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Vestibular Rehabilitation: Differential Diagnosis

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1.  The peripheral vestibular system is located:
  1. In the outer ear
  2. In the inner ear
  3. In the otolithic membrane
  4. In the cupula
2.  Within the semicircular canals, the _________ is connective tissue located across the canal within the ampulla that contains sensory hair cells.
  1. Cupula
  2. Utricle
  3. Otoconia
  4. Otolithic membrane
3.  Ewald's second law states the ability to excite the nerve is ___________ the ability to inhibit the nerve (vestibular hypofunction).
  1. Equal to
  2. Weaker than
  3. Stronger than
  4. None of the above
4.  A cardiovascular dizziness diagnois includes which of the following?
  1. Benign paroxysmal positional vertigo
  2. Orthostatic hypotension
  3. Postprandial hypotension
  4. Both B and C are correct
5.  According to Sealy, early treatment of vestibular neuronitis and labyrinthitis recommends use of:
  1. NSAIDs
  2. Anti-inflammatory corticosteroids
  3. Vestibular suppressants
  4. Head impulse testing
6.  Meniere's Disease occurs when there is build up of endolymphatic fluid secondary to known triggers. These triggers may include:
  1. Caffeine, high-sodium foods
  2. Barometric pressure changes
  3. Stress, fatigue
  4. All of the above are correct
7.  Symptoms related to neck pain, head movement, or sustained head position is most likely:
  1. Vestibular labyrinthitis
  2. Cervicogenic dizziness
  3. Acoustic neuroma
  4. Post-prandial hypotension
8.  All of the following are true about vestibular migraine EXCEPT
  1. Several specific tests, diagnosis of inclusion
  2. Most common cause in children
  3. No hearing loss
  4. May occur with or without other migraine symptoms
9.  Treatment for post-concussion syndrome includes which of the following?
  1. Sensory modifications
  2. Manual therapy and therapeutic exercise
  3. Vestibular rehabilitation
  4. All of the above are correct
10.  Orthostatic hypotension occurs when there is a drop in blood pressure with positional changes with:
  1. A systolic drop of greater than/equal to 20 mmHg or diastolic drop of greater than/equal to 10 mmHg
  2. A systolic drop of less than 20 mmHg or diastolic drop of less than 10 mmHg
  3. A systolic drop of 15 mmHg and a diastolic drop of at least 5 mmHg
  4. A systolic drop of more than 10 mmHg and a diastolic drop of more than 5 mmHg

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