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GSI for Cochlear Implant Evaluations

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1.  What is the current standard audiological test battery that is used for adult cochlear implant candidacy evaluations? Hearing in Noise Test (HINT) Minimum Speech Test Battery (MSTB) North Western University 6 word lists (NU-6) Quick Speech In Nosie Test (Quick SIN)

2.  What presentation level is the industry standard for aided testing for cochlear implant evaluations? 60 dBSPL 60 dBHL 60 dBSL Most comfortable level (MCL) of the patient

3.  What should the dial setting be on the audiometer in HL for the equivalent 60dBSPL? 47dBHL 60dBHL 47dBSPL Most comfortable level (MCL) of the patient

4.  What tests are part of the MSTB and commonly used for cochlear implant and hybrid implant evaluations? Hearing In Noise Test (HINT) AzBio Sentences CNC words Both B and C

5.  What is the criteria for word recognition score for Medicare patients for Open Set Sentences? 50% or worse in the best aided condition 60% or worse in the best aided condition 30% or worse in the best aided condition 40% or worse in the best aided condition

6.  Which is best practice to verify function of hearing aids when doing a cochlear implant evaluation? Set the hearing aids to the manufacturer's default settings. Ask the patient if their hearing aids are loud enough and turn them up until they are comfortable. Perform Real Ear to Coupler Difference (RECD) measured and use in-situ speech mapping, adjust to targets Simulated Real Ear Measures (SREM) on a 2 cc coupler

7.  What is one option for setting objective C/M levels with an immittance bridge for cochlear implant programming? 10 point loudness scale 4 point loudness scale Electrical Stapedial Reflex Testing (ESRT) Both A and B

8.  What is the current standard tests used to verify cochlear implant performance and function of the cochlear implant? Hearing In Noise Test (HINT) AzBio Sentence Tests CNC word lists Both B and C, Minimum Speech Test Battery includes both AzBio and CNC words

9.  What is the FDA approved test used for evaluation of Hybrid Cochlear Implant Candidacy? CNC word lists AzBio Sentence test Hearing in Noise Test (HINT) Quick Speech In Noise (QuickSIN) test

10.  Prior to a cochlear implant evaluation, what are recommended audiometric testing that should be completed? Tympanometry Acoustic reflexes Comprehensive Audiogram (Air conduction, bone conduction, and comprehensive speech audiometry) All of the above