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Audiological and Vestibular Care of Patients with Parkinson’s Disease

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1.  Which of the following vestibular test findings is commonly associated with Parkinson’s disease?
  1. Normal vestibulo-ocular reflexes on all tests
  2. Bilateral absence or reduction of cervical VEMPs
  3. Direction-changing positional nystagmus indicating BPPV
  4. Hyperactive caloric responses bilaterally
2.  In patients with Parkinson’s disease, hearing loss typically:
  1. Does not occur any more than in the general elderly population
  2. Primarily affects low frequencies
  3. Has been recognized as a non-motor symptom and often involves high-frequency loss ​
  4. Is usually due to middle ear stiffness from rigidity
3.  Which of the following is an appropriate management recommendation for a PD patient with dizziness and hearing loss?
  1. Vestibular rehabilitation exercises to improve balance
  2. Avoid all physical activity to prevent falls
  3. Defer hearing aids until late-stage Parkinson’s
  4. Ignore anxiety symptoms as they will resolve on their own
4.  What is the primary vestibular complaint most often reported by patients with Parkinson’s disease?
  1. Spinning vertigo with nausea
  2. Sudden drop attacks
  3. Chronic unsteadiness or postural imbalance
  4. Motion sickness during travel
5.  Which of the following most accurately describes the role of dizziness-related questionnaires in Parkinson’s disease care?
  1. They have no value because PD dizziness is primarily objective
  2. They are used to determine medication dosage
  3. They help quantify functional and emotional impact of dizziness
  4. They only identify BPPV

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