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Holistic Approach to Tinnitus Management

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1.  The population of auditory afferent neural fibers believed to be more sensitive to noise and age related damage.
  1. High spontaneous rate
  2. Low spontaneous rate
  3. Low threshold
  4. All of the above
2.  Which of the below is not a limit of peripheral theory of tinnitus
  1. Peripheral lesions result in central changes
  2. Surgical section of auditory nerve rarely cures tinnitus
  3. Peripheral lesions cause central changes and numerous levels
  4. None of the above
3.  A key central pathway in the brain believed to contribute to tinnitus perception is
  1. medial longitudinal fasciculus
  2. rubrospinal tract
  3. ventral striatum
  4. All of the above
4.  Which of the options below is not a potential source of sound therapy
  1. ear level sound generators
  2. hearing aids
  3. smartphone app
  4. All are options
5.  Which option is preferred for management of both tinnitus and hearing loss
  1. ear level sound generator only
  2. hearing aids or combo
  3. commercial sound therapy
  4. deep brain stimulation
6.  Which is the best sound for sound therapy
  1. white noise
  2. pink noise
  3. environmental sound
  4. There is no best, rather what is most soothing and comfortable to patient
7.  Many patients have difficulty sleeping which below are recommendations to help
  1. sound pillow
  2. sleep hygiene
  3. an or sound generator
  4. All of the above
8.  Which of the below is not part of the 5 step plan
  1. Understanding source
  2. Understanding habituation
  3. Excessive drinking
  4. Distraction
9.  Eating healthy will cure tinnitus
  1. True
  2. False
  3. Neither, but it can potentially influence risk for hearing loss and improve overall health
  4. All of the above
10.  Sound therapy alone is not usually enough. Which of following is also critical?
  1. counseling
  2. trying numerous medications to find "cure"
  3. not talking to anyone
  4. None of the above

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