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Adult Perceptions of Cochlear Implants: Helping Your Patients Understand Benefits and Addressing their Fears, in partnership with ACIA

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1.  Cochlear implantation is: A safe procedure among elderly patients. More complex and has greater risks for elderly patients. Causes more dizziness and vertigo in elderly patients. Contraindicated in people over 90 years of age.

2.  An herbal supplement that may not have blood thinning properties is: Ginko Biloba Echinacea Garlic Ginger

3.  Current Cochlear Implant Penetration in the US, meaning the percent of candidates who actually receive cochlear implants is: 5% 15% 25% 35%

4.  Following adult cochlear implantation we expect the following: No improvement in speech understanding if duration of profound hearing loss is>15 years. Significant improvement in speech understanding even if duration of profound hearing loss is>15 years. No need for follow-up device adjustment after the first year when programming levels stabilize. Speech perception scores to decrease with increasing age of the recipient.

5.  What soundfield thresholds would we expect with a cochlear implant in place? 0-10 dB HL from 250-6000 Hz 25-35 dB HL from 250-6000 Hz 35-40 dB HL from 250-6000 Hz Not possible to obtain a cochlear implant audiogram.

6.  Which of the following types of insurance is a federally based program that provides coverage for appropriate patients 65 years of age and older: Medicaid Blue Cross/Blue Shield Medicare Affordable Care Act Plans

7.  Insurers will pay for a sound processor upgrade when: The processor has been in use for more than five years. The processor is out of warranty. The processor is broken. This differs among insurance companies and needs to be determined for the individual insurer and patient.

8.  Which of the following is a federal/state insurance plan that provides health coverage for persons with very low income: Medicare Medicaid HAP Affordable Care Act Marketplace Plans

9.  Medicaid plans cover cochlear implants and related services: For eligible children throughout the US and for eligible adults in about 2/3 of states. For eligible children and adults in all 50 states. Only if the individual has no residual hearing at any frequency. Only for the initial surgery and device but not for the aftercare.

10.  With regard to age the following is true? The advance elderly should not be considered for CI. It is reasonable to wait to implant a child until a child can make the decision. Implantee age is not a major consideration. Children cannot be implanted younger than 12 months of age.

11.  The only absolute contraindication to cochlear implant surgery is: Congenital absence of the cochlea. Lack of an auditory nerve on the MRI. Cochlear duct Neoossification. Prior ear surgery.

12.  In the US there are ___ FDA approved CI manufacturers. 1 2 3 4

13.  What is considered optimal use of the cochlear implant? Using the CI throughout the day and night. Using the CI throughout the day. Using the CI ten hours a day (with four being listening to music). Using the CI for at least six hours a day.

14.  When a patient can understand single words but cannot follow a whole sentence, it is worth working with them on: Enriching vocabulary. Strengthening auditory memory. Improving auditory discrimination. Practicing guessing and completion techniques.

15.  Dual attention task can be the following: The patient is asked to sketch his office while the SLP asks him questions. The SLP says three letters that make up a word and the patient has to say the word. The patient practices the discrimination and identification of the words: Cain / came & moon / noon The SLP tells a short story and the patient is asked about the lesson learned.