which of the cranial nerves?&#10;A)Cranial nerve VII&#10;B)Cranial nerve VIII&#10;C)Cranial nerve IX&#10;D)Cranial nerve X

Accepted Answer

A vestibular schwannoma is a benign tumor of the vestibulocochlear nerve, which is also known as cranial nerve VIII.

Question 3

The typical instruction for a patient who will do a home exercise program for benign paroxysmal positional vertigo is to continue the exercises until he or she has had no episodes of vertigo for how many hours?

A)6 hours
B)12 hours
C)24 hours
D)48 hours

D

Accepted Answer

The typical instruction for a patient with benign paroxysmal positional vertigo (BPPV) is to continue the exercises until they have had no episodes of vertigo for 48 hours. This helps ensure that the particles causing the vertigo have been fully repositioned or dissolved.

Question 4

Physical therapy is not appropriate for patients having which of the following conditions?&#10;A)M&#233;ni&#232;re's disease&#10;B)Benign paroxysmal positional vertigo&#10;C)Unilateral vestibular hypofunction&#10;D)Ventral vestibular hypofunction

Accepted Answer

Physical therapy is not appropriate for patients with Ménière's disease due to the unpredictable nature of the symptoms and potential risk of exacerbation during treatment.

Question 5

In treating your patient for gaze instability, the X2 paradigm involves exercises in which:&#10;A)The head moves horizontal as quickly as possible while maintaining focus.&#10;B)The head moves vertically as quickly as possible while maintaining focus.&#10;C)The head and target move in opposite directions.&#10;D)The head and target move in the same direction.

Accepted Answer

In the X2 paradigm, the head and target move in opposite directions to challenge the patient's gaze stability and improve their ability to maintain focus while in motion. Moving the head horizontally or vertically as quickly as possible may be used in other exercises, but is not specifically part of the X2 paradigm. Moving the head and target in the same direction would not provide the necessary challenge to improve gaze stability.

Question 6

Your patient tells you that she feels dizzy.Upon further questioning, she tells you that the room feels like it is spinning.You would document her complaint as:&#10;A)Vertigo&#10;B)Lightheadedness&#10;C)Disequilibrium&#10;D)Oscillopsia

Accepted Answer

The patient's description of the room spinning is consistent with vertigo, which is a type of dizziness that gives a sensation of movement or spinning. Lightheadedness is when a patient feels faint or weak. Disequilibrium is when a patient feels unsteady or off-balance. Oscillopsia is when a patient's vision is affected by the movement or shaking of their eyes.

Deck 21: Pta: Vestibular Disorders