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20Q: Pediatric Vestibular Disorders and the Role of the Audiologist

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1.  Which of the following statements is true regarding the development of the vestibular system? The labyrinth is morphologically complete at birth, while connections between the peripheral vestibular system and central systems continue to develop until approximately 12 years of age. The labyrinth as well as connections between the peripheral vestibular system and central systems continue to develop until approximately 12 years of age. The labyrinth as well as connections between the peripheral vestibular system and central systems are fully developed at birth. none of the above

2.  The vestibulo-ocular reflex (VOR) can be described as: A deep tendon reflex that modulates the tone in the skeletal muscles of the trunk and extremities A reflex that activates the musculature of the neck to stabilize the head A reflexive eye movement in the opposite direction of a head turn All of the above

3.  Children with impairments that affect the vestibular reflexes: are faster than their normal counterparts in reaching key motor milestones are slower than their normal counterparts in reaching key motor milestones usually have no developmental symptoms often complain of lethargy and fatigue

4.  Vestibular impairments in children are associated with: sensorineural hearing loss chronic otitis media traumatic brain injury all of the above

5.  Which of the following syndromes can result in congenital audiovestibular impairments? Usher Syndrome Waardenburg Syndrome Alport Syndrome all of the above

6.  Which questionnaire is designed to measure the impact of a 5 to 12-year-old child's dizziness on his or her life, from the perspective of the caregiver? Dizziness Handicap Inventory (DHI) Pediatric Dizziness Handicap Inventory for Patient Caregiver (pDHI-PC) Pediatric Vestibular Symptom Questionnaire (PVSQ) Hospital Anxiety and Depression Scale (HADS)

7.  Which questionnaire is designed to help quantify symptoms of vestibular impairment, such as dizziness and imbalance, in children between 6-17 years of age? Dizziness Handicap Inventory (DHI) Pediatric Dizziness Handicap Inventory for Patient Caregiver (pDHI-PC) Pediatric Vestibular Symptom Questionnaire (PVSQ) Hospital Anxiety and Depression Scale (HADS)

8.  The following objective tests of vestibular function may used with children: VNG and rotational testing Head Impulse Test (bedside and video versions) VEMP testing all of the above

9.  Vestibular rehabilitative therapy (VRT) is an appropriate referral for: peripheral vestibular impairments sensorineural hearing loss tinnitus central vestibular impairments

10.  Once a vestibular impairment has been identified in a child, the following type of referral is always indicated: medical social work psychology child protective services