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Vanderbilt's Audiology Journal Club - Outcomes in Patients with Auditory Neuropathy (ANSD), with Linda J. Hood, PhD

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1.  Difficulty(ies) in managing patients with auditory neuropathy relate to: The variability in speech perception. The variability in speech and language development. The lack of well-controlled, long-term studies of outcomes. All of the above

2.  Typically, hearing aids are fit in patients with auditory neuropathy when: No other form of intervention works. After toneburst ABR thresholds are obtained to guide fitting. Frequency specific and ear specific behavioral thresholds can be obtained None of the above

3.  Cochlear implants are recommended for patients with AN when there is: A lack of progress with other amplification. A lack of responsiveness to sound. Continuing delays in speech and language development. All of the above

4.  Speech perception, measured with word recognition tests, is: Similar in patients with auditory neuropathy and patients with sensorineural hearing loss Better in patients with auditory neuropathy than patients with sensorineural hearing loss. Poorer in patients with auditory neuropathy than patients with sensorineural hearing loss. Not yet measured in patients in auditory neuropathy.

5.  AN patients who are better performers with cochlear implants are generally: Implanted at an older age. Implanted at a younger age Implanted in both ears simultaneously. Implanted in the right ear.

6.  Dean et al. (2013) found that: Poorer CI performers benefitted more from bilateral CIs than better performers Poorer CI performers benefitted more from unilateral CIs then bilateral CIs. Better CI performers preferred unilateral CIs. Hearing aids with frequency lowering proved more beneficial than CIs for patients with AN

7.  It is reported that one-third of the AN population: Should not be considered for amplification. Should not be considered for a cochlear implant. Have confounding cognitive or developmental disorders. All of the above

8.  In patients with auditory neuropathy, having better pure tone thresholds: Results in better word recognition ability. Has no relation to word recognition ability Precludes the possibility of getting a cochlear implant. Means that a child should develop good speech and language without intervention.

9.  In patients with auditory neuropathy, cortical auditory evoked potentials: Tend to show normal latencies in children with better receptive language Cannot be recorded and therefore are not useful at any age. Can be present, but never at normal latencies. None of the above.

10.  The evidence base supporting cochlear implants in patients with auditory neuropathy may differ from sensorineural hearing loss based on: Better pure tone thresholds. Fluctuating hearing sensitivity. Lack of ability to predict word recognition based on pure tone thresholds. All of the above