SAQ 983 – Vertigo, cerebellar signs and tuning fork tests

An ED JMO asks for advice about a 45-year-old woman with tinnitus and vertigo.

You ask whether cerebellar signs were present, but the JMO says they forgot to check. Examination is otherwise normal except for reduced hearing in the left ear. Tuning-fork testing confirms left sensorineural deafness. She denies head injury or other trauma and is otherwise well.

What are the components of the cerebellar examination?

(Marked out of 4.0)

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What are the tuning fork hearing tests and how are they interpreted?

(Marked out of 8.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Name of test</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">How do you perform it?</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">How do you interpret it?</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rinne</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Weber</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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List atraumatic causes of this presentation.

(Marked out of 3.0)

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Total Score: 0 / 15

Percentage: 0%