Question 1

A patient reports a recurrent sensation of spinning associated with nausea and vomiting. Which test will the provider order to confirm a diagnosis for this patient?&#10;A) Electroencephalogram (ECG)&#10;B) Holter monitoring and electrocardiogram&#10;C) Neuroimaging with computerized tomography (CT)&#10;D) The Hallpike-Dix positioning maneuver

Accepted Answer

The Hallpike-Dix positioning maneuver is used to diagnose benign paroxysmal positional vertigo, which presents with symptoms of recurrent spinning, nausea, and vomiting. It involves rapid head maneuvers and observing for specific eye movements that indicate the presence of the condition. The other options listed are not relevant for diagnosing this condition.

Question 2

An older adult patient reports sensations of being off balance when walking but does not experience dizziness. The provider will refer this patient to which specialist for further evaluation?&#10;A) Audiologist&#10;B) Cardiologist&#10;C) Neurologist&#10;D) Otolaryngologist

Accepted Answer

The patient's symptoms suggest a problem with their balance and gait, which can be indicative of neurological issues. Thus, the provider will refer this patient to a neurologist for further evaluation. Audiologists specialize in hearing disorders, cardiologists focus on heart-related conditions, and otolaryngologists deal with issues related to the ear, nose, and throat.

Deck 175: Dizziness and Vertigo