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Comprehensive Overview of Tinnitus Therapies

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1.  According to the 80/20 rule for tinnitus:
  1. 80% of patients with tinnitus are bothered by it
  2. 20% of tinnitus patients are not bothered by it
  3. 20% of tinnitus patients are bothered by it
  4. Patients with tinnitus are bothered by it 80% of the time
2.  Which of the following is not true about the limbic system:
  1. It is not connected with the auditory centers that are associated with tinnitus
  2. It controls our emotions
  3. It is activated in "fight or flight" situations
  4. It is involved in the distress or bothersome nature of tinnitus
3.  Hearing aids tend to:
  1. Amplify tinnitus
  2. Have generally little effects on tinnitus
  3. Amplify environmental sounds and suppress tinnitus
  4. Increase somatosounds created within body to limit tinnitus
4.  Which of the following audiological measures is least suited for tinnitus evaluation:
  1. Auditory Brainstem Response
  2. Pitch matching, loudness matching, Minimal masking level
  3. Otoacoustic emissions
  4. LDLs
5.  Cognitive Behavioral Therapy is intended to:
  1. Reduce the perceived loudness of the tinnitus
  2. Eliminate the tinnitus
  3. Reduce the perceived pitch of the tinnitus
  4. Reduce the negative reaction to tinnitus and cope with it
6.  The fastest growing population with noise induced hearing loss includes
  1. people over 60 years of age
  2. people between 20-40 years of age
  3. the majority of women
  4. people between 12-19 years old
7.  At least one study reports that about _______ percent of children report having tinnitus if asked.
  1. 15
  2. 34
  3. 52
  4. 27
8.  A modification of the TRT protocol can be used to treat misophonia and hyperacusis in
  1. adult patients
  2. pediatric patients
  3. adult and pediatric patients
  4. very few patients
9.  For very young pediatric patients the therapy techniques will be aimed at
  1. parents/caregivers
  2. siblings
  3. he very young child
  4. school personnel
10.  There are _________________ for treating pediatric patients presenting with tinnitus
  1. published guidelines
  2. no published guidelines
  3. European guidelines
  4. poorly documented guidelines
11.  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. amygdala
12.  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
13.  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
14.  Which of the below is not part of the 5 step plan
  1. Understanding source
  2. Understanding habituation
  3. Excessive drinking
  4. Distraction
15.  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. periods of extended quiet

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