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Grand Rounds: Making Appropriate Referrals, presented in partnership with the University of South Dakota

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1.  Which of the following are possible indications of a cochlear implant internal device failure? Patient reports a “pop” sound followed by no sound Impedance levels reduce by more than half from the previous measure, with no other explanation (e.g. meaningful change in wear time) Internal device is not identified by programming software (confirmed function of all external equipment including sound processor and programming interface) Aided sound field thresholds with the cochlear implant are greatly elevated or absent All of the above

2.  What is one resource for a new professional if they determine in their new practice that something is not being done using current evidence? Professional organization website Professional organization ethics or practice board State organization State licensure All of the above

3.  How does an audiologist find out if they can direct admit for mental health per state laws? Call state audiology licensure board Go to the AAA/ASHA website Call the hospital/mental health facility Call the state mental health professional licensure board

4.  For a child who is appropriately identified and amplified as an infant, when should a referral be made for early intervention/SLP? Immediately at diagnosis At age 1 when they begin to have words At age 2 when they begin to use multiple word combinations At age 4-5 when they enroll in school

5.  What does the M-CHAT stand for? Modern Children’s Atlas for Toddlers Modified Checklist for Autism in Toddlers Modified Checklist for Awesome Toddlers Modern Chart for American Toddlers