Orthopedic Tests

Question 1

Test for vertebral artery insufficiency

Answer 1

VBI Test
- (+) 5D’s A 3N’s

Question 2

Test for Vestibular Vertigo

Answer 2

Dix Hallpike
- (+) Nystagmus

Question 3

• > 50
• Episodic vertigo (sec - min)
• No hearing loss
• (-) movement/positional
• No hearing loss
• +/- nausea & vomiting

Answer 3

BPPV (Benign Positional Paroxysmal Vertigo)

Test: Dix Hallpike
Treatment: Epley’s Maneuver

Question 4

• 20-50
• Episodic vertigo (min - days)
• Yes hearing loss (unilateral, low
  frequency)
• Tinnitus
• Feeling of fullness in the ears

Answer 4

Meniere’s Disease

Question 5

• Viral infection
• Vertigo
• No hearing loss

Answer 5

Vestibular Neuritis

Question 6

• Viral infection
• Vertigo
• Yes hearing loss

Answer 6

Labrynthitis

Question 7

• Slowly developing symptoms
• Gradual, unilateral hearing loss
• Tinnitus
• Vertigo
• May see cranial nerve disturbances in
  chronic cases

Answer 7

Acoustic neuroma

Question 8

• Vertigo
• No hearing loss
• No tinnitus
• (-) Head movements
• Insidious onset

Answer 8

Cervicogenic dizziness