________________________________________________________________________ Dizziness and Vertigo
S tudy G uide
DIZZINESS AND VERTIGO
This Study Guide has been included to provide immediate feedback about your achievement for the course learning objectives. The correct answers for the Self-Assessment Questions and their locations within the text are indicated below.
1. The Drachman-Hart paradigm in dizziness and vertigo management D) was introduced in 1972 and is based on patient symptom description. (Introduction)
2. Limitations in the Drachman-Hart dizziness and vertigo paradigm include the following, EXCEPT: B) The four symptom subtypes have been validated as accurate (Introduction)
3. The vestibular system is comprised of all the following, EXCEPT: A) Cochlea (Anatomy and Physiology)
4. Vestibular signaling that conflicts with brain integration of other peripheral sensory inputs to cause vertigo, spatial disorientation, or imbalance results from D) sensory mismatch. (Anatomy and Physiology)
5. Compared with peripheral causes of dizziness/vertigo, central causes account for what proportion of presentations? C) 20% (Anatomy and Physiology)
6. In benign paroxysmal positional vertigo (BPPV), the afflicted semicircular canal in 85% to 95% of cases is the D) posterior canal. (Peripheral Causes of Dizziness and Vertigo; Benign Paroxysmal Positional Vertigo; Pathophysiology)
7. In vestibular neuritis, all of the following are true, EXCEPT: C) Vestibular and cochlear components of the 8th cranial nerve are both affected. (Peripheral Causes of Dizziness and Vertigo; Viral or Bacterial Infectious Causes; Vestibular Neuritis)
8. All of the following are common symptoms of bacterial labyrinthitis, EXCEPT: C) Aural fullness (Peripheral Causes of Dizziness and Vertigo; Viral or Bacterial Infectious Causes; Bacterial Labyrinthitis)
9. Which of the following clinical features best characterizes vestibular paroxysmia? D) Brief (several seconds), frequent (up to 30 per day) recurrent spontaneous vertigo attacks (Peripheral Causes of Dizziness and Vertigo; Vestibular Paroxysmia)
10. The most common cause of recurrent spontaneous vertigo attacks is B) vestibular migraine. (Central Causes of Dizziness and Vertigo; Vestibular Migraine)
11. Which of the following statements regarding anxiety, balance, and vestibular interactions is TRUE? D) All of the above (Vestibular Impairment, Anxiety, and Perception; Anxiety, Balance, and Vestibular Interactions)
12. Post-concussion syndrome persists beyond three months in up to what percentage of patients following concussion? B) 20% (Post-Trauma or Toxic Exposure; Post-Concussive and Cervicogenic Vertigo; Post-Concussion Syndrome)
13. Which of the following is the most vestibulotoxic of all medications? C) Aminoglycoside (Adverse Drug Effects; Ototoxic Drugs; Aminoglycosides)
14. Which of the following contributes to misdiagnosis of posterior circulation TIA or stroke as benign dizziness? D) All of the above (Diagnosis: The “Timing and Triggers” Workup)
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Book Code: ANCCTX2027
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