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continued Conversations, The CE Podcast: Hyperacusis Assessment and Management

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1.  Hyperacusis can be best defined as: abnormally reduced tolerance to loud sounds that are tolerated well by most people super acute hearing irritation or dislike of specific sounds such as a family member chewing fear of sound

2.  Which of the following persons is a world renowned expert on hyperacusis who co-authored the textbook, "Hyperacusis and Disorders of Sound Tolerance", which is a recommended resource on this topic? Gus Mueller David Baguley Bill LaCalle Albert Ellis

3.  Which of the following conditions are associated with hyperacusis? William's Syndrome High blood pressure Anemia Glaucoma

4.  Which procedure should be included in a protcol for assessment of hyperacusis? acoustic reflex threshold testing acoustic reflex decay testing DPOAEs Auditory brainstem response

5.  An important part of assessment of hyperacusis is: assuring the patient that you will discontinue the test if sounds seem too loud but the exam will be helpful in learning about their problem a detailed case study asking about medications, medical conditions associated with hyperacusis, and the impact of hyperacusis on daily life being positive and assuring the patient that there is hope you will be able to help them all of the above

6.  When managing hyperacusis, counseling should focus on which area(s)? simple review of the mechanisms of hyperacusis the patient's hearing sensitivity (particularly if test results are normal) to put them at ease the fact that hyperacusis treatment is effective, to give them hope all of the above

7.  Sound enrichment is an important part of hyperacusis management, and should be incorporated using principles of which therapy? Tinnitus Retraining Therapy Aromatherapy Talk Therapy Psychodynamic Therapy

8.  Which method is used to de-sensitize a person with hyperacusis to sounds that are bothersome? Surprise them by playing the bothersome sounds at unexpected times Record the bothersome sound and let the patient play it at soft and comfortable volumes, gradually increasing the level Long periods of self-imposed quiet followed by intervals of intense bothersome sounds Use of ear protection full time

9.  In case study #1 (6-year-old girl), the following product was recommended and effective as part of the overall plan to managing the patient's hyperacusis? Sound attenuating muffs White noise machine Gingko Biloba Doc's Proplugs

10.  In case study #2 (18-year-old college student), an important part of the hyperacusis management strategy was: repeating and reviewing test results to assure the patient that she had not damaged her hearing referral to a psychologist for stress management and counseling referral to a psychiatrist for anti-anxiety medication Doc's Proplugs