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Clinical Implications for Pediatric Bimodal Fittings

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1.  Bimodal device use for children may include reported benefits in which areas? Localization of sounds/speech Speech perception in quiet Speech perception in noise All of the above

2.  The hearing aid and cochlear implant for bimodal patients should be balanced for: Manufacturer brand Years of device use Audibility and loudness Frequency output

3.  Supra-segmental perception refers to: Perception of the vowels and consonants in the speech signal Perception of only vowel sounds in the speech signal Perception of voiced consonants in the speech signal Perception of voice pitch, manner and prosodic cues in the speech signal

4.  Segmental perception refers to: Perception of the vowels and consonants in the speech signal Perception of only vowel sounds in the speech signal Perception of voiced consonants in the speech signal Perception of voice pitch, manner and prosodic cues in the speech signal

5.  Bimodal device use refers to: The use of a cochlear implant and a hearing aid on the non-implanted ear The use of a hearing aid and cochlear implant at the same ear The use of a hearing aid and cochlear implant at both ears None of the above

6.  Outcome Measures to assess benefit may include: Word recognition in quiet and noise Sentence recognition in quiet and noise Questionnaires and parent reports All of the above

7.  Possible mechanisms underlying bimodal benefit may include: Improve performance by providing phonetic information (i.e. voicing and manner) Improve performance by providing phonetic cues for lexical boundaries and prosodic information Both A and B None of the Above

8.  Pediatric candidates for bimodal devices include: Children with a Unilateral CI Children who have discontinued CI use at one ear Children with Unilateral Hearing Loss (UHL) Children with normal hearing and auditory processing disorder

9.  Speech perception outcomes for pediatric CI recipients should: Be interpreted in the context of linguistic, cognitive and age of child Attempt to reflect real world listening to some degree Incorporate a variety of outcome measures when possible All of above

10.  When limited or no bimodal benefit is measured/reported, the following may be considered: Consider evaluating various frequency responses for the hearing aid Consider referring for 2nd CI candidacy evaluation Both A and B None of the above