Shared Flashcard Set

Details

Audiology/Salus-Tinnitus
Tinnitus
87
Health Care
Post-Graduate
06/23/2009

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Cards

Term
All somatosounds can be detected by a skilled otolaryngologist. T/F
Definition
False
Term
Tinnitus is the perception of real sounds that originates in the ears or in the head of its owner. T/F
Definition
False
Term
The term misophonia describes strong negative (hate) reaction(s) to sound. T/F
Definition
True
Term
Hyperacusis is associated with recruitment in people with hearing loss. T/F
Definition
False
Term
All tinnitus cases have some cochlear component. T/F
Definition
False
Term
Hyperacusis is very rare and does not affect the general population. T.F
Definition
False
Term
OHC generate tinnitus. T/F
Definition
False
Term
The increase of the gain in the auditory pathways can serve as an explanation for some cases of hyperacusis. T/F
Definition
True
Term
All patients who tell their doctor that they experience noises in the ears have clinically-significant tinnitus. T/F
Definition
False
Term
Hyperacusis is always associated with hearing loss. T/F
Definition
False
Term
Misophonia is a sum of hyperacusis and phonophobia. T/F
Definition
Flase
Term
Ringing in the ears 2-3 times a day for 10-20 seconds is classified as fluctuating tinnitus. T/F
Definition
False
Term
Hyperacusis can be experienced by patients with hearing loss. T/F
Definition
True
Term
Recruitment is the basis for misophonia. T/F
Definition
False
Term
Hyperacusis is an equivalent term to recruitment. T/F
Definition
False
Term
Occlusion caused by some hearing aids can induce/enhance tinnitus. T/F
Definition
True
Term
Hyperacusis is always present in phonophobic patients. T/F
Definition
False
Term
Tinnitus prevalence is higher in elderly than other age groups. T/F
Definition
True
Term
Patients with tinnitus should be advised not to use one-a-day aspirin for their heart problem since it is known that aspirin can induce tinnitus. T/F
Definition
False
Term
Tinnitus is very rare in people with normal hearing. T/F
Definition
False
Term
ABR is frequently not sufficient for diagnosis of vestibular schwannoma. T/F
Definition
True
Term
The majority of William's syndrome cases have hyperacusis. T/F
Definition
True
Term
Objective tinnitus is frequently associated with ______________
Definition
an open Eustachian tube
Term
Hyperacusis has been reported in Lyme disease. T/F
Definition
True
Term
Why is acoustic reflex testing often not performed in tinnitus patients?
Definition
tinnitus is frequently accompanied by decreased sound tolerance.
Term
Audiological testing of tinnitus patients should always include what?
Definition
Audiogram
Term
What is the most frequently reported pitch of tinnitus matches (freq. range)?
Definition
3000-8000Hz
Term
Prozac is a preferable medication for tinnitus. T/F
Definition
False
Term
Values of LDLs in tinnitus patients depend on what two factors?
Definition
the degree of hyperacusis, misophonia
Term
Bell's palsy can be associated with hyperacusis. T/F
Definition
True
Term
What is the best way to perform LDL testing with tinnitus patients?
Definition
Do the test slowly with beeps separated by silence.
Term
Pulsatile tinnitus can be associated with glomus tumors. T/F
Definition
True
Term
What is tinnitus pitch useful for?
Definition
Used for the description of tinnitus.
Term
At what senation level is tinnitus most frequently matched?
Definition
5-15dB SL
Term
Tinnitus is one of the definitive symptoms necessary for what disease?
Definition
Meniere's disease
Term
In tinnitus patients with concurrent TMJ problems, manipulation of the joints is the treatment of choice for tinnitus. T/F
Definition
False
Term
Transient OAE is a useful test for the evaluation of tinnitus and hyperacusis patients and are preferred over DPOAE because_________
Definition
not true, transient emissions are not recommended
Term
Hyperacusis can be present independent of tinnitus. T/F
Definition
True
Term
Tinnitus is frequently associated with vestibular schwannoma. After surgical resection what can happen (3 things)
Definition
tinnitus can decrease, new tinnitus can develop, tinnitus can increase in volume
Term
When are sound generators typically fitted?
Definition
normally fitted binaurally
Term
At what level should sound generators be set?
Definition
They should always be set at the leel not inducing annoyance
Term
Aspirin should always be avoided as it enhances tinnitus. T/F
Definition
False
Term
The neurophysiological model of tinnitus predicts what?
Definition
non-auditory parts of the brain are always involved in clinically significant tinnitus
Term
Local anesthetics are effective for tinnitus if administered orally. T/F
Definition
False
Term
What post-masking effects can be observed (4 items)
Definition
tinnitus returned immediately, tinnitus was absent for some time and gradually returned to previous level, tinnitus decreased for some time and returned to previous level, tinnitus inncrease in the volume for some time
Term
Tinnitus retraining therapy (TRT) is effective disregarding tinnitus etiology. T/F
Definition
True
Term
What must tinnitus retraining therapy include?
Definition
counseling and use of a sound
Term
When should sound generators NOT be used?
Definition
When patients have subjectively significant hearing loss and no hyperacusis.
Term
Category 4 tinnitus patients exhibit kindling or winding-up phenomena. T/F
Definition
True
Term
Maksing is helpful only in some cases. T/F
Definition
True
Term
When should sleep therapy be recommended?
Definition
It is needed for majority of tinnitus patieents and should focus on non-pharmacological approaches.
Term
Follow-up visits are crucial for achieving a high level of success. T/F
Definition
True
Term
Electrical stimulation can evoke total suppression of tinnitus. T/F
Definition
True
Term
Can biofeedback be helpful in the treatment of tinnitus?
Definition
Yes--it can help sometimes but rarely has a prolonged positive effect
Term
What must happen to achieve habituation of tinnitus?
Definition
Patients must be trained to reclassify tinnitus to the category of neutral signals.
Term
Do cochlear implants provide improvement in tinnitus?
Definition
yes--some improvement in approximately half of the cases.
Term
Hyperbaric oxygen therapy is effective in the treatment of tinnitus. T/F
Definition
False--generally not effective.
Term
Why are DPOAEs performed on tinnitus patients?
Definition
they are convenient for counseling
Term
What is the least probable post-masking effect on tinnitus?
Definition
That the tinnitus will disappear permanently.
Term
Is microvascular decompression successful for most patients with somatosounds, pulsatile tinnitus or tinnitus with TMJ?
Definition
No
Term
Tinnitus patients working in noisy environments and using sound generators will benefit when using sound generators under earmuffs. T/F
Definition
True
Term
Tinnitus patients should avoid silence but the use of earplugs when using power tools is advisable. T/F
Definition
True
Term
Masking can cause tinnitus to become more severe. T/F
Definition
True
Term
Should patients who use hearing aids and have tinnitus wear their hearing aids all the time?
Definition
Yes
Term
An experiment by Heller and Bergman concluded what about tinnitus in the general population?
Definition
In a sufficiently quiet environment almost everyone develops tinnitus
Term
Can CIC hearing aids be used for tinnitus patients with hearing loss?
Definition
No
Term
Why are children with tinnitus who are treated with TRT more likely to achieve habituation faster than an adult? (2 reasons)
Definition
their brain is more plastic, they have fewer/no preconceptions
Term
What is the role of the outer hair cells?
Definition
They act as an amplifier of quiet sounds.
Term
Name 3 drugs which are known to induce tinnitus.
Definition
cisplatin, quinine, aspirin
Term
What should be recommended to a 35 year old woman with bilateral symmetrical high frequency hearing loss starting at 6kHz who complains strongly about moderate level sounds being very uncomfortable and tinnitus?
Definition
Use of sound generators and counseling.
Term
The sound used in TRT should not mask tinnitus. T/F
Definition
True
Term
What should be recommended to a patient with normal hearing, significantly disturbing tinnitus and hyperacusis?
Definition
TRT with the use of sound generators
Term
People with a family history of hearing loss can use a daily aspirin. T/F
Definition
True
Term
Can TRT be used in patients with Meniere's disease, acoustic neuroma and vestibular schwannoma?
Definition
Yes
Term
In patients with hyperacusis what determines the sensitivity to sound?
Definition
Sensitivity to sound is determined by the physical characteristics of sound
Term
TRT can be used to treat somatosounds. T/F
Definition
True
Term
People with congenital deafness do not experience tinnitus. T/F
Definition
False
Term
Should Xanax be prescribed for tinnitus patients?
Definition
No --it often enhances tinnitus and has a withdrawel effect
Term
Is Gingko Biloba effective in treating tinnitus?
Definition
No--nothing more than a placebo effect
Term
Ear candling is an effective treatment for tinnitus. T/F
Definition
False
Term
What is the most common cause of the onset of tinnitus?
Definition
Problems unrelated to the ear (stress, retirement, family problems)
Term
Unilateral tinnitus and high frequency hearing loss can be a symptom of what condition?
Definition
vestibular scwannoma
Term
SOAE-caused tinnitus is equally frequent in men and women. T/F
Definition
False
Term
Sectioning of the auditory nerve is often effective in reducing tinnitus. T/F
Definition
False
Term
What can psychological therapies do for tinnitus patients? (4 things)
Definition
act predominantly at the conscious level, improve patient's well-being, teach distractive techniques, teach coping strategies.
Term
In contrast to adults, children with tinnitus do not have problems with sleep. T/F
Definition
False
Term
What is the effect of accupuncture on tinnitus?
Definition
It has no prolonged positive effects for tinnitus and hyperacusis.
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