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Etiology of Vestibular/Balance Disorders in Children

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1.  What is the most common cause of vestibular dysfunction in children?
  1. Meniere’s Disease
  2. Vestibular Migraine
  3. BPPV
  4. Otosclerosis
2.  Which of the following is more commonly associated with central vestibular dysfunction in children?
  1. Cerebellar ataxia syndromes
  2. Enlarged vestibular aqueduct
  3. Superior semicircular canal dehiscence
  4. Perilymph fistula
3.  Which of the following diagnostic approaches is most appropriate for evaluating vestibular hypofunction in children?
  1. Using adult laboratory norms for vestibular testing
  2. Developing pediatric-specific vestibular test norms and incorporating age-appropriate behavioral adaptations
  3. Relying solely on parental observations of dizziness episodes
  4. onducting standard Videonystagmography (VNG) tests without modifications
4.  Which of the following best differentiates a peripheral vestibular disorder from a central vestibular disorder in a pediatric patient?
  1. Presence of oculomotor abnormalities such as gaze-evoked nystagmus
  2. Absence of significant neurological signs with normal brain imaging
  3. Persistent dizziness that worsens with cognitive load
  4. Increased severity of symptoms in dark environments
5.  When evaluating a child with suspected genetic vestibular hypofunction, which of the following factors is most critical in determining an appropriate management plan?
  1. Family history of ataxia
  2. Identification of syndromic versus non-syndromic genetic involvement
  3. Presence of tinnitus
  4. Duration of dizziness episodes

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