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Care Path for Patients with Tinnitus

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1.  There are many proposed theories for generator site or mechanism for tinnitus. Which one has not been proposed?
  1. Hair cells in the cochlea
  2. Jaw muscles
  3. Hyperactivity in the auditory system
  4. Tension in the hands
2.  What is the best reason to include other health-care providers in management of tinnitus?
  1. Other providers can bill and get reimbursed for services
  2. Tinnitus is not solely caused by ear dysfunction
  3. We all have stress so everyone can benefit from stress reduction
  4. A relationship has been shown between neck tension and tinnitus
3.  An appropriate goal for managing tinnitus with a patient is:
  1. make tinnitus a neutral sound
  2. promote acceptance
  3. manage emotional reactions
  4. all of the above
4.  Group sessions offer many advantages. Which one could be a disadvantage of a group session?
  1. Promotes sharing and learning from others who suffer with tinnitus
  2. Sharing of detailed personal information with the group
  3. It is highly practical for busy practices
  4. It can be cost-effective and time-efficient
5.  Which of the following is true in regard to informational counseling?
  1. education should be the first step in tinnitus management before additional interventions occur
  2. too much information will have a negative impact on outcome; keep information limited
  3. informational counseling is 'nice to have' but not a necessary component of tinnitus management
  4. informational counseling should only be done by licensed social workers
6.  The goals of sound therapy in regard to tinnitus management include all of the following EXCEPT:
  1. reprogram learned emotional reactions
  2. facilitate habituation
  3. relief of tinnitus
  4. full resolution of tinnitus
7.  Habituation refers to:
  1. the tinnitus disappears in all circumstances
  2. tinnitus is not perceived even though it is still present
  3. the tinnitus perception becomes louder and more annoying
  4. exciting the limbic system to make the tinnitus an important sound
8.  Which of the following has solid evidence to support its use in a tinnitus management program?
  1. Essential oils
  2. Reiki therapy
  3. Relaxation therapy
  4. Cognitive behavior therapy
9.  In tinnitus management, the recommendation regarding "use of sound" is typically:
  1. maintain a sound enriched environment (avoid silence)
  2. reduce sounds in the environment and maintain silence
  3. use noise cancellation headphones and sound blocking earplugs to maintain quiet
  4. all of the above
10.  Sleep hygiene is important. A recommendation for improved sleep is:
  1. Schedule a time to worry
  2. Reduce caffeine
  3. Keep bedroom cool
  4. All of the above