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Three Considerations for Helping Patients with Tinnitus

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1.  When a patient with tinnitus complains of difficulty with sleep because of their tinnitus, you should: Tell them to go to bed by 7 p.m. Encourage them to enrich the sound environment in the bedroom. Direct them to a medical doctor for a prescription. Tell them to exercise right before they go to bed.

2.  If your patient tells you they cannot concentrate because of the ringing in their ears, you should not tell them to: Just ignore the tinnitus. Try a "stop" strategy. Play soothing background sound. Take breaks when needed.

3.  Which of the following is an example of tinnitus management targeting the limbic modality only? Tinnitus Retraining Therapy Progressive Tinnitus Management Cognitive Behavioral Therapy None of the above

4.  Many current tinnitus therapy protocols: Use counseling to educate the patient about the physiological and psychological basis of tinnitus and to address negative associations in the limbic system. Use acoustic therapy to produce a reduction in CNS gain and to decrease the contrast between tinnitus and background neuronal activity. Both A and B None of the above

5.  According to the neurophysiological model of tinnitus, sound therapy facilitates habituation by: Masking the tinnitus sound. Reducing the perceptual strength of the tinnitus sound. Changing thoughts about the tinnitus. None of the above

6.  Which tinnitus therapy, as described in the presentation, includes elements of yoga and meditation? Mindfulness-Based Stress Reduction Tinnitus Retraining Therapy Cognitive Behavioral Therapy Tinnitus Activities Treatment

7.  Hearing aids help people with bothersome tinnitus for all of the following reasons, except: Amplification may remove hearing loss as a driver of neural compensation. Amplification improves ease of communication which can reduce stress. Amplification of speech and ambient sound may reduce tinnitus audibility and awareness. Amplification decreases the level of neuronal activity.

8.  Henry et al. study (2015) compared outcomes between patients fit with amplification alone (control group) and those who received a combination of amplification and sound therapy (experimental group). Which of the following statements reflects the findings? HHI-E scores were significantly better for the experimental group than the control group. Differences in TFI scores were significant between the groups. Both groups demonstrated significant reductions in TFI scores after wearing devices for 3-4 months. The experimental group participants used the devices more than the control group participants.

9.  A 45 year old patient presents with a primary complaint of constant tinnitus. What should you do after his initial report of tinnitus? Ask questions about intrusiveness (e.g., concentration, sleep, mood, hearing). Conduct a comprehensive audiological evaluation. Administer the Tinnitus Functional Index. Refer the patient to an ENT.

10.  According to the evidence presented: People with tinnitus and hearing loss do as well with amplification alone as with combination devices. People with tinnitus receive no benefit from sound therapy. People with tinnitus should wear earplugs all the time. People with tinnitus should get hearing aids from an ENT.