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Hearing Loss and Tinnitus Treatment for Musicians

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1.  How many people exposed to 85 dBA for an 8-hour time weighted average will eventually develop material hearing impairment? 8% 15% 25% 50%

2.  The NIOSH (1998) definition of a material hearing impairment is: 25% hearing loss Any measureable pure-tone threshold shift at any frequency 250-8000 Hz. 25 dB or greater hearing loss weighted average at 1000 Hz - 4000 Hz. Pure-tone average of 30 dB or greater.

3.  The Tinnitus Functional Index includes how many domains that describe tinnitus severity and negative impact? 8 25 50 100

4.  Which of the following hearing aid program adjustments can help live music sound more natural, than one might experience with default first-fit settings based on prescriptive gain based on the audiogram? Increase MPO relative to the gain that would be prescribed based on the audiogram. Increase the compression ratio (CR) relative to the CR prescribed based on the audiogram. Increase soft sound gain for low-frequencies, relative to prescriptive gain settings based on the audiogram. Increase soft sound gain for high-frequencies, relative to prescriptive gain settings based on the audiogram.

5.  Pitch and loudness matching of the patient's tinnitus assists the audiologist to: Feel better about his or her tinnitus. Compare tinnitus suffering of the individual to a larger group. Provide individualized sound therapy. Determine the validity of the audiogram

6.  Minimum tinnitus masking level measures assist the audiologist to: Determine the validity of the audiogram. Compare tinnitus suffering of the individual to a larger group. Determine if the patient is malingering. Establish a starting level for masking in a hearing aid tinnitus program.

7.  What increase or reduction in TFI score can be considered a significant change in tinnitus? 13 point shift 15 point shift 20 point shift 25 point shift

8.  TFI scores below ____ indicates relatively mild tinnitus, typically with little or no need for intervention. 25 35 45 50

9.  The goal of _______ is to allow a patient to take control of his/her problems and to manage life in a healthy adaptive way. Tinnitus Retraining Therapy Hearing aid fitting Cognitive Behavioral Therapy Otoharmonics Levo system

10.  Which of the following is NOT recommended in hearing aid fitting of a musician with hearing loss and tinnitus? Adequate venting to allow ambient sound to pass directly to the ear canal. Fully occluded dome or earmold. Include a hearing aid program with noise reduction turned off. Include a hearing aid program with microphones set to omni-directional.