1. Flash Cards 832 week Five and Six

2. True or False? Is BPPV “self-limiting”? and the answer is... Click here for the answer

3. Yes, but why is BPPV considered self limiting?

4. True or False? Audiologists should never refer a dizzy patient for surgical management of their dizziness. and the answer is...

5. False. When is it appropriate to refer for surgical management of dizziness? http://www.lifeprint.com/

6. True or False? Aminoglycosides are not toxic to the cochlea and vestibular system. and the answer is...

7. False.

8. True or False? During canalith repositioning, the fluid in both ears is “moved” during the treatment. and the answer is...

9. True

10. True or False? The "flexion" or "bending" of the neck is not relevant during treatment of BPPV with canalith repositioning. and the answer is...

11. False

12. True or False? Inner ear dizziness resolves spontaneously in 100% of cases without medication or surgical treatment for the dizziness. and the answer is...

13. False

14. True or False? If a patient has taken vestibular suppressant medication just prior to VNG testing, note in the report that testing was done within 48 hours of testing but the results were probably not affected by the medication. and the answer is...

15. False. How would you handle a case like this?

16. True or False? The goal of medication management for dizziness is to treat chronic symptoms of dizziness. and the answer is...

17. False

18. True or False? IT gentamycin treatment for dizziness is not effective if pre-treatment testing shows residual vestibular function. and the answer is...

19. False.

20. True or False? To effectively treat BPPV, you need to determine only which ear is affected. and the answer is...

21. False. What do you need to determine to effectively treat BPPV?

22. True or False? Antidepressant medications are considered to be vestibular suppressants. and the answer is...

23. False

24. True or False? Tullio's Phenomenon is the vestibular disorder that requires surgery most often. and the answer is...

25. False

26. True or False? The most frequent risk a patient may experience after a singular neurectomy or section of the posterior ampullary nerve is facial paralysis. and the answer is...

27. False. What is the most common risk associated with this procedure?

28. True or False? The dopaminergic transmitters are generally treated with medications like Lorazepam or Valium. and the answer is...

29. False. What type of medication would this neurotransmitter be treated with?

30. True or False? When treating a patient’s right ear with the Semont maneuver, turn the patient’s head to the same side then quickly move the patient onto their side. and the answer is...

31. False. Which side should the patient’s head be turned toward during the Semont Maneuver?

32. True or False? Richard Gans recommends patients restrict their head/ body movement for 48 hours after treatment for BPPV. and the answer is...

33. False. What does Gans recommend for patients after treatment of BPPV?

34. True or False? For cases of bilateral posterior canal BPPV, you should treat both ears simultaneously. and the answer is...

35. False. Which ear should be treated first?

36. True or False? A patient showing symptoms of dizziness will more than likely, if a hearing loss is present, exhibit the hearing loss in the opposite ear. and the answer is...

37. False. Which ear will the hearing loss most likely be found?

38. True or False The preferred treatment for posterior canal cupulolithiasis is canalith repositioning. and the answer is...

39. False. What is the recommended treatment for posterior canal cupulolithiasis?

40. True or False? Vestibular nerve section surgery does not eliminate more of the normal vestibular system than is necessary. and the answer is...

41. False.

42. True or False? The labyrinthectomy procedure is not considered a “last resort” for a dizzy patient. and the answer is...

43. False

44. True or False? Patients that return for treatment of BPPV that show no symptoms of dizziness should be treated anyway. and the answer is...

45. False. How would you manage the patient in this case?

46. True or False? and the answer is... When teaching the patient how to perform the Brandt–Daroff exercises, it important to have the patient demonstrate the entire sequence on their own because the patient must turn their head to look toward the table as they lie down and turn their head to look up as they return to a sitting position.

47. False. What is the correct way to complete the Brandt-Daroff exercise?

48. True or False? 99.9% of patients diagnosed with BPPV have spontaneous resolution of symptoms within one month without treatment. and the answer is...

49. False. Be familiar with the treatment efficiency for BPPV.

50. True or False? Patients show postoperative imbalance following the posterior semicircular canal plugging procedure because the canal is accessed through a mastoidectomy. and the answer is...

51. False. Why do these patients show imbalance after this surgery?

52. True or False? An elderly patient with poor hearing is an ideal candidate for the vestibular nerve section procedure. and the answer is...

53. False. This patient would be an ideal candidate for this surgical procedure?

54. True or False? The Meniett Device was developed by researchers in Germany. and the answer is...

55. False. Where was the Meniett Device developed, and why?

56. True or False? The principle behind the use of the Meniett Device is to give divers and pilots relief from the possible affects of barotrauma. and the answer is...

57. False. What is the principle behind the use of the Meniett Device?

58. True or False? The Meniett Device can cause discomfort for the patient. and the answer is...

59. False. Is the Meniett Device safe to use? Why or why not?

60. Good luck !