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Tinnitus Care: What Should I Know When Starting to Provide Tinnitus Care?

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1.  According to the NHANES, approximately what percentage of people surveyed reported frequent tinnitus? 2% 8% 20% 50%

2.  A survey of 9 - 11 year-old children by Martin et al. 2011, found that: no children reported ever experiencing tinnitus the percentage of children reporting tinnitus "sometimes, often or always" combined equaled 47% the percentage of children ever experiencing tinnitus was less than 10% children who report tinnitus are usually malingering

3.  An audiologist may take on the role of a Tinnitus Specialist. Which of the following responsibilities would be included in that role? Identify - all factors that impact tinnitus severity Educate – the patient regarding the impact on tinnitus Coordinate – serve as intermediary between clinicians All of the above

4.  The Progressive Tinnitus Management System was developed by whom? Tyler, Polk, Taylor & Fillmore Henry, Zaugg, Myers & Kendall Vernon, Meikle, Johnson & Martin Jasteboff, Hazel, Sheldrake & Gold

5.  According to Progressive Tinnitus Management, a person with severe “level 5” tinnitus warrants which level of care? Individualized support Audiologic evaluation Group education Triage evaluaton

6.  A patient comes in with tinnitus loudness of 3 (0-10 scale with 0 being extremely faint and 10 being very loud), no sleep problems or anxiety and an unaided moderate high frequency hearing loss. What would be a good thing try as a starting place for helping this patient with tinnitus management? Counseling and re-assurance should work fine Psychiatric referral Bilateral amplification Bilateral sound generators

7.  Tinnitus severity questionnaires are MOST valuable because they: Help you determine the impact of the tinnitus on the patient's life, identify factors that contribute to its severity and give you a means to quantify changes with management Let the patient know that you understand tinnitus Help physicians understand the problems facing the individual with tinnitus Provide documentation for insurance reimbursement

8.  Which of the following have been well determined to contribute to tinnitus severity? Sinus disease, allergy & respiratory illness Fibromyalgia, chronic fatigue & myofascial pain syndrome Insomnia, anxiety & depression Rheumatoid arthritis & anemia

9.  What is the PRIMARY role a psychiatrist plays in the management of a patient with severe tinnitus? Manages medications that address psychological conditions Performs psychoanalysis to treat deep rooted disorders Provides documentation of disability for compensation claims Provides directive counseling to the patient

10.  What is the PRIMARY role a psychologist plays in the management of a patient with severe tinnitus? Manages medications that address psychological conditions that exacerbate tinnitus severity Perform tinnitus severity evaluations Provides the tinnitus specialist with an estimate of the time needed for the patient to recover Provides ongoing patient support for tinnitus related anxiety and depression