Final Exam for Rosh Review Questions and Correct Answers 100%

Final Exam for Rosh Review Questions and Correct Answers 100% A patient presents with dizziness. Romberg testing with the eyes open is normal, but with the eyes closed, the patient sways and almost falls over. Given this Romberg test result, pathology in which of the following systems is most likely? A Cardiovascular B Cerebellar C Vestibular D Visual - CORRECT ANSWER-Vestibular In the US, what is a common cause of imbalance due to peripheral disease? CORRECT ANSWER-Diabetic distal peripheral polyneuropathy An elderly man complains of dizziness upon standing. He denies being dizzy once he has stood for 5 minutes, and also denies being dizzy when supine or seated. He denies associated chest pain, palpitations, or dyspnea. Which of the following tests should first be performed during the evaluation of this positional dizziness? A Chest radiograph B Head-up tilt-table testing C Orthostatic vital signs D Transesophageal echocardiography - CORRECT ANSWER-C orthostatic vital signs List some medications whose side effects can cause symptoms of orthostasis? CORRECT ANSWER-Antiparkinsonian drugs, antiadrenergics, anticholinergics, antidepressants, antiarrhythmics, antipsychotics, diuretics, narcotics and sedatives. Orthostatic hypotension diagnostic criteria - CORRECT ANSWER-Decrease in systolic blood pressure 20 Decrease in diastolic blood pressure 10 Inadequate physiologic response to postural changes *rhythm strip showing SVT*