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Pseudohypacusis: Beyond the Tests

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1.  Why are the labels or terms we use for pseudohypacusis important? To identify proper reimbursement codes. Referring parties need labels for diagnosis. Determining disability eligibility. Labels influence thinking and thinking influences labels.

2.  Some terms that have been used over the years to refer to false and exaggerated hearing loss (FEHL) include: vestibular schwannoma, acoustic neuroma hyperacusis, reduced sound tolerance organic hearing loss, idiopathic hearing disorder functional hearing loss, malingering, feigning, nonorganic hearing loss

3.  A “factitious” disorder means: An organic disorder that has not been diagnosed A new emerging disorder from a novel or variant virus Falsifying test results for obtaining financial compensation Intentional action for an internal need as part of a mental illness

4.  In the overall population, what is the approximate age distribution of persons exhibiting false and exaggerated hearing loss (FEHL)? There is no data or research on age distribution and FEHL Patients under age 18 years outnumber those over 18 years by a ratio of 2:1 Adult males predominate (outnumber adult females) by far Seniors (over age 65) outnumber younger persons exhibiting FEHL

5.  Which of the following is most often true for persons displaying false and exaggerated hearing loss? Audiologic test results are repeatable and consistent Most patients have a moderate hearing loss, and exaggerate to display a more severe hearing loss Little or no hearing loss is actually present; objective measures of hearing show no impairment Over 90% are trying to achieve financial gain

6.  Which of the following are commonly reported elements among children with a false and exaggerated hearing loss (FEHL)? High self esteem, confident, over-achievers Living with both parents, middle children in large families Conflict at school, not living with both parents, poor self concept Narcissism, overly talkative, outgoing

7.  In the general population, what might FEHL most likely be a sign of? A manipulative, devious child. A psychosocial disorder. A dire need for money. Confusion about how to respond during a hearing test.

8.  When audiologists interview, screen, counsel and refer patients who display false and exaggerated hearing loss (FEHL), they should take the position of: Ally, and provide client-centered care Investigator, to try and force the patient into confession Researcher, to try and uncover the underlying psychological issue "It's not my job" and refer the patient to ENT

9.  Which of the following statements is true about depression and suicide in children and youth? Suicide is one of the leading causes of death in adolescents Depression decreases sharply in puberty Suicide in youth has steadily decreased over time and is at an all time low Depression cannot be diagnosed until adulthood

10.  A helpful screening tool for childhood psychosocial problems is: Client Oriented Scale of Improvement (COSI) QuickSIN Peabody Picture Vocabulary Test (PPVT) Pediatric Symptom Checklist