Exam Preview for 41417: Enhancing Tinnitus Care with Oto: Bridging

Enhancing Tinnitus Care with Oto: Bridging the Gap Between Evidence-Based CBT and At-Home Convenience

Please note: exam questions are subject to change.

1. Which three actions should you complete with the patient in-clinic before sending them home with the Oto app? Create their account, show the Explore tab, and schedule billing Get them logged in on their device, have them listen to the first session, and agree on a specific usage goal before follow-up Email setup instructions, provide a brochure, and discuss masking sounds Only demonstrate the sound library, then ask them to start at home
2. In the DEFINE trial comparing Oto’s digital CBT with one-to-one therapist-led CBT, what best describes the tinnitus outcomes over time? Oto was inferior at 12 months but similar earlier Oto and in-person CBT produced equivalent TFI improvements at 1, 3, 6, and 12 months Oto was superior only at 3 months Neither group achieved clinically meaningful change
3. When deciding whether a patient is a good candidate for Oto’s digital CBT, which brief history questions most directly identify “bothersome” tinnitus? “What does your tinnitus sound like?” and “Do you use earbuds?” “When is your tinnitus worst?” and “What emotions did you feel the last time it was worst?” “What is the pitch of your tinnitus?” and “Is it unilateral?” “Do you drink coffee?” and “How many hours do you sleep?”
4. Which approach best aligns Oto with tinnitus best-practice care in the clinic? Limit Oto to patients without comorbid anxiety or sleep disturbance to avoid confounding outcomes. Use Oto exclusively for non-hearing-aid users, as amplification interferes with CBT-based treatment. Integrate Oto within a stepped-care pathway: rule out red flags, address hearing loss when indicated, and prescribe Oto’s digital CBT for bothersome tinnitus with scheduled outcomes monitoring. Use Oto mainly as a sound-therapy library and reserve the CBT modules for later if symptoms persist.
5. What daily cadence and built-in check-ins should you emphasize to support adherence and outcome monitoring with Oto? Three sessions anytime per day; weekly THI prompts One to two sessions first thing in the morning; monthly TFI prompts via the app/dashboard One session at bedtime only; quarterly TFI prompts Unlimited sessions per day; patient-initiated surveys only