ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 07 / 20

Tinnitus & Noise-Related Hearing Problems

Assess auditory symptoms, identify referral triggers and address distress constructively.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which description defines tinnitus? A. Sound perception without an external sourceB. Complete inability to hear speechC. Pain caused by swallowingD. A visible ear-canal mass

Question 02. Which tinnitus pattern particularly merits structural or vascular assessment? A. Brief resolved ringing after a known sound aloneB. Stable bilateral symptoms already assessedC. A normal hearing test aloneD. Persistent pulse-synchronous tinnitus

Question 03. Tinnitus accompanying sudden hearing loss should follow which plan? A. Reassurance without examining hearingB. A routine appointment next yearC. Urgent sudden-hearing-loss assessmentD. Only relaxation advice

Question 04. Why ask about sleep and mood in tinnitus? A. Distress and functional impact guide supportB. They establish that symptoms are imaginedC. They replace hearing assessmentD. They exclude every structural cause

Question 05. What is appropriate if tinnitus-related distress includes imminent self-harm risk? A. Routine review in several monthsB. Ignore the statement until audiometryC. Promise a guaranteed cureD. Immediate supportive mental-health assessment

Question 06. When may a hearing aid be useful in tinnitus care? A. When relevant hearing loss is presentB. As a guaranteed cure for every caseC. Only when both drums are perforatedD. Only if tinnitus is pulsatile

Question 07. What is a role of tinnitus-focused cognitive behavioural therapy? A. Reducing distress and improving copingB. Removing every vascular lesionC. Restoring all damaged hair cellsD. Replacing urgent assessment of sudden loss

Question 08. Is there one medicine that reliably cures all tinnitus? A. Yes, any antibioticB. NoC. Yes, all decongestantsD. Yes, every sedative

Question 09. How should possible ototoxic medicine exposure be handled? A. Review it with the responsible treating clinicianB. Stop all medicines immediately without adviceC. Ignore it in every patientD. Double the dose to test the cause

Question 10. Which prevention advice is appropriate for repeated loud-noise exposure? A. Increase volume to overcome tinnitusB. Avoid all everyday sound permanentlyC. Reduce harmful exposure and use suitable protectionD. Use cotton buds as certified protection

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG155 — Tinnitus

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.