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Understanding Current Testing Choices for the Dizzy Patient - What's Best & Why?

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1.  Which is not a benefit of video head impulse testing?
  1. Assessment of all 6 semicircular canals
  2. If you perform vHIT, you will never again need to test calorics
  3. Assessment of function at a higher velocity
  4. All of the above
2.  Skew deviation is defined as:
  1. torsional nystagmus
  2. horizontal misalignment of the eyes caused by an imbalance of the VOR
  3. vertical misalignment of the eyes caused by an imbalance of the VOR
  4. None of the above
3.  Both ______ and _____ are subtests of both V/ENG and Impulse 3.0.
  1. RALP & LARP
  2. Side lying and VVOR
  3. Gaze and Dix-Hallpike
  4. None of the above
4.  The Barbeque Roll repositioning technique is a treatment for:
  1. all types of BPPV
  2. Horizontal Canal BPPV
  3. Posterior Canal BPPV
  4. General positional vertigo
5.  If you suspect your patient has BPPV, the American Academy of Otolaryngology recommends starting with which of the following subtests to make your workflow more efficient?
  1. Oclular Motor testing
  2. Skew Test
  3. Calorics
  4. Dix Hallpike
6.  Who first described the bedside test of the VOR?
  1. Halmagyi & Curthoys
  2. Dix & Hallpike
  3. Hallpike & Stenger
  4. Jacobson & McCaslin
7.  Which positional module subtest will allow you to assess a patient for BPPV when the Dix-Hallpike is contraindicated?
  1. Hallpike - Stenger
  2. roll
  3. sidelying
  4. liberatory
8.  The VVOR subtest assesses the following pathway(s):
  1. smooth pursuit
  2. optokinetic
  3. VOR
  4. All of the above
9.  The definition of VEMP is:
  1. an additional module to purchase for VNG that requires a monitor
  2. an extension of the ABR
  3. A test of otolith function that requires sound to generate the response but is still a vestibular evoked response
  4. None of the above
10.  A potentially modified workflow for a patient with vestibular neuritis could be:
  1. Case history, VEMP, skew deviation, Impulse
  2. Case history, neurological exam, gaze/spontaneous, VVOR, Skew Deviation, Impulse
  3. Case history, physical exam, Dix-Hallpike, repositioning manuever
  4. Case history, physical exam, spontaneous, Impulse, VEMP

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