INSTRUCTIONS Tinnitus evaluation in primary care
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- Registration deadline is October 31, 2014.
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Tinnitus evaluation in primary care
General Purpose: To provide NPs with information on the assessment and management of tinnitus. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Identify the epidemiology and risk factors for tinnitus. 2. Discuss signs and symptoms, diagnosis, and management of tinnitus.
- Which statement regarding tinnitus is true?
- It is more common in women than men.
- It is often an inherited condition.
- It is a symptom, not a disease.
- It affects Hispanics more often than non-Hispanic Whites.
- The majority of patients with tinnitus report some degree of
- hearing loss.
- ear pain.
- Objective tinnitus is
- the most common form of the condition.
- perceived only by the patient.
- audible to the examiner using a stethoscope.
- often described as whirring or buzzing.
- An otologic cause of subjective tinnitus is
- giant cell arteritis.
- Ménière disease.
- an acoustic neuroma.
- Intracranial hypertension is most commonly associated with
- pulsatile tinnitus.
- otologic tinnitus.
- sensorineural tinnitus.
- anatomic/muscular tinnitus.
- Medications that may cause tinnitus include
- The most common form of tinnitus is
- The most common form of tinnitus is often associated with
- a patulous Eustachian tube.
- palatal myoclonus.
- stapedial muscle spasm.
- In a patient with an acoustic neuroma, tinnitus usually
- is bilateral.
- occurs months after hearing loss.
- is the initial symptom.
- occurs when the tumor affects the sixth cranial nerve.
- Risk factors for tinnitus include all of the following except
- One common cause of sudden onset tinnitus is
- head trauma.
- glomus tympanicum.
- carotid stenosis.
- Symptoms associated with Ménière disease include
- relief from tinnitus when lying down.
- hyperacute hearing.
- episodic tinnitus.
- pulsatile tinnitus.
- In pulsatile tinnitus from a venous etiology, symptom resolution may be achieved with
- pressure on the contralateral IJV.
- bending the head toward the chest.
- turning the head away from the side with the tinnitus.
- pressure on the ipsilateral IJV.
- Tinnitus may be caused by a deficiency in vitamin
- Which test is used to distinguish air and bone conduction loss?
- Weber test
- Rinne test
- otoacoustic emissions measurement
- Immediate referral to an otolaryngologist is indicated for pulsatile tinnitus in a patient with
- recent head trauma.
- episodic tinnitus.
- tinnitus that resolves by lying down.
- bilateral tinnitus after noise exposure.
- An effective strategy to address bothersome tinnitus is
- white noise generators.
- electrical stimulation.
- Pramipexole has been shown to significantly improve
- sound conduction.
- depression related to hearing loss.
- hearing threshold.
- tinnitus annoyance.