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Hyperacusis and My Misophobia

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1.  Fitting hearing aids to a hyperacusis patient might be a good idea because:
  1. Exposure to loud sounds might acclimatize them.
  2. Closed earmolds would attenuate sound and the gain could be used to control the intensity of sound they are exposed to.
  3. They would hear more speech and be happier with their hearing aids.
  4. It would never be a good idea in a patient with hyperacusis.
2.  The common experiences of hyperacusis patients are:
  1. Pain, Fear, too Loud, Avoidance of situations.
  2. They are afraid of select sounds.
  3. They can describe individual sounds that result in their hyperacusis.
  4. All of the above
3.  What characteristic of hyperacusis patients is typically the most serious?
  1. When they fear some work situations.
  2. When their spouse doesn’t understand their problems.
  3. When some sounds produce a pain sensation.
  4. When they won’t try hearing aids.
4.  Many patients with hyperacusis, also have tinnitus. It is important to understand:
  1. How long they have had tinnitus.
  2. Whether loud sounds also make their tinnitus worse.
  3. What their tinnitus sounds like.
  4. Which started first, their tinnitus or hyperacusis first.
5.  Loudness recruitment is when:
  1. They identify sounds as being too loud.
  2. Patients have a threshold loss, but their uncomfortable loudness level is like those of normal listeners.
  3. Their loudness discomfort levels are less than 70 dB HL.
  4. All of the above
6.  What is a reasonable strategy to help a person with hyperacusis hear better?
  1. Tell them not to use earplugs.
  2. Tell them to watch the talkers face.
  3. Use earplugs with open ear molds.
  4. Use hearing aids, but reduce the maximum output of the aids.
7.  What is common sound that hyperacusis patients report having difficulty with?
  1. A door shutting.
  2. Dishes clinking together.
  3. Applause at an event.
  4. All of the above
8.  What is likely the most common cause of hyperacusis?
  1. Medications
  2. Intense noise exposure
  3. Years of listening to loud music.
  4. Just the aging process.
9.  Which of the following would be a reasonable approach for hearing aid fittings for hyperacusis patients.
  1. Use a highly directional microphone.
  2. Only fit the ear with the tinnitus.
  3. Focus on amplifying low-level sounds but not high level sounds.
  4. Always fit binaurally.
10.  Which of the following can be helpful approaches for some with hyperacusis?
  1. Long-term listening to low-level noise throughout the day at a level that does not bother them it.
  2. Listening to noise in the evening, when they are in control of the level and duration that they listen.
  3. Listing to some of the sounds that they are bothered by, when they have control of the levels and durations of their listening experience.
  4. All of the above

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