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Clinician’s Guide to Misophonia

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1.  An aversion and strong dislike of soft-repetitive pattern based sounds best describes which of the following conditions?
  1. Tinnitus
  2. Hyperacusis
  3. Misophonia
  4. Phonophobia
2.  The ___________ system is most commonly activated during the misophonic response and plays a role in the physiologic and emotional reaction (i.e., increased heart rate & sweating).
  1. Sympathetic
  2. Parasympathetic
  3. Lymphatic
  4. Peripheral hearing
3.  Kumar’s 2017 study, “The Brain Basis for Misophonia,” found heightened activation in which primary area of the brain?
  1. Corpus collosum
  2. Bilateral anterior insular cortex
  3. Vestibulocochlear nerve
  4. Posterior insular cortex
4.  According to Kumar (2017), in what stage of life is the onset of misophonia most commonly identified?
  1. Early childhood
  2. Infancy
  3. Adulthood
  4. Early adolescence
5.  According to Jastreboff, which condition(s) commonly co-occur with a diagnosis of misophonia?
  1. Tinnitus
  2. Sensorineural hearing loss
  3. Hyperacusis
  4. Both A & C
6.  The most appropriate clinical assessment measure for evaluating the impact of misophonia on the patient’s quality of life includes which of the following?
  1. Modified Hyperacusis Khalfa Questionnaire
  2. Personal Health Questionnaire Depression Scale (PHQ-8)
  3. Misophonia Assessment Questionnaire (MAQ)
  4. Tinnitus Handicap Inventory (THI)
7.  All of the following would be considered characteristic misophonic triggers except:
  1. Fireworks
  2. Gum chewing
  3. Pen tapping
  4. Sniffling
8.  Consultation with which of the following professions is recommended as part of the multidisciplinary approach in managing patients with misophonia?
  1. Occupational Therapy
  2. Audiology
  3. Behavioral Health
  4. All of the above
9.  Which of the following management strategies is considered the most controversial in regards to treating / managing patient’s with misophonia?
  1. Cognitive Behavioral Therapy
  2. Exposure Therapy
  3. Sound Therapy / Generators
  4. Occupational Therapy
10.  Which of the following conditions may be a consequence of decreased sound tolerance disorders such as hyperacusis and misophonia?
  1. Tinnitus
  2. Conductive hearing loss
  3. Phonophobia
  4. Recruitment

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