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Notch Therapy: A New Approach to Tinnitus Treatment

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1.  What is considered the number-one treatment to help the tinnitus patient manage their tinnitus?
  1. Meditation
  2. Masking
  3. Corticosteroids
  4. Hearing aids
2.  What is tonal tinnitus?
  1. The perception of a near-continuous sound or overlapping broad-band sounds
  2. The perception of intermittent sounds with a well-defined frequency
  3. The perception of a near-continuous sound
  4. The perception of a near-continuous sound or overlapping sounds with a well-defined frequency
3.  Which of the following has not been proposed as an underlying mechanism that causes tinnitus from an anatomical perspective?
  1. Changes in the level of spontaneous neural activity in the central auditory system
  2. Stress
  3. Changes in the temporal pattern of neural activity
  4. Reorganization of tonotopic maps
4.  What is lateral inhibition?
  1. The loss of peripheral sensory input or cochlear function which causes a spontaneous increase in neural activity from the damaged area of the cochlea
  2. A process in which the most active sensory nerve fibers in a bundle inhibit action potentials in adjacent fibers from the periphery of the stimulus area
  3. Overall hyperactivity in the central auditory pathway from cochlear nuclei to auditory cortices
  4. Changes in synaptic inhibition in the damaged areas of the cochlea
5.  According to the article, which of the following is not true of tailor-made notched music training (TMNMT)?
  1. It is only effective in the short term
  2. The theory behind notch music therapy contends that music, modified with a spectral notch, reduces cortical activity corresponding to the center frequency (CF) of the notch
  3. Customized notching of music is thought to increase lateral inhibition, while providing a pleasant stimulus that helps ease the limbic system reaction to tinnitus
  4. Results of a 12 month TMNMT study revealed a significant reduction in both subjective tinnitus loudness and tinnitus-related auditory cortex evoked potentials
6.  How does Signia Notch Therapy (NT) work?
  1. It applies a notch in the chosen sound therapy noise
  2. It offers a special notched music program
  3. It uses spectral notching and applies it to the principles of traditional amplification with hearing instruments
  4. It introduces a patented notched therapy signal
7.  In the initial study described by the article, which measurement was conducted to objectively assess the Signia Notch Therapy?
  1. EEG
  2. Auditory late responses (ALR)
  3. ABR
  4. A & B
8.  What were the results of the initial study described by the article?
  1. Results indicated a more predominant improvement for the NT approach, as defined by an improvement in the Tinnitus Questionnaire 12 score
  2. The improvement with the Notch Therapy group was clearly shown after only three weeks
  3. Results show that Notch Therapy positively impacts the tinnitus sufferer by increasing habituation and decreasing distress levels within a three-week post-therapy window
  4. All of the above
9.  What were the results of the follow-up, double-blind study conducted to determine the subjective and objective long-term effectiveness of Signia NT?
  1. The results showed that the notch group to exhibited a medium-to-large improvement compared to the conventionally fit group at 3 month and 6 month
  2. The results showed that the notch group to exhibited a small improvement compared to the conventionally fit group at 3 month and 6 month
  3. The results showed that the notch group to exhibited a medium-to-large improvement compared to the conventionally fit group at one year
  4. The results showed no difference in tinnitus perception between the notch group and the conventionally fit group at 3 month and 6 month
10.  When fitting Notch Therapy in the Connexx fitting software, what is the first step the clinician needs to carry out?
  1. Have the patient complete the Tinnitus Questionnaire
  2. Activate a tinnitus sound therapy program
  3. Determine the placement of the notch by a pitch-matching procedure
  4. Indicate which listening programs should the notch be activated

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