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Textbook CE Course: Tinnitus Stepped-Care - A Standardized Framework for Clinical Practice

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1.  According to the textbook, what factors are hindrances for audiologists to provide tinnitus clinical services?
  1. A lack of standardized, evidence-based guidelines for tinnitus care, combined with inconsistent or insufficient training in AuD programs
  2. Tinnitus clinical services aren't necessary because tinnitus has no cure
  3. Tinnitus care falls outside the audiology scope of practice and isn't covered by audiology liability insurance
  4. Since ENT physicians already provide tinnitus services routinely, there's no market opportunity for audiologists to offer overlapping care
2.  Which of the following best describes Tinnitus Stepped-Care?
  1. A specific, sequential protocol of procedures for evaluating tinnitus
  2. A specific, sequential protocol of procedures for treating tinnitus
  3. A framework for delivering tinnitus services built around core principles of tinnitus care
  4. A form of Cognitive Behavioral Therapy designed specifically for patients with tinnitus that takes a stepped approach to implementation
3.  Which of the following is a premise of the Tinnitus Stepped-Care approach?
  1. If steps in the framework are skipped, patients are more likely to relapse
  2. Patients should receive only the level of care required to meet their individual needs
  3. Audiologists trained in a Tinnitus Stepped-Care approach should provide full-service counseling to address the emotional and cognitive components of tinnitus
  4. The patient's primary care physician provides and coordinates clinical services for tinnitus management and make referrals to other healthcare providers as needed
4.  All patients with tinnitus should receive which of the following?
  1. sound therapy
  2. referral to a behavioral health provider
  3. MRI to rule out medical cause
  4. audiological evaluation
5.  Which of the following activities typically occur during Stage 3 of Tinnitus Stepped-Care?
  1. Complete audiological examination
  2. Triage to determine appropriate referrals depending on a patient's individual symptoms
  3. Screening for sound sensitivity disorders along with tinnitus loudness and pitch match
  4. Tinnitus outcome questionnaire and tinnitus educational counseling
6.  Step 4 of Tinnitus Stepped-Care may include which of the following?
  1. Cognitive Behavioral Therapy
  2. Acceptance and Commitment Therapy
  3. Tinnitus Activities Treatment
  4. All of the above
7.  Which of the following statements is true about Step 5 of the Tinnitus Stepped-Care approach?
  1. If Steps 2, 3, and 4 are conducted well, it is not typically needed
  2. It must be conducted with a sound therapy approach to be effective
  3. It is most beneficial for patients with no co-morbid conditions
  4. All of the above are true
8.  In Step 5, which provider, in addition to the audiologist, is included in the evaluation?
  1. social worker
  2. primary care physician
  3. psychiatrist
  4. psychologist
9.  Which of the following is true about tinnitus counseling and telehealth?
  1. Telehealth for tinnitus is not allowed by law in the U.S.
  2. All forms of tinnitus counseling can be conducted via telehealth
  3. Research shows that tinnitus counseling via telehealth is not as effective as face-to-face counseling
  4. Tinnitus counseling via telehealth generally has low patient satisfaction ratings
10.  To best meet the needs of patients in Step 6, it is recommended that audiologists do what?
  1. Offer complementary and alternative treatments such as supplements as long as there are no known adverse effects
  2. Obtain certification in cognitive behavioral therapy and couples counseling to offer full services
  3. Refer to a nutritionist for low-FODMAP, gluten-free dietary advisement
  4. Stay reasonably updated on different tinnitus treatments, both traditional and experimental