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Advanced Management of Complex Cases: Children with Multiple Medical Conditions

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1.  Which of the following precludes a child's eligibility for cochlear implant candidacy? Auditory Neuropathy Spectrum Disorder Autism Visual Impairment Absent/aplastic auditory nerve

2.  What is the primary goal for typically developing children receiving cochlear implants? To hear some environmental sounds To enhance lipreading skills To improve hearing for learning auditory based language To learn to talk

3.  Children with multiple medical conditions were originally excluded from cochlear implantation because The effects of chronic stimulation on the brain was not known It was considered too challenging to determine benefit The risk of surgery was thought to outweigh the benefit All of the above

4.  What percentage of sensorineural hearing loss is associated with syndromic causes? 100% 50% 30% 5%

5.  What is the most frequent infectious cause of hearing loss in children? Cytomegalovirus Bacterial Meningitis Rubella HIV

6.  What percentage of children with sensorineural hearing loss have additional medical conditions/disabilities? 10-15% 80-85% 30-40% 0-10%

7.  Children with Down Syndrome and deafness Are not typically selected for cochlear implantation due to low cognitive abilities May benefit from cochlear implantation but may have a prolonged rehabilitative process Should not be implanted until IQ can be established Are always implanted regardless of IQ

8.  A consideration for a child with Cerebral Palsy who is using a wheelchair would be Can he place the processor on his ear unassisted Is his head position against the back of the wheelchair going to affect placement of the processor or retention of the headpiece Will he be able to swim while wearing the processor Will an electric wheelchair interfere with the processor

9.  A consideration for a child with repaired cleft palate would be Is his history significant for otitis media Has he received the meningitis vaccination Does he have any nasal emission when he speaks? A and B

10.  For a child with autism, the following should be considered in deciding on whether to pursue a cochlear implant: tolerance of device on ear/head tolerance of loud sounds or certain sounds communicative intent all of the above