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Cochlear Implant Timing: Why Waiting Isn't A Good Idea, in partnership with American Cochlear Implant Alliance

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1.  Inappropriate diagnosis of pediatric hearing loss and delay in fitting with proper technology can lead to delays in:
  1. Spoken language development
  2. Social interaction
  3. Academic performance
  4. All of the above
2.  The 2017 publication Pediatric Minimum Speech Test Battery by Uhler et al recommends using which tests for evaluation of hearing aid performance:
  1. Developmentally appropriate word and sentence tests
  2. Lipreading
  3. Sign language
  4. Telephone test
3.  Which of the following is considered off-label cochlear implant use?
  1. Single sided deafness (SSD)
  2. Asymmetrical hearing loss
  3. Less than 12 months old
  4. All of the above
4.  Which of the following is a NOT a benefit derived from unilateral cochlear implant use?
  1. Improved speech understanding in quiet
  2. Improved quality of life
  3. Improved speech understanding in noise
  4. Improved localization
5.  Once patients receive a cochlear implant in one ear:
  1. They are no longer a candidate for a cochlear implant on the other ear.
  2. Should continue to utilize a hearing aid on the other ear if there is enough residual hearing in that ear that would warrant its use.
  3. Should not wear a hearing aid on the other ear because it will help them get used to the cochlear implant.
  4. Should wait as long as possible to get a second cochlear implant in the other ear.
6.  Candidacy for cochlear implantation of patients for possible electrical-acoustic-stimulation (EAS) includes:
  1. Normal low-frequency hearing through 2000 Hz
  2. Normal to moderate sensorineural hearing in the high-frequency speech region with sloping low-frequency sensorineural hearing loss below 1000 Hz.
  3. Speech understanding for CNC words in the ear to be implanted better than or equal to 70%.
  4. Normal to moderate sensorineural hearing loss through 500 Hz in the ear to be implanted and CNC word scores no better than 60% in the ear to be implanted.
7.  According to the Minimum Speech Test Battery for Adult Cochlear Implant Users (2011), the recommended test protocol should be tested:
  1. Preoperatively only to determine candidacy for cochlear implantation.
  2. Postoperatively only to determine how subjects are performing with their cochlear implant.
  3. Preoperatively and postoperatively at three, six, and 12 months following device activation, and annually thereafter.
  4. Only if patients request to be tested.
8.  According to the Minimum Speech Test Battery for Adult Cochlear Implant Users (2011), patients should be tested using the following protocol:
  1. One 20-sentence list of AzBio sentences presented in quiet.
  2. One 20-sentence list of AzBio sentences presented in noise.
  3. One 50-word list of CNC words.
  4. All of the above
9.  Which is not considered a key factor as being influential in an individuals potential performance with a cochlear implant?
  1. Age at onset of hearing loss
  2. Duration of hearing loss
  3. Eating green vegetables
  4. Age at implantation
10.  Which of the following are common reasons that adults who have been told that they are appropriate CI candidates delay moving forward?
  1. Fears about losing residual hearing
  2. Perspective that they are "doing ok" with hearing aids and other accommodations like captioning, lipreading, and assistive listening devices
  3. Waiting for the technology to improve
  4. All of the above

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