Vestibular Special Testing
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 29 January 2020
⏱️ 17 minutes
🧾️ Download transcript
Summary
Will presents to physical therapy with complaints of difficulty hearing. The physical therapist is challenged with determining the MOST likely reason for the patient's hearing loss.
How good are you at vestibular examination?
Let's test your skills in this excellent episode about vestibular special testing and differential diagnosis!
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient. Will and Will presents |
| 0:33.4 | to physical therapy with complaints of difficulty hearing, the patient reports that loud sounds |
| 0:39.8 | have gradually become muffled. Upon examination, the patient is able to hear the sound of a vibrating |
| 0:46.6 | tuning fork better on the mastoid than when placed outside of the ear. Which of the following is the most likely present? |
| 0:57.8 | So we look down at our answer choices. |
| 0:59.8 | We have A, sensory neural hearing laws, B, bone conduction laws. |
| 1:07.5 | C, press Bucis. |
| 1:10.7 | And D. |
| 1:11.8 | Is auditory processing disorder? |
| 1:16.0 | Auditory processing disorder. |
| 1:18.0 | Let's go ahead and jump into this question. |
| 1:20.4 | You can obviously see it's a bit more of this vestibular. |
| 1:24.2 | We got to figure out what the heck are we dealing with. |
| 1:27.0 | Now, are you familiar with the whole |
| 1:29.5 | bone conduction loss, hearing loss, sensory neural hearing loss, you know, that sort of area, |
| 1:36.6 | because we need to go ahead and make sure that we're using a right special test, understanding |
| 1:41.9 | it so that we can rule this stuff in and out. |
... |
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