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The Important Role of Otoacoustic Emissions (OAEs) in Preschool Hearing Screening

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1.  Which of the following is an important principle underlying EHDI programs? Pediatricians can consistently identify infants with hearing loss Parents can consistently identify infants with hearing loss Pure tone screening can consistently identify infants with hearing loss 1-3-6 Principle (screen within 1 month; diagnose within 3 months; intervention within 6 months after birth)

2.  Which of the following statements is most accurate? All children with hearing loss are identified with newborn hearing screening The prevalence of hearing loss is higher at school entry than following newborn screening Less than 50% of newborn infants in the USA undergo hearing screening Intervention begins by 6 months for all infants in the USA are diagnosed with hearing loss

3.  Which of the following is NOT a factor in the loss-to-follow up problem or newborn hearing screening refer outcomes? Transportation problems Infant moves to another state Inadequate information about the importance of follow up testing Very effective EHDI program

4.  Many babies who pass newborn hearing screening and who have hearing loss at school entry are: Born in small towns and rural areas At risk for delayed onset or progressive hearing loss Really normal hearing Males versus females

5.  Problems with valid pure tone hearing screening of young preschool children include: Challenge of non-audiologist performing the testing Noise in the test environment Cognitive level of young children All of the above are problems with valid pure tone hearing screening of young preschool children

6.  Which of the following most accurately describes a typical failure rate for pure tone hearing screening of young preschool children? 0% 5% 10% >10%

7.  Which is the most accurately proportion of school age children with hearing loss who passed newborn screening? 0% 3% 5% 10 to 20%

8.  Which of the following are advantages of OAEs for hearing screening of young preschool children? Detects most children with hearing loss Test can be performed by non-audiology personnel Child does not need to volunteer a behavioral response All of the above are advantages of OAEs for hearing screening of young preschool children

9.  Which of the following is NOT an objective measure for hearing screening of young children? Pure tone hearing screening Tympanometry Acoustic reflexes OAEs

10.  Preschool children who do not pass OAE hearing screening can then be screened with: ABR ASSR Pure tone screening Dichotic listening tests