Multiple iexplore.exe running in Task Manager

I find multiple iexplore.exe's running in Task Manager. I often hearclicks like I hear when I am changing pages. I often hear background sounds (usually ads) in the background. I have run Trend Micro and MalwareRemovalbot and problem persists. I appreciate any help you can provide me.

I ran HiJackThis with no browser windows open, btw.

C:\Program Files\Trend Micro\Internet Security\TMAS_OE\TMAS_OEMon.exe
C:\Program Files\MalwareRemovalBot\MalwareRemovalBot.exe
C:\Program Files\Bonjour\mDNSResponder.exe
C:\WINDOWS\eHome\ehRecvr.exe
C:\WINDOWS\eHome\ehSched.exe
C:\Program Files\Trend Micro\Internet Security\SfCtlCom.exe
C:\Program Files\Trend Micro\BM\TMBMSRV.exe
C:\PROGRA~1\TRENDM~1\INTERN~1\TmPfw.exe
C:\Program Files\Trend Micro\Internet Security\TmProxy.exe
C:\Program Files\Common Files\Real\Update_OB\realsched.exe
C:\WINDOWS\system32\dllhost.exe
C:\WINDOWS\explorer.exe
C:\Program Files\Trend Micro\HijackThis\HijackThis.exe

R0 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page = http://www.yahoo.com/
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Page_URL = http://go.microsoft.com/fwlink/?LinkId=69157
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Search_URL = http://go.microsoft.com/fwlink/?LinkId=54896
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Search Page = http://go.microsoft.com/fwlink/?LinkId=54896
R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Start Page = http://go.microsoft.com/fwlink/?LinkId=69157
R1 - HKCU\Software\Microsoft\Windows\CurrentVersion\Internet Settings,ProxyOverride = *.local
O2 - BHO: AcroIEHelperStub - {18DF081C-E8AD-4283-A596-FA578C2EBDC3} - C:\Program Files\Common Files\Adobe\Acrobat\ActiveX\AcroIEHelperShim.dll
O2 - BHO: RealPlayer Download and Record Plugin for Internet Explorer - {3049C3E9-B461-4BC5-8870-4C09146192CA} - C:\Program Files\Real\RealPlayer\rpbrowserrecordplugin.dll
O2 - BHO: SSVHelper Class - {761497BB-D6F0-462C-B6EB-D4DAF1D92D43} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O4 - HKLM\..\Run: [SunJavaUpdateSched] "C:\Program Files\Java\jre1.6.0_07\bin\jusched.exe"
O4 - HKLM\..\Run: [SoundMan] SOUNDMAN.EXE
O4 - HKLM\..\Run: [UfSeAgnt.exe] "C:\Program Files\Trend Micro\Internet Security\UfSeAgnt.exe"
O4 - HKLM\..\Run: [TkBellExe] "C:\Program Files\Common Files\Real\Update_OB\realsched.exe" -osboot
O4 - HKLM\..\Run: [AppleSyncNotifier] C:\Program Files\Common Files\Apple\Mobile Device Support\bin\AppleSyncNotifier.exe
O4 - HKLM\..\Run: [iTunesHelper] "C:\Program Files\iTunes\iTunesHelper.exe"
O4 - HKLM\..\Run: [WinsysMon] C:\WINDOWS\system32\Socks.exe
O4 - HKLM\..\RunOnce: [TSC] "C:\Program Files\Trend Micro\Internet Security\tsc.exe" /HD
O4 - HKCU\..\Run: [ctfmon.exe] C:\WINDOWS\system32\ctfmon.exe
O4 - HKCU\..\Run: [OE] "C:\Program Files\Trend Micro\Internet Security\TMAS_OE\TMAS_OEMon.exe"
O4 - HKCU\..\Run: [MalwareRemovalBot] C:\Program Files\MalwareRemovalBot\MalwareRemovalBot.exe -boot
O8 - Extra context menu item: E&xport to Microsoft Excel - res://C:\PROGRA~1\MICROS~2\OFFICE11\EXCEL.EXE/3000
O9 - Extra button: (no name) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O9 - Extra 'Tools' menuitem: Sun Java Console - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O9 - Extra button: Research - {92780B25-18CC-41C8-B9BE-3C9C571A8263} - C:\PROGRA~1\MICROS~2\OFFICE11\REFIEBAR.DLL
O9 - Extra button: (no name) - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra 'Tools' menuitem: @xpsp3res.dll,-20001 - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra button: Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O9 - Extra 'Tools' menuitem: Windows Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O16 - DPF: {05CA9FB0-3E3E-4B36-BF41-0E3A5CAA8CD8} (Office Genuine Advantage Validation Tool) - http://go.microsoft.com/fwlink/?linkid=58813
O16 - DPF: {6414512B-B978-451D-A0D8-FCFDF33E833C} (WUWebControl Class) - http://update.microsoft.com/windowsupdate/v6/V5Controls/en/x86/client/wuweb_site.cab?1245888067625
O16 - DPF: {6E32070A-766D-4EE6-879C-DC1FA91D2FC3} (MUWebControl Class) - http://update.microsoft.com/microsoftupdate/v6/V5Controls/en/x86/client/muweb_site.cab?1245889171546
O23 - Service: Apple Mobile Device - Apple Inc. - C:\Program Files\Common Files\Apple\Mobile Device Support\bin\AppleMobileDeviceService.exe
O23 - Service: Ati HotKey Poller - ATI Technologies Inc. - C:\WINDOWS\system32\Ati2evxx.exe
O23 - Service: ATI Smart - Unknown owner - C:\WINDOWS\system32\ati2sgag.exe
O23 - Service: Bonjour Service - Apple Inc. - C:\Program Files\Bonjour\mDNSResponder.exe
O23 - Service: iPod Service - Apple Inc. - C:\Program Files\iPod\bin\iPodService.exe
O23 - Service: Trend Micro Central Control Component (SfCtlCom) - Trend Micro Inc. - C:\Program Files\Trend Micro\Internet Security\SfCtlCom.exe
O23 - Service: Trend Micro Unauthorized Change Prevention Service (TMBMServer) - Trend Micro Inc. - C:\Program Files\Trend Micro\BM\TMBMSRV.exe
O23 - Service: Trend Micro Personal Firewall (TmPfw) - Trend Micro Inc. - C:\PROGRA~1\TRENDM~1\INTERN~1\TmPfw.exe
O23 - Service: Trend Micro Proxy Service (tmproxy) - Trend Micro Inc. - C:\Program Files\Trend Micro\Internet Security\TmProxy.exe

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End of file - 5929 bytes

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