Term
| Experience of perceiving sound that isn't produced at a source outside of the body |
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Definition
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Term
-__-__ % of all adults have tinnitus
-___-__ Americans have chronic tinnitus
-__-__ million seek help
-___ million have debilitating tinnitus |
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Definition
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Term
| What is the etiology of tinnitus? |
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Definition
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Term
| What are some common risk factors correlated with tinnitus? |
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Definition
| damaged hair cells-maybe noise damaged |
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Term
| Identify a recommended test battery for individuals with bothersome tinnitus |
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Definition
| Case history, otoscopy, tinnitus questionnaire, normal hearing eval, tinnitus matching, loudness discomfort levels |
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Term
Tinnitus Matching:
-Task: ask listener to compare their ___ to ___ that vary in pitch and loudness
-Consideration: Patients often confuse ___ and ___. So explain and/or provide examples of "___' and "___"
-Ask patient to compare tinnitus to stimuli in the ___ ear. Unilateral tinnitus-ask listener to compare tinnitus to stimuli in the ___ ear. Bilateral tinnitus-tinnitus ear could be designated as the one in which tinnitus is more ___ |
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Definition
| tinnitus; stimuli; loudness; pitch; loudness; pitch; contralateral; other; noticeable |
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Term
Tinnitus Matching-Step 1:
-Ask patient to judge ___ of tinnitus compared to stimuli. Use adaptive technique. The goal is to find the ___ that is similar to their tinnitus
-Implication: start with a frequency that is likely ___ than the listener's tinnitus |
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Definition
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Term
Tinnitus matching-step 2:
-Ask patient to judge ___ of tinnitus. Use adaptive technique. What is the goal here?
-Present at 10-20 dB SL at pitch-matched tone. Ask, "__________?"
-If tinnitus is softer, then ___ presentation level
-If tinnitus is louder, then ___ presentation level
-Use ___ procedure for intensity until listener reports loudness that matches tinnitus |
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Definition
| loudness; To find the loudness that is similar to their tinnitus; is the tinnitus louder or softer than the tone; decrease; increase; bracketing |
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Term
Tinnitus matching-step 3:
-Verify matched pitch ___ loudness
-Ask if tinnitus sounds more like a ___ or ___ (play NBN or BBN at frequency matched tone)
-Significance: Info can be used when ___ patients and info may be used to recommend and/or program ___ ___ to partially mask tinnitus |
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Definition
| AND; tone; noise; counseling; sound generators |
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Term
Hierarchy for PTM: Level 1
-___: guidelines for non-audiologists-when to refer and to who |
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Definition
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Term
Level 2-Audiologic Evaluation:
-Find out about ___ of tinnitus on patient's life-can use questionnaires
-Is there a ___ ___?
-Is tinnitus or hearing loss most ___?
-Does patient need to be _________? |
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Definition
| impact; hearing loss; bothersome; referred to MD |
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Term
Level 2:
Patients who report pulsatile sounds need a ___ ___ because it could be attributed to hypertension, carotid blockage, glomus tumor, arteriovenous malformation, aneurisms, and hyperthyroidism |
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Definition
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Term
Level 2:
-Recommend ___ ___ for those with loss because it can help with tinnitus, can help with feedback reduction, noise suppression, and has sound generator settings
-Recommend ___ ___ for those with normal hearing and tinnitus concerns |
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Definition
| hearing aids; group education |
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Term
| What percentage of patients do hearing aids help with tinnitus? |
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Definition
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Term
Level 3-Group Education:
-For patients who feel they need additional services to help ___ tinnitus
-Using ___ to manage reactions to tinnitus
-Patients use sound plan for ___ weeks, then discuss with audiologist; revise as needed |
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Definition
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Term
Level 4-Interdisciplinary Evaluation:
-Most patients ____ need this level
-Audiologist and ___ evaluates patient
-Audiologist talks about using ___ and determines if ___ consultations with audiologist is warranted (determines plan for level 5) |
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Definition
| won't; psychologist; devices; further |
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Term
Level 5-Individualized Support:
-___-term individual support from audiologist and/or psychologist
-Same counseling as for group counseling, but audiologist uses ___ to facilitate counseling |
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Definition
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Term
| The purpose of the tinnitus handicap inventory (THI) is to identify the ____ the tinnitus may be causing the patient. There are ___ questions asking about specific areas that the tinnitus could affects. Ex: "Because of your tinnitus is it difficult to concentrate?" The patient would circle "________________". |
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Definition
| problems; 15; yes, sometimes, or no |
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Term
| Reduced tolerance to sound-physical discomfort of sound |
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Definition
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Term
| Identify and describe 2 conditions confused with hyperacusis |
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Definition
-Misophonia-dislike of sound; implied emotional reaction, learned response. Sound is a problem in some situations but not in others
-Phonophobia (subcategory of misophonia): fear caused by sound. Feature: anticipation that sound will be uncomfortably loud |
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Term
| What are some conditions associated with hyperacusis? |
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Definition
| perilymph fistula, stapedectomy, ramsay-hunt syndrome, Bell's palsy, migraine, depression, PTSD, head injury, lyme disease, and williams syndrome |
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Term
William's Syndrome:
-Symptoms: _______ difficulties, motor control problems, difficulty with ____, math, and ___ cognition
-__% of individuals with this syndrome report hyperacusis |
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Definition
| problem-solving; reasoning; spatial; 90 |
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