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20Q: Outcomes of Children with Cochlear Implants - Shooting for the Moon!

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1.  Important studies on cochlear implant outcomes in the pediatric population include:
  1. the Australian Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study, the Childhood Development after Cochlear Implantation (CDaCI) study, and a series of studies completed by researchers at the University of Melbourne
  2. NHANES study, WIPI, and American Community Study (ACS)
  3. American Cochlear Implant Alliance (ACIA), AG Bell, and California Health Interview Survey
  4. US Census, National Healthcare Quality Report (NHQR) and Physicians Quality Reporting Survey (PQRS)
2.  Children who received cochlear implants prior to 12 months of age:
  1. achieved significantly poorer listening and spoken language outcomes than those implanted at age 3
  2. showed no significant differences in listening and spoken language outcomes as those implanted at age 5
  3. achieved significantly better listening and spoken language outcomes than those implanted at later ages
  4. achieved poorer academic outcomes than those implanted at later ages
3.  What percent of children who received an implant prior to 12 months of age had age-appropriate vocabulary levels when it was time to enter school, according to research by Dettman and colleagues (2016)?
  1. 10%
  2. 25%
  3. 50%
  4. 81%
4.  Which of the following areas is impacted by age of implantation (prior to 12 months versus after 12 months)?
  1. speech perception
  2. speech production
  3. expressive and receptive language
  4. all of the above
5.  At the time of the publication of this article (2018), the current US FDA guidelines for cochlear implantation indicate a minimum age of:
  1. 6 months
  2. 9 months
  3. 12 months
  4. 3 years
6.  A decision to recommend a CI in infants:
  1. can be made solely based upon a pure tone audiogram
  2. should be based on comprehensive audiometric testing including tone burst auditory brainstem response and behavioral assessment if applicable, questionnaires regarding functional auditory performance, and collaboration with the family and allied professionals like speech language pathologists
  3. is based on closed set speech recognition tasks using CNC word lists
  4. is based on open set speech recognition tasks using babble stimuli
7.  Geers and colleagues (2017) reported better language and literacy outcomes for late-elementary age children who had:
  1. no use of sign language prior to or after implantation
  2. use of sign language prior to implantation and/or for up to 12 months after implantation
  3. use of sign language prior to implantation and/or for at least 3 years after implantation
  4. exclusive use of sign language prior to and after implantation
8.  The following maternal factor has been shown to have an impact on outcomes for children with cochlear implants:
  1. education level
  2. sensitivity
  3. involvement in care and intervention
  4. all of the above
9.  Which of the following factors may impact outcomes in children with cochlear implants, according to the research discussed in this article?
  1. rural v. suburban home environment
  2. number of siblings
  3. whether an additional disability is present
  4. type of diet (gluten free, ketogenic, vegetarian, vegan)
10.  Audiologists who work with children with CIs and who have multiple disabilities should:
  1. not refer to other professionals as that undermines the audiologist's expertise and knowledge
  2. form collaborative, interdisciplinary relationships with other healthcare providers and educators
  3. pursue an advanced degree in neurodevelopmental specialization
  4. take a wait and see approach as the child develops before referring to other allied professionals to determine if other services are really needed

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