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Pediatric Grand Rounds: Embracing the Unexpected, in partnership with Phoenix Children’s Hospital

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1.  What abnormalities can occur with BOR syndrome? Outer ear Middle ear Inner ear All of the above

2.  The American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children provide which guidelines for referring a child for a cochlear implant evaluation? Audiometric Thresholds greater than or equal to 70dB HL Word recognition less than or equal to 50% correct Poor functional performance, limited progress, poor quality of life All of the above

3.  What is the most common type of temporal bone fracture? Transverse Longitudinal Mixed Spiral

4.  Emerging evidence suggests that ___ % of children with hearing loss have an associated vestibular impairment. 15-80% 85% 90% 95%

5.  The use of contralateral masking when measuring the ABR in children: Is always indicated Is never indicated Is often not indicated because comparisons between ipsilateral and contralateral recordings give clues to the laterality of the response None of the above

6.  Which of the following scenarios best describes when patient assent may influence clinical decision-making or recommendations in pediatric audiology practice? An infant is diagnosed with hearing loss following failed NBHS, and is recommended to be fit with hearing aids. An elementary-aged child with autism has not cooperated with multiple attempts at testing in office and there is concern for hearing loss, is now recommended to undergo a sedated ABR. An elementary-aged child with a moderate hearing loss no longer wants to wear their hearing aids due to cosmetic concerns. A teenage patient with progressive unilateral hearing loss has been recommended as a candidate for cochlear implantation for single-sided deafness.