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Guidelines for Determining CI Candidacy, presented in partnership with the ACIA

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1.  The following tests are used to determine adult cochlear implant candidacy EXCEPT:
  1. Unaided speech recognition scores
  2. Aided speech testing in noise
  3. Aided monosyllabic word scores
  4. Hearing aid verification
2.  When testing best-aided, how should a hearing aid be verified prior to testing?
  1. Hearing aids do not need to be verified prior to testing
  2. Verification with real-ear measures
  3. Functional gain only
  4. Subjective report only
3.  The recommended audiologic referral criteria for pediatric cochlear implant candidacy includes:
  1. ≥ 50 dB HL audiometric thresholds and ≤50% correct word recognition
  2. ≥ 50 dB HL audiometric thresholds and ≤70% correct word recognition
  3. ≥ 70 dB HL audiometric thresholds and ≤50% correct word recognition
  4. ≥ 70 dB HL audiometric thresholds and ≤70% correct word recognition
4.  The FDA has approved indications for children as young as:
  1. 6 months
  2. 9 months
  3. 12 months
  4. 24 months
5.  Because the presence of comorbid conditions may affect a child’s ability to develop spoken language, clinicians should consider using non-traditional measures of success such as:
  1. Child affect and speech recognition
  2. Social engagement and speech recognition
  3. Daily device use, child affect, and social engagement
  4. Daily device use and sound awareness
6.  Which group of adults with single-sided deafness (SSD) may experience LIMITED benefit with a cochlear implant?
  1. Adults with congenital SSD
  2. Adults with postlingual SSD greater than 10 years
  3. Adults with postlingual SSD less than 10 years
  4. N/a, no adults with SSD may experience limited benefit with a cochlear implant
7.  What is the recommended wear time with the cochlear implant per day for adults with single-sided deafness?
  1. 1-2 hours
  2. 2-4 hours
  3. 4-6 hours
  4. Greater than 8 hours
8.  Which of the following conditions would warrant priority implantation in single sided deafness?
  1. Unknown etiology
  2. Connexin 26
  3. Bilateral Enlarged Vestibular Aqueduct
  4. Cochlear nerve deficiency
9.  Children with the following condition should NOT be considered for a cochlear implant in cases of single sided deafness:
  1. Cochlear nerve aplasia or hypoplasia
  2. Meningitis
  3. CMV
  4. COVID-19
10.  Which statement is true based on what is know about the impact of age and length of deafness on cochlear implant benefit for children with SSD?
  1. Children benefit most when they are implanted by age 9 years
  2. Children who have congenital SSD do not benefit from cochlear implants
  3. Children with SSD do not benefit from cochlear implants
  4. The impact of age and length of deafness is not yet fully understood in this population

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