Exam Preview

20Q: Current Perspectives on Hyperacusis

---

1.  Hyperacusis can be defined as: perception of sound in the absence of an external sound stimulus strong aversive reaction to particular and specific sounds, such as eating or breathing sounds abnormal growth of loudness which may or may not be bothersome abnormally reduced tolerance to sound

2.  Two studies mentioned in this article looked at prevalence of hyperacusis. They found the prevalence of self reported hyperacusis to be ____ in adults and ____ in children. 9.2% in adults and 3.7% in children 25% in adults and 10% in children 25% in adults and 50% in children 5% in adults and 1% in children

3.  Hyperacusis patients describe sound as: painful distressing more vivid all of the above

4.  Which of the following statements best describes the relationship between tinnitus and hyperacusis? there is no relationship they often co-exist they have identical pathophysiologies hyperacusis causes tinnitus

5.  Both tinnitus and hyperacusis are commonly: transient or intermittent unilateral influenced by jaw or head movement none of the above

6.  When assessing a patient with a primary complaint of hyperacusis, which of the following tips may be helpful? skip the case history to spend more time on testing use an ascending approach for pure tone testing use a descending approach to loudness discomfort testing to de-sensitize the patient start the assessment with loudness discomfort testing to confirm the presence of hyperacusis

7.  Which of the following strategies sometimes used to self-treat hyperacusis may in fact worsen hyperacusis? meditation use of earplugs in all/most daily activities joining self help groups like the Hyperacusis Network seeking a qualified cognitive behavioral therapy practitioner

8.  Which of the following statements is true in regard to using sound therapy to treat hyperacusis? While more research and protocols are needed, there are devices and approaches available Sound therapy should focus on long term use of ear protection to minimize offensive sounds There are no custom or non-custom sound therapy devices available yet Sound therapy has been shown to cure hyperacusis in several independent clinical trials.

9.  An area for future research in hyperacusis is: mechanisms involved in hyperacusis treatment outcome questionnaires or measures risk factors all of the above

10.  Future hyperacusis research should: collaborate with patients to gain insights and guidance not be undertaken as this topic is well researched and there are few unanswered questions focus only on adults as hyperacusis does not involve children focus only on management, not on a cure