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Considerations for Testing and Treating Children with Central Vestibular Impairments, presented in partnership with Seminars in Hearing

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1.  Which statement best describes motor development of children with peripheral vestibular hypofunction?
  1. Motor development is unaffected in this population.
  2. Motor development is delayed at first, but then they catch up.
  3. Motor development is delayed, and the delay is progressive.
  4. Motor development has not been tested in this population.
2.  Which of the following is/are considered part of the central vestibular system?
  1. Semicircular canals
  2. Utricle
  3. Saccule
  4. Vestibular nuclei
3.  Which of the following diagnoses have evidence for vestibular system impairments?
  1. Attention Deficit Hyperactivity Disorder (ADHD)
  2. Childhood Cancer (CA)
  3. Adolescent Idiopathic Scoliosis (AIS)
  4. ADHD, CA, AIS
4.  Which of the following are appropriate gaze stabilization exercises?
  1. X1 viewing and Gaze Shifting
  2. Saccades and Smooth Pursuit
  3. Standing on foam with eyes closed
  4. Patching for strabismus
5.  What is an appropriate screening tool to determine if a child has gaze instability?
  1. Modified Clinical Test of Sensory Interaction on Balance
  2. Sensory Organization Test
  3. Dynamic Visual Acuity
  4. Dizziness Handicap Inventory for Patient Caregivers
6.  What vestibular function tests are typically abnormal in children with concussion?
  1. Abnormal VHIT
  2. SVV variance deficit
  3. Abnormal c-VEMP
  4. Abnormal o-VEMP
7.  What vestibular related deficits are common in children with cerebral palsy?
  1. Abnormal DVA
  2. Abnormal VOR testing on rotary chair
  3. Abnormal VEMP
  4. Abnormal VHIT
8.  What is the key component to correctly performing gaze stabilization exercises?
  1. Balance training with visual focus
  2. Eye movement exercises
  3. Head movement with visual focus
  4. Balance training with eyes closed
9.  Which of the following balance exercises will strengthen the use of vestibular information for postural control?
  1. Standing on a stable surface with eyes opened
  2. Standing on a compliant or moving surface with eyes opened
  3. Standing on a stable surface with eyes closed
  4. Standing on a compliant or moving surface with eyes closed
10.  Which test is best to determine functional improvements following gaze stabilization exercises?
  1. Sensory Organization Test
  2. Oculomotor Testing
  3. Dynamic Visual Acuity
  4. Video Head Impulse Test

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