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Grand Rounds: Clinical Cases, presented in partnership with The Ohio State University

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1.  What would a cyst in the brainstem be expected to impact? Pure tone air conduction thresholds Pure tone bone conduction thresholds Speech in noise abilities and vestibular function Speech recognition thresholds

2.  Which branch of the basilar artery provides blood supply to the inner ear? Anterior inferior cerebellar artery (AICA) Superior cerebellar artery (SCA) Posterior inferior cerebellar artery (PICA) Pontine

3.  Why is managing tinnitus in a teenager is critical? Unmanaged tinnitus can result in increases in anxiety and depression Tinnitus can result in difficulty with focus in the classroom, such as with test taking and reading Tinnitus can interfere with listening, with teens reporting difficulty hearing “over” their tinnitus All of the above

4.  In a patient that presents with tinnitus and hearing loss, appropriately fit hearing aids are a key factor in management, based on a significant body of research. Well fit hearing aids are determined by which of the following? Patient impressions of the fitting Use of best practice fitting, including hearing aid verification using “real ear” measures Functional gain measures using pure tones in the soundfield Aided vs. unaided speech-in-noise testing

5.  An increase in tinnitus perception may be noted with which of the following? Increase in stress Cerumen impaction Decrease in being in a typical environment (e.g. increase in being in a quiet environment) All of the above