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20Q: Tinnitus - Developing a Practical Management Protocol

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1.  According to the author, which statement is true about audiologists providing tinnitus services? tinnitus services are outside the audiology scope of practice there is no need for audiologists to provide tinnitus services as tinnitus cannot be cured audiologists are the most appropriate providers for most patients with tinnitus tinnitus is predominantly best served by a medical intervention model by a physician

2.  Which of the following tinnitus management approaches is outside the scope of practice for audiologists? tinnitus retraining therapy, TRT tinnitus activities treatment, TAT sound therapy cognitive behavioral therapy, CBT

3.  According to the author, when comparing tinnitus management approaches (masking, formal management approaches, hearing aids, etc.), research has found: masking is the most effective approach there is no approach that has been found to work better than wait-list controls hearing aids with sound generators is the most effective approach for all patients all approaches work compared to wait-list controls, but none necessarily work better than others

4.  What should be included in a case history for a patient whose primary complaint is tinnitus? patient’s tinnitus history audiological and medical histories information about basic lifestyle all of the above

5.  How can the Tinnitus and Hearing Survey help with patient management? by differentiating patients that have a primary complaint of hearing loss rather than tinnitus by revealing potential psychological conditions that necessitate a referral by determining where to set the mixing point for tinnitus sound therapy by identifying malingerers in workers' comp cases

6.  Which statement best describes the author’s recommendation for diagnostic evaluation of a patient with tinnitus? A consistent, standardized testing protocol should be followed so that every patient whose chief complaint is tinnitus receives the same diagnostic assessment Every patient whose chief complaint is tinnitus should undergo acoustic reflex testing and reflex decay testing The diagnostic protocol should depend on the patient’s history and on medical necessity ENT consultation should be completed prior to beginning any diagnostic testing for patients with tinnitus

7.  What measures are included in a tinnitus assessment (CPT code 92625)? word recognition testing in quiet and noise, tinnitus type testing pitch match, loudness match, minimum masking level and optional residual inhibition otoacoustic emissions testing, loudness discomfort levels, acoustic reflex testing pure tone average, speech reception threshold, tone decay testing

8.  The author recommends addressing which 5 factors in tinnitus management? tinnitus source, habituation and behavioral factors, sound therapy options, distraction, lifestyle mental health, physical health, spiritual health, family relationships, hearing emotional regulation, social life, attitude, vitamin regimen, medications anger management, meditation, mindfulness, diet, quiet time

9.  According to the author, sound therapy for a person with tinnitus may include which of the following? a masking sound at night to drown out the sound of the tinnitus a sound that engages active listening to take the mind off the tinnitus ear-level devices, hearing aids if indicated, and/or a soothing, non-engaging sound at night a bothersome sound to distract the brain and limbic system away from the tinnitus

10.  The author advises that audiologists increase their knowledge and skills of tinnitus treatment by doing which of the following? reading up on management, taking online classes and workshops, learning from peers pursuing certification in cognitive behavioral therapy (CBT) conducting focus groups of tinnitus patients start by taking complex cases in order to build skills and competence quickly