1307. A Practical Guide to Persistent Dizziness: What Every Vestibular Clinician Should Know - Registration and Pretest
Presented by Colin R. Grove, PT, DPT, MS, PhD
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1307. A Practical Guide to Persistent Dizziness: What Every Vestibular Clinician Should Know - Pretest
1. Which of the following clinical features is most characteristic of Persistent Postural-Perceptual Dizziness (PPPD)?
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A. Brief spinning vertigo lasting less than one minute, triggered by head position changes
B. Persistent non-spinning dizziness and unsteadiness worsened by motion or visual complexity
C. Recurrent attacks of vertigo associated with fluctuating hearing loss and tinnitus
D. Episodic vertigo associated with orthostatic hypotension
2. Vestibular Migraine is best diagnosed when a patient presents with:
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A. Vertigo only in the presence of auditory symptoms
B. At least five episodes of vestibular symptoms with a history of migraine and migraine features during at least half of the episodes
C. Continuous dizziness for more than three months
D. Vertigo triggered exclusively by neck movement
3. Both PPPD and Vestibular Migraine are associated with abnormal sensory processing and:
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A. Hyper-responsiveness of the semicircular canals
B. Over-reliance on visual and somatosensory inputs for spatial orientation
C. Lesions in the vestibular nuclei
D. Hyperactivity of the otolithic organs
4. Which of the following rehabilitation strategies has the strongest evidence for improving symptoms in PPPD?
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A. Canalith repositioning maneuvers
B. Visual motion desensitization and graded exposure to movement
C. Static balance training only
D. Low-frequency electrical stimulation of the neck muscles
5. When communicating examination findings to a referring physician about a patient with chronic dizziness, the physical therapist should:
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A. Focus solely on balance and gait outcomes
B. Avoid speculating about diagnostic impressions
C. Use diagnostic terminology (e.g., PPPD, VM) supported by exam findings and evidence-based rationale
D. Limit the report to symptom descriptions without interpretation
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