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Grand Rounds: Pediatrics, presented in partnership with Nemours Alfred I. duPont Hospital for Children

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1.  All of the following would be considered characteristic misophonic triggers except: Toilet flushing Gum chewing Keyboard typing Throat clearing

2.  According to the literature, which condition(s) commonly co-occur with a diagnosis of misophonia? Phonophobia Hyperacusis Tinnitus All of the above

3.  Sensorineural hearing loss is most commonly associated with ____________ meningitis. Viral Bacterial Septic All of the above

4.  The imaging study most effective for cochlear implant decision-making post meningitis is? CT scan PET scan MRI X-Ray

5.  All of the following are researched and acceptable treatments for misophonia, but caution must be used when considering ____________. Cognitive behaviorl therapy Exposure therapy Biofeedback In-vivo practice

6.  The Auditory Brainstem Response (ABR) and Cortical Auditory Evoked Response (CAEP) are different in which of the following way(s): ABR stimuli are much faster than CAEP stimuli. The ABR is a far field response so it as a smaller amplitude than the CAEP, which is near field and has a larger amplitude. The patient should be asleep for best ABR results, whereas the patient should be awake for the best CAEP results. All of the above

7.  The Cortical can be present even when the VIII is hyperplastic or absent because: It is possible that adjacent nerve fibers are carrying some auditory information to the auditory cortex It is possible to miss very tiny nerve fibers, or nerve fibers that are not in the expected place on MRI scan. As a profession, we have no idea. It makes no sense! Both A & B

8.  An aversion and strong dislike of soft-repetitive pattern based sounds best describes which of the following conditions? Tinnitus Hyperacusis Misophonia Phonophobia

9.  Which of the following is a test of the inferior vestibular neural pathway? Subjective visual vertical Cervical Vestibular Evoked Myogenic Potentials Head impulse test Calorics

10.  Which of the following is not a test of the otolith organs? Subject Visual Vertical Vestibular Myogenic Evoked Potentials Head righting reflexes Head impulse test