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20Q: Audiological Care for Patients with Hyperacusis and Sound Tolerance Disorders

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1.  Hyperacusis can best be defined as: Hearing that is significantly better than normal, with thresholds less than 0 dB HL for most of the speech frequency range A psychological disorder that arises in the mind with no physiologic basis Reduced tolerance to supra-threshold sounds, typically moderate to high-intensity sounds that are tolerated well by most people but may be bothersome, annoying, uncomfortable or painful Malingering

2.  Prior to managing patients with hyperacusis in your clinic, the author recommends: Educating referral sources about disorders of decreased sound tolerance Updating your website about sound tolerance disorders Discussing services and processes with your staff and updating schedule and office forms all of the above

3.  Prior to formal assessment of a patient with a chief complaint of intolerance to loud sounds, an audiologist should: set expectations with the patient that there is no cure for his/her condition although there are options for treatment explain to the patient that high volume sounds are a necessary part of a comprehensive audiological evaluation and they will have to muster through if they want an accurate test require the patient to have a psychological evaluation prior to an audiological evaluation to rule out contributing factors demonstrate compassion, give the patient hope, and estimate the impact of the issue on daily life

4.  Which of the following procedures should be included in a protocol for assessing patients with a chief complaint of sound tolerance issues? acoustic reflex threshold testing acoustic reflex decay testing DPOAEs Auditory brainstem response

5.  Misophonia can best be defined as: An intolerance to the physical characteristics of most sounds A distinct irritation or dislike of specific soft sounds such as chewing, swallowing or lip smacking Selective auditory deafness, such as to male voices Anxiety or fear of hearing specific sounds

6.  Phonophobia can best be defined as: An intolerance to the physical characteristics of most sounds A distinct irritation or dislike of specific soft sounds such as chewing, swallowing or lip smacking Selective auditory deafness, such as to male voices Anxiety or fear of hearing specific sounds

7.  Which statement is true about decreased sound tolerance? Sound tolerance issues are only seen in adults, not children. Sound tolerance issues rarely have a physical or physiological component. While patients with sound tolerance issues can't be helped, it is important to do a thorough audiological assessment and refer for other medical issues that may need attention. Decreased sound tolerance can occur in both children and adults, and may be associated with specific diseases, conditions, and medications.

8.  Audiological counseling for patients with sound tolerance issues should include: information about the benefits of earplugs and hearing protection as well as instructions for daily use. recommendations for sound enrichment, and if indicated, referral to a psychologist. incorporating periods of silence throughout the day for as long a duration as possible. recommendation for anti-anxiety medication.

9.  Which of the following is an evidence-based treatment option for tinnitus that is proven to help patients with decreased sound tolerance? Tinnitus Retraining Therapy Aromatherapy Electroshock Therapy Ginkgo Biloba

10.  Which statement best describes the author's protocol for referral? Refer to psychologist when the patient has debilitating hyperacusis and shows inadequate progress with audiological management. Refer all patients for a psychology assessment prior to initial audiology consult. Refer all patients for a psychological assessment following audiology treatment. conduct a psychological screening and refer patients who fail the screening.