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Underdiagnosed Issues in Children Receiving CIs: Prevalence and Implications of "Hidden Disabilities"

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1.  FDA guidelines for cochlear implantation in children include:
  1. Children 12 months and older
  2. A hearing aid trial
  3. Hearing loss of 90dB or greater
  4. All of the above
2.  What percent of congenitally deaf children have co-morbidities?
  1. 10-15%
  2. 20-25%
  3. 40-60%
  4. 90%
3.  Implanting children under 12 months of age has the potential to:
  1. Decrease access to sound
  2. Cause psychological harm
  3. Lead to improved speech and language development
  4. Prevent vestibular problems
4.  Co-morbidities in children born deaf:
  1. Are always seen by 6 months of age
  2. Can become evident years later
  3. Have no effect of performance with a cochlear implant
  4. None of the above
5.  Implanting children under 12 months has proven to be:
  1. Safe
  2. Efficacious
  3. Dangerous
  4. Both A & B
6.  Approximately what % of children implanted under 12 months of age are diagnosed with disabilities several years after being implanted?
  1. 75%
  2. 50%
  3. Less than 10%
  4. 100%
7.  A recent study showed that children with undiagnosed disabilities at time of implantation:
  1. Perform better than those with no additional disabilities
  2. Perform equal to those with no disabilities
  3. Perform more poorly than those with no disabilities
  4. None of the above
8.  Undiagnosed co-morbidities in young implanted children can include:
  1. Cognitive deficits
  2. Learning disabilities
  3. Neurological deficits
  4. All of the above
9.  Programming cochlear implants in children under 12 months of age:
  1. Has proven to be difficult
  2. Can only be accomplished using objective measures
  3. Can be performed reliably with experienced cochlear implant audiologists
  4. None of the above
10.  Counseling parents considering implants for a child under the age of 12 months should include:
  1. The importance of postoperative rehabilitation
  2. The possibility of as yet undiagnosed additional disabilities and their effect on performance
  3. The auditory and linguistic benefits of implantation under 12 months of age
  4. All of the above

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