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Sudden Sensorineural Hearing Loss: Diagnosis and Treatment

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1.  What is the audiometric definition of sudden sensorineural hearing loss?
  1. ≧15 dB sensorineural loss in at least 3 contiguous frequencies over 24 hours
  2. ≧ 20 dB sensorineural loss in at least 3 contiguous frequencies over 48 hours
  3. ≧ 30 dB sensorineural loss in at least 3 contiguous frequencies over 72 hours
  4. Pure tone average of 50 dB
2.  In the United States, approximately how many cases of SSNHL are reported annually?
  1. 100,000
  2. 60,000
  3. Less than 25,000
  4. The number of patients is unknown
3.  Which of these is not a symptom that typically accompanies SSNHL?
  1. Tinnitus
  2. Dizziness
  3. Aural fullness
  4. Facial nerve paralysis
4.  Menieres disease, an otologic disorder which causes up to 5% of SSNHL cases presents with a typical audiological configuration of:
  1. Steeply sloping high-frequency loss
  2. Cookie-bite
  3. Low frequency hearing loss
  4. No hearing loss
5.  In regards to retrocochlear pathology evaluation, clinicians should evaluate patients with SSNHL by recommending an MRI or _______.
  1. Auditory brainstem response (ABR)
  2. Otoacoustic emissions (OAE)
  3. Tympanometry
  4. Videonystagmography (VNG)
6.  According to Clinical Practice Guideline: Sudden Hearing Loss Statement 7. Patient Education, which is not recommended to educate patients with SSNHL?
  1. Natural history of the condition
  2. Benefits and risks of medical interventions
  3. Limitations of existing evidence regarding efficacy
  4. Options of self-treatment at home
7.  What percentage of US Otolaryngologists treat ISSHNL with oral steroids?
  1. 98%
  2. 74%
  3. 50%
  4. The percentage is unknown
8.  Of all the demographic factors, which is universally correlated with poor prognosis?
  1. Advanced age (>60 years)
  2. Race
  3. Gender
  4. Occupation
9.  The prognosis of hearing recovery is ________ if treated with 7 days.
  1. 99%
  2. 87%
  3. 55%
  4. Little to none
10.  The prognosis of hearing recovery is ________ if treated with 2 weeks.
  1. Less than 10%
  2. 25%
  3. 35%
  4. 52%

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