CVT Patient Safety & Clinical Decision-Making 2

Question 1

A patient with acute unilateral vestibular neuritis reports sudden worsening of vertigo when lying flat. What is the most appropriate immediate action?

Accepted Answer

Reassess for central nervous system pathology before continuing treatment

Answer

Sudden worsening of vertigo in a patient with presumed peripheral vestibular disorder warrants reassessment for central pathology such as cerebellar stroke before proceeding.

Question 2

Which fall risk screening tool is most validated for use in vestibular rehabilitation patients?

Accepted Answer

Dynamic Gait Index (DGI)

Answer

The Dynamic Gait Index (DGI) is specifically validated to predict fall risk in individuals with vestibular disorders and assesses gait under varied task demands.

Question 3

A 78-year-old patient with BPPV is taking an anticoagulant and has severe osteoporosis. Which precaution is MOST critical when performing the Epley maneuver?

Accepted Answer

Perform the maneuver with extreme head movement caution to prevent falls

Answer

Severe osteoporosis increases fracture risk with falls; supporting the patient carefully through position changes is the primary safety concern during the Epley maneuver.

Question 4

During gaze stabilization exercises, a patient reports sudden onset of diplopia and perioral numbness. What should the clinician do FIRST?

Accepted Answer

Discontinue treatment and urgently refer for neurological evaluation

Answer

Diplopia and perioral numbness are brainstem warning signs that require immediate discontinuation of treatment and urgent neurological referral.

Question 5

A patient is referred for vestibular rehabilitation after acoustic neuroma surgery. Which outcome measure best captures functional limitations specific to vestibular dysfunction?

Accepted Answer

Dizziness Handicap Inventory (DHI)

Answer

The Dizziness Handicap Inventory (DHI) is specifically designed and validated to measure the functional, emotional, and physical impact of vestibular disorders.

(CVT) Certified Vestibular Therapist Practice Test

(CVT) Certified Vestibular Therapist Practice Test

CVT Patient Safety & Clinical Decision-Making 2