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

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1.  What scans are appropriate for CI candidacy testing? MRI and CT CT and PET MRI and PET There is no scan option

2.  Who should receive genetic testing? Only children who have frequent otitis media. All children with a NICU admission and hearing loss. All children with congenital or early progressive sensorineural hearing loss. Only children who have unknown birth histories.

3.  What vaccination is recommended in addition to standard childhood vaccinations? HPV Vaccine Pneumococcal Vaccine Hepatitis A Vaccine Yellow Fever Vaccine

4.  What is an Auditory Brainstem Response (ABR) test? Test to measure the cochlea and hearing nerve's response to sound. Test to measure speech perception. Test that can be administered after a child turns 5 years old. Test to measure movement of the tympanic membrane (ear drum).

5.  Who is potentially a candidate for Electric Acoustic Stimulation/Hybrid? Person with decreased low frequency hearing but good high frequency hearing. Person with no responses at limits of the equipment bilaterally. Person with unilateral hearing loss. Person with decreased high frequency hearing but good low frequency hearing.

6.  Which statement is no longer true about candidacy? A child with no hearing nerve cannot get benefit from a cochlear implant. A child must have severe-profound hearing loss bilaterally to get a cochlear implant. A child must demonstrate lack of adequate progression with hearing aids. A child must be medically cleared for surgery to get a cochlear implant.

7.  An audiology evaluation for pediatric cochlear implant candidacy should include: Testing of memory Testing of Intelligence Quotient Behavioral and physiological testing Testing of solely the worst ear

8.  What is not part of a speech language evaluation for candidacy for pediatric cochlear implants? Auditory skill assessment Speech articulation assessment Language assessment Testing of Intelligence Quotient

9.  What is an example of something that may be assessed during an auditory skills assessment? Ability to hear minimal pairs. Ability to follow directions with multiple critical elements. Ability to detect suprasegmental cues of duration, intensity, and pitch. All of the above

10.  What is one reason an articulation test is informative for pediatric cochlear implant candidacy? It is fast and gives a standard score. children talk how they hear, and erroneous sounds may identify frequencies the child is not hearing well enough through hearing aids. A child with any articulation errors should immediately be considered for a cochlear implant Articulation testing does not provide informative information for cochlear implant candidacy