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Expanding Indications for Cochlear Implants to Children with Unilateral Hearing Loss

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1.  What challenges can children with unilateral hearing loss face?
  1. Increased fatigue
  2. Delays in language development
  3. Academic delays
  4. All of the above
2.  Hearing technology currently available for children with severe-to-profound unilateral hearing loss:
  1. Provides proven benefits with localization.
  2. Routes the signal from the poor ear to the better hearing ear.
  3. Stimulates the auditory pathways of both ears.
  4. Can be easily worn by infants and very young children.
3.  Unilateral sensorineural hearing loss in children is often the result of:
  1. Congenital Cytomegalovirus infection
  2. Unilateral inner ear malformation
  3. Unilateral cochlear nerve deficiency
  4. All of the above
4.  When children use a cochlear implant in the setting of unilateral hearing loss, it is vital to continue to measure:
  1. Thresholds in the contralateral ear
  2. Unaided word recognition in the CI ear
  3. Acoustic reflexes in the contralateral ear
  4. All of the above
5.  Children with cochlear implants and unilateral hearing loss need special testing considerations. Direct connect testing for word recognition is recommended due to:
  1. The potential for the "plug and muff" method to provide inadequate attenuation in the soundfield and for developmental differences in children with congenital unilateral hearing loss that make hearing with a contralateral masker more difficult.
  2. The potential for head movement in the soundfield.
  3. The potential for head movement under headphones.
  4. None of the above
6.  Children with cochlear implants and unilateral hearing loss need special programming considerations. Which of the following should be considered?
  1. Universal use of "flat" maps.
  2. Plugging the normal hearing ear when measuring T levels and creating child specific scaling charts.
  3. Testing and programming only in the morning so the child is alert.
  4. None of the above.
7.  Localization skills with a cochlear implant in this population seem to start developing as early as:
  1. 3 months post-op
  2. 9 months post-op
  3. 18 months post-op
  4. Localization benefits have not emerged in this study.
8.  Early outcomes in this study indicate that at 12-months post implantation, hearing in noise benefits in this cohort are mostly attributable to:
  1. The head shadow effect and device use.
  2. The squelch effect
  3. Personality differences in the children.
  4. None of the above
9.  Quality of life inventories and validation scales are indicating that cochlear implants may help children with unilateral hearing loss by improving:
  1. Overall happiness
  2. Listening fatigue
  3. Sensory needs
  4. Cognitive fatigue
10.  The benefit children with unilateral hearing loss experience with a cochlear implant can be measured summarily by:
  1. Individual ear word recognition scores
  2. Hearing in noise scores
  3. Localization scores
  4. None of the above

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