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Grand Rounds: Tinnitus

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1.  Which two medical conditions are ranked #1 and #2 in Veterans with service-connected disabilities?
  1. Tinnitus and Hearing Loss
  2. Hearing Loss and Depression
  3. Tinnitus and Anxiety
  4. Hearing Loss and PTSD
2.  The Starkey SoundPoint Tinnitus feature in the Inspire Software is designed to do which of the following?
  1. Allow the patient adjust the modulation speed of the tinnitus sound generator signal.
  2. Give the clinician the ability to change the tinnitus programs remotely.
  3. Access datalogging of the tinnitus sound generator programs.
  4. Act as a blinded way for patients to change the intensity and frequency shaping of the tinnitus sound generator output.
3.  According to Jun & Park (2013), cognitive behavioral therapy (CBT) is likely to:
  1. Eliminate the patient's tinnitus perception.
  2. Reinforce the patient's negative response to tinnitus.
  3. Help the patient to identify and evaluate negative thoughts related to tinnitus.
  4. Have no effect on tinnitus sufferers.
4.  The opinions found on the American Medical Association (AMA) website suggest that:
  1. Self-treatment is recommended and typically is effective.
  2. Self-treatment poses several challenges.
  3. Self-treatment poses no challenges or concerns.
  4. The AMA has no stance on self-treatment.
5.  In terms of amplification, which of the following approaches is appropriate to consider for patients with hearing loss and tinnitus?
  1. Start with amplification only and assess if further intervention for tinnitus is needed at follow up.
  2. Amplification with the use of built in sound generators.
  3. Tinnitus accessories to use when the patient is not using their hearing aids.
  4. All of the above are appropriate approaches to consider for patients with hearing loss and tinnitus.
6.  If a patient with tinnitus also has a fluctuating hearing loss, which of the following may be a good option to consider for amplification?
  1. cochlear implant
  2. "convertible" hearing aid devices that provide the patient with options such as BiCROS if the loss worsens
  3. sound generator only with no amplification
  4. nonprogrammable analog amplifier
7.  Information related to which condition had a direct effect on the treatment of tinnitus in patients with profound unilateral hearing loss:
  1. Phantom limb
  2. Hypertension
  3. Diplacusis
  4. Face blindness
8.  According to Vernon et al (1980), individuals with Meniere's disease usually experience tinnitus that is:
  1. High pitched, a low sensation level, and not easily masked.
  2. Low pitched, a high sensation level, and easily masked.
  3. Low pitched, a low sensation level, and not easily masked.
  4. Low pitched, a low sensation level, and easily masked
9.  Milloy et al. found the most consistent ABR differences between normal hearing listeners with tinnitus compared to normal hearing listening without tinnitus was:
  1. Longer latencies and reduced amplitudes in Wave 1.
  2. Longer latencies and reduced amplitudes in Wave 2.
  3. C.Longer latencies and reduced amplitudes in Wave 3.
  4. No differences in the groups.
10.  The cases presented demonstrated an interdisciplinary approach to tinnitus which may include referral to/consultation for:
  1. psychologist
  2. ENT
  3. vestibular testing
  4. all of the above

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