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    Home > Active Ingredient News > Study of Nervous System > Do you know the risk factors for vertigo? Come and test it

    Do you know the risk factors for vertigo? Come and test it

    • Last Update: 2022-11-01
    • Source: Internet
    • Author: User
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    Large-scale population-based studies suggest that 15%-20% of the world's adults experience
    dizziness every year.
    This includes various forms of vertigo
    .
    Whether it occurs independently or is caused by medication use or a serious illness, addressing a patient's
    dizziness and vertigo can be challenging.
    Do you know the main causes and risk factors for dizziness and vertigo, as well as best practices for managing these symptoms? Come and test it
    .

    Yimaitong compiles and organizes, please do not reprint
    without authorization.


     



    Question one


    Which is the more common cause of vertigo?

    A.
    Benign paroxysmal positional vertigo

    B.
    Meniere's disease

    C.
    Stroke

    D.
    Cholesteatoma

    Swipe to see the answers


    ↓↓↓

    ↓↓↓

    ↓↓↓



    【Answer and analysis】



    Answer: A
    .
    About 80% of vertigo is peripheral and usually benign; Benign paroxysmal positional vertigo (BPPV) is the most common cause of
    peripheral vertigo.
    According to studies, the incidence of Meniere's disease is about 10 times lower than BPPV; However, it is often overdiagnosed, while BPPV is largely underdiagnosed
    .
    Cholesteatomas, cyst-like lesions filled with keratin fragments, are one of the less common peripheral causes of vertigo, along with otosclerosis and perilymphatic fistula
    .
    Typically cholesteatoma involves the mastoid and middle ear
    .
    About 20% of vertigo is central.

    They are usually caused
    by stroke.



    Question two


    Which of these drugs is most likely to cause dizziness or vertigo?

    A.
    Penicillin

    B.
    carbamazepine

    C.
    Ibuprofen

    D.
    Nadolol


    Swipe to see the answers


    ↓↓↓

    ↓↓↓

    ↓↓↓



    【Answer and analysis】



    Answer: B
    .
    At least 44% of patients taking carbamazepine reported dizziness as an adverse event
    .
    Dizziness and vertigo were adverse events associated with some antibiotics but not
    with penicillin use.
    Ibuprofen and nadolol experience dizziness
    in 3%-9% and about 2% of users, respectively.


    Question three


    Which one is a risk factor for vertigo?

    A.
    Male

    B.
    Vitamin C deficiency

    C.
    Cold sores and previous signs of viral illness

    D.
    History of osteoarthritis



    Swipe to see the answers


    ↓↓↓

    ↓↓↓

    ↓↓↓



    【Answer and analysis】



    Answer: C
    .
    Cold sores and signs of previous viral illness may indicate vestibular neuritis
    .
    Vertigo is more prevalent in women than men, accounting for 3.
    2% and 1.
    6%
    respectively.
    Although idiopathic BPPV can occur in any age group, it is most common
    in people aged 50-70 years.
    Deficiencies in vitamins B, D, and iron are often associated with
    dizziness and vertigo.
    Systemic diseases such as rheumatoid arthritis can also be associated with dizziness and vertigo, but osteoarthritis is not
    .


    Other risk factors for dizziness and vertigo include head injuries, taking certain medications, having a condition that affects the ears or balance, and having a family or personal history of
    vertigo.
    A history of headaches, particularly migraines, may be associated with
    dizziness.



    Question four


    Which tests are usually performed before MRI during vertigo tests?

    A.
    Electrocardiography

    B.
    Magnetic resonance angiography

    C.
    CT scan

    D.
    Otoscopy

    Swipe to see the answers


    ↓↓↓

    ↓↓↓

    ↓↓↓



    【Answer and analysis】



    Answer: D
    .
    Given the complexity and relevance of dizziness and vertigo, unnecessary examinations, imaging, and medication use are common
    .
    Otoscopy can rule out obvious infections, such as acute otitis
    media.
    Unilateral hearing loss is severe suggesting a peripheral cause; However, if the cause cannot be identified, further MRI is required to confirm the diagnosis
    .


    Question five


    Which of the following is the most effective and safe treatment for acute vertigo?

    A.
    Antihistamines

    B.
    Benzodiazepines

    C.
    Antiemetics

    D.
    Glucocorticoids

    Swipe to see the answers


    ↓↓↓

    ↓↓↓

    ↓↓↓



    【Answer and analysis】



    Answer: A
    .
    Although the most common medications used to treat vertigo symptoms usually include antiemetics, antihistamines, and benzodiazepines, a recent systematic review and meta-analysis found that single-dose antihistamines were more effective at relieving vertigo than single-dose benzodiazepines within 2 hours, and the available evidence does not support any association
    between benzodiazepine use and improved outcomes in acute vertigo.


    Compiled by Helmi L.
    Lutsep.
    Fast Five Quiz: Dizziness and Vertigo - Medscape - Sep 22, 2022.


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