Exam Preview

Contemporary Concepts in Pediatric Vestibular Assessment and Management, presented in partnership with Seminars in Hearing

---

1.  Which etiology of sensorineural hearing loss is not typically associated with concurrent vestibular impairment? Congenital Cytomegalovirus Meningitis Usher Syndrome Type 1 Homozygous mutation in Connexin 26 (GJB2 mutations)

2.  On average a child with congenital bilateral vestibular loss will develop the balance skills of what age child? 18 month old 2 and a half year old 3 year old 4 and a half year old

3.  Which method is not suitable for assessing horizontal canal function? Head thrust test Rotatory chair test vHIT SVV

4.  Which of the following professionals is NOT considered a key member of the multidisciplinary pediatric balance team? Audiologists Physical Therapists Athletic trainer Otolaryngologist

5.  Which is an important advantage of having a physical therapist (PT) trained in vestibular rehabilitation on the team? PTs can determine if motor function, musculoskeletal problems, or their vestibular systems are the primary cause for balance dysfunction. PTs carryout whatever therapy recommendations the audiologists suggest. PTs don’t require much space to perform their evaluations. PTs can prescribe medications to aid in vestibular system recovery.

6.  Which of the following groups does NOT need to be educated about the needs and benefits of referring pediatric patients for vestibular evaluation? Physicians Administrators Pharmacists Deaf educators

7.  What vestibular related deficits are common in children with cerebral palsy? Abnormal DVA Abnormal VOR testing on rotary chair Abnormal VEMP Abnormal VHIT

8.  What is the key component to correctly performing gaze stabilization exercises? Balance training with visual focus Eye movement exercises Head movement with visual focus Balance training with eyes closed

9.  Which of the following balance exercises will strengthen the use of vestibular information for postural control? Standing on a stable surface with eyes opened Standing on a compliant or moving surface with eyes opened Standing on a stable surface with eyes closed Standing on a compliant or moving surface with eyes closed

10.  Which of the following was not recommended as a good adaptation for oculomotor testing in children? Using of pediatric age-specific normative values Reduced testing time Pediatric specific visual targets Longer testing time

11.  Which class of eye movements are used to shift gaze to explore our environment? Saccades Smooth Pursuit Optokinetic Gaze

12.  In most instances, when the target speed exceeds ____ per second the pursuit system will no longer be able to keep the eyes on the target and the saccade system will be recruited to reacquire the object of interest. 50 degrees 70 degrees 130 degrees 180 degrees

13.  The following are modifications for VEMP testing in children except: Use of animated cartoon to maintain a desired EMG contraction level Use of 1000 Hz tone burst stimulus Use of a sitting position for oVEMP Use of an ascending approach for threshold VEMP testing

14.  Modifications to vHIT testing in children less than 3 years can include: Use of a traditional goggle vHIT Obtaining fewer number of head impulses Use of a standard visual target Sitting independently to avoid distraction

15.  Rotary chair can be affected by: Middle ear effusion Height Muscle tension Neck length