Vestibular Caloric Test

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 10 January 2024

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Copeland is evaluating a 55-year-old patient who presents with a mild case of unilateral vestibular hypofunction and associated hearing loss on the left side. The therapist performs the caloric test by instilling warm water into the affected ear. What is the MOST likely direction of the patient's nystagmus during this test?

A. Towards the opposite side, but reduced in magnitude

B. Absent or significantly reduced nystagmus

C. Towards the same side, but reduced in magnitude

D. Eye movement is unaffected

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Transcript

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0:00.0	I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.
0:09.0	It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.
0:16.0	Fast forward through the challenges, the 13 standardized test failures, and many lessons learn.
0:21.2	And you'll see the life I have today, a life filled with love, financial freedom,
0:26.1	and a dream job that allows me to change lives every single day.
0:29.9	I created the NPTE Clinical Files podcast to give you simple, actionable strategies,
0:36.0	along with a step-by-step walkthrough of NPTE-based questions.
0:40.3	All of this so that you can dominate your exam like I did and achieve your dream.
0:45.5	So if you're a driven PT student who's looking to pass the NPTE and start creating a life
0:50.9	you love, you're in the right place.
0:53.2	Enjoy the show.
0:56.0	For this week's clinical file, we have Copeland, and Copeland is evaluating a 55-year-old patient who presents with a mild
1:02.5	case of unilateral vestibular hypofunction and associated hearing loss on the left side.
1:10.1	The therapist performs the caloric test by instilling
1:13.8	warm water into the affected ear. What is the most likely direction of the patient's
1:20.4	nistagmous during this test? So we have a towards the opposite side, but reduced in magnitude.
1:27.7	B, absent or significantly reduced nistagmus.
1:32.2	C, towards the same side, but reduced in magnitude.
1:36.7	And D is eye movement is unaffected.
1:40.1	All right, let's go into this question.
1:42.9	This is going to be for my vestibular people.
1:45.9	I told y'all, 2024 is our year.
	...

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