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Best Practices for Cochlear Implant Candidacy: Adults, in partnership with American Cochlear Implant Alliance

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1.  What are some of the reasons discrepancies in testing patterns exist? Guidelines put forth by Medicare, FDA and insurances are ambiguous. Candidacy criteria has evolved and is less straightforward. No national consensus or statement on clinical guidelines exist. All of the above

2.  Which one of the following statements is true? Medicare reviews CI candidacy yearly and changes it. Medicare's criteria tends to be the most stringent. Insurance companies only follow Medicare guidelines. FDA and Medicare guidelines are the same.

3.  Why might cognitive testing be important as part of the pre-operative testing battery for candidacy? It is not important. Could assist with managing realistic expectations. It will predict post-operative outcomes. None of the above

4.  Which test is not included on the Minimum Speech Test Battery? HINT AzBIO BKB-SIN CNCs

5.  What are some of the factors considered when determining CI candidacy? Patient's duration of deafness and cognitive status. Patient's race. Patient's gender. None of the above

6.  What is the most representative of real-world listening? Aided speech in quiet. Aided speech in noise. Aided word discrimination. Unaided speech discrimination

7.  What is the impact on CI access from differing testing patterns? Healthcare inequities and confusion for the patients Confusion for the patients There is no impact None of the above

8.  When testing best-aided, how should a hearing aid be verified prior to testing? Hearing aids do not need to be verified prior to testing. Subjective report only. Functional gain only. Verification with real-ear measures.

9.  Which is a factor that should be considered when determining CI candidacy? Patient's compliance Candidacy should only be based on testing results. Gender Race

10.  Why should we test at 60 dB SPL and not 70 dB SPL.? Normal conversational speech is estimated at 60 dB SPL. 70 dB SPL is not vocally sustainable. 70 dB SPL may falsely inflate scores and is not representative of real-world listening. All of the above