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Managing the Musician with Hearing Loss: Treatment Considerations, presented in partnership with Salus University

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1.  Tinnitus suffering has a very high rate of comorbidity with which condition(s)? Obsessive compulsive disorder Anxiety and depression Self-injurious behavior Multiple personality disorder

2.  Conventional hearing aids (BTE, RIC, IIC, CIC, ITE) have a low-frequency roll-off about what frequency range (i.e., they do not transduce sound below this frequency range, which is problematic for some music but not problematic for speech intelligibility)? 20,000 Hz 1000 - 3000 Hz 150 - 200 Hz 6k - 10 kHZ

3.  Which of the following characteristics of a hearing aid determines the maximum level of the music or speech that can be processed by the hearing aid without distortion? Noise reduction algorithm Feedback management strategy Directional microphone array Peak input limit

4.  Which of the following is NOT one of the most frequently reported problems with bothersome tinnitus? Suicidal ideation Achieving and maintaining sleep Understanding speech Persistence of tinnitus/inability to escape

5.  Anti-anxiety and anti-depressant medications, such as Klonopin and Prozac, assist in tinnitus management by: Decreasing how loud the tinnitus sounds Lessening the negative reaction to tinnitus (as well as generally lessening reaction to stress) Increasing perception of ambient noise Decreasing susceptibility for future noise-induced hearing loss

6.  Of the following instruments, which can produce the lowest fundamental frequency? Violin Voice Piano Crash cymbal

7.  Sound enhancement, through the use of tinnitus maskers, soundfield white noise generators, and the like, help manage tinnitus suffering by: Toughen the ear against future noise insult Cause habituation of perception Cause habituation of reaction Offering a sense of control over the perception of tinnitus

8.  How might hearing aid gain settings be adjusted to improve acceptability of music? Linear gain where hearing thresholds exceed a moderate hearing loss Higher compression ratio relative to that prescribed for speech intelligibility, in light of higher expected input levels Wide-dynamic range compression with 20 dB SPL kneepoint and binaurally presented fractile music Linear gain with greater amplification of low-frequency signals relative to the prescribed gain for speech intelligibility based on pure-tone thresholds

9.  Which area of the brain is responsible for inappropriately assigning importance to the perception of tinnitus, resulting in a fear reaction, when tinnitus is bothersome/tinnitus suffering occurs? Prefrontal cortex Auditory cortex Brainstem Limbic system

10.  Which of the following signal processing strategies is most disadvantageous for music listening? Frequency compression/frequency transposition Directional microphones Omnidirectional microphones Feedback cancellation/feedback suppression