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Signia Expert Series: Practical Tinnitus Management

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1.  Commonly used questionnaire(s) for addressing impact of tinnitus on the patient's life:
  1. Tinnitus Handicap Questionnaire and Tinnitus Reaction Questionnaire
  2. American Tinnitus Scale
  3. Tinnitus Indicator Scale
  4. American Tinnitus Indicator
2.  Patients with tinnitus:
  1. Are generally suicidal
  2. Are often looking for compensation
  3. Should be told there is nothing that can be done to help them, and they will learn to "live with it"
  4. May be anxious and/or depressed
3.  Hyperacusis may present with:
  1. Collapsed tolerance to sound
  2. Physical pain
  3. Fight or flight response
  4. All of the above
4.  The literature suggests that 60-80% of patients with tinnitus that have hearing loss receive benefit from:
  1. Well fit hearing aids
  2. Nothing
  3. Cognitive behavioral therapy (CBT)
  4. Being fit with a tinnitus masker
5.  An audiology practice seeing patients with tinnitus should work to build a network for referrals. One of the more important/critical referrals that is effective in conjunction with use of devices (hearing aids or habituation) is:
  1. A psychologist who can provide cognitive behavioral therapy
  2. A neurologist to rule out sinister causes for the tinnitus
  3. A psychiatrist to prescribe medication
  4. A yoga teacher to support relaxation
6.  The appointment for the patient with tinnitus may consider to be started:
  1. When they leave the audiology office
  2. When they first notice the tinnitus
  3. With the first contact to the audiology office (phone, email, etc.)
  4. When they contact their insurance provider
7.  The assessment of tinnitus may include:
  1. Pitch match
  2. Loudness match
  3. Minimum masking level/residual inhibition
  4. All of the above
8.  A patient may be considered a referral to a more specialized tinnitus practice if:
  1. They have a moderate or greater hearing loss
  2. They report sound tolerance issues & have a very high TRQ score
  3. They do not have a hearing loss
  4. They have a very low TRQ score
9.  One measure of progress with a patient who has tinnitus is to:
  1. Repeat a questionnaire like the TRQ at each appointment
  2. Make sure they believe that they are "cured" prior to completing treatment
  3. Data log the amount of time they are using their hearing aids
  4. Ignore this as it's irrelevant and let them tell you, as the audiologist
10.  Because about 50% of this population are estimated to have tinnitus, it is important to ask about it in the case history:
  1. People over 70 years of age
  2. Patients with unilateral hearing loss
  3. Children with hearing loss
  4. Cochlear implant users