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Audiology Grand Rounds at Henry Ford Hospital: Pediatrics

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1.  In general, the CROS device has been shown to provide what type of speech understanding outcomes in a classroom-like environment? Better than personal FM The same as personal FM Worse than personal FM in most cases Better than unaided in most cases

2.  In a classroom-like environment, which situation generally provides the best speech understanding outcomes for cases of single-sided deafness or hearing loss? Personal FM system CROS Binaural hearing aids Unaided

3.  Unilateral hearing loss has been shown to have what affect on school performance? None. Children with unilateral hearing loss have normal speech and language development so school performance is not effected Noticeable. Children with unilateral hearing loss often show negative effects on school performance. Extreme negative effects. Children with unilateral hearing loss typically suffer from severe speech and language delays. Children with unilateral hearing loss typically require specialized educational placements.

4.  Auditory steady-state response audiometry is typically used for: Predicting normal hearing sensitivity Screening the hearing of newborns Estimating hearing sensitivity loss across a broad frequency spectrum Estimating hearing sensitivity in a frequency-specific manner

5.  Initial treatment for the twin infants (case B) in this study consisted of: No treatment. The family elected to pursue a manual communication method. Unilateral hearing aid amplification with speech-language therapy Bilateral hearing aid amplification with speech-language therapy Immediate cochlear implantation

6.  In the case of the twins with hearing loss (case B), identification and diagnosis of hearing loss occurred: By the age of three months, consistent with Joint Committee on Infant Hearing recommendations. Immediately following birth, consistent with Joint Committee recommendations. Later than recommended by the Joint Committee; close to six months of age. Later than recommended by the Joint Committee; close to two years of age.

7.  Neuromaturational delay was suspected in patient C because: There was no wave V but there was a robust wave III There was no wave III but there was a wave V There was no ASSR response The patient had flat tympanograms

8.  What was the assumed cause of neuromaturational delay in patient C? Extreme prematurity Congenital hydrocephalus Hyperbilirubinemia Gestational diabetes

9.  Loss to follow-up of occurs for approximately what percentage of infants nationwide who have failed a newborn hearing screening? 10% 30% 50% 70%

10.  What is the expected outcome for the right ear for the infant with neuromaturational delay? Progressive sensorineural hearing loss Auditory neuropathy Normal hearing None of the above