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Precision Outcomes for Children with Hearing Loss

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1.  What is precision medicine?
  1. Using assessment and treatment methods that have good reliability.
  2. Tailoring the assessment and treatment approach to the patient’s specific needs.
  3. Developing stringent assessment protocols that can be applied to every patient.
  4. Using genetic tests to determine the right treatment approach for children with hearing loss.
2.  Binaural hearing:
  1. Cannot easily be assessed in clinical settings.
  2. Can be restored using a contralateral routing of sound device
  3. Can be assessed using a spatial release from masking approach.
  4. Is not a significant problem for children with hearing loss.
3.  Tracking auditory development over time using outcome measures requires:
  1. Consistent protocols that are administered over time
  2. Different measures to provide convergent validity about the child’s development
  3. A multidisciplinary team of professionals
  4. Tools that have not yet been developed for audiologists
4.  What is the best reference to compare the developmental progress of a child with hearing loss over time?
  1. Normative data from children with typical hearing
  2. Normative data from children with hearing loss
  3. The child’s own progress over time
  4. Mixed normative data from children with hearing loss and additional disabilities.
5.  A speech recognition measure that simulates how well a child can understand speech through overhearing is:
  1. Target speech at 0 degrees at an average level (65 dB SPL)
  2. Target speech at 0 degrees at a soft level (55 dB SPL)
  3. Target speech at 90 degrees at a loud level (75 dB SPL)
  4. Target speech at 90 degrees at a soft level (55 dB SPL)
6.  What method is best to determine whether a change in speech recognition is significant from a previous test?
  1. Use the binomial theorem based on the number of target items and level of performance.
  2. Greater than 15% change in speech recognition is a significant change.
  3. Greater than 20% change in speech recognition is a significant change
  4. What constitutes a significant change depends on the age of the child.
7.  Which of the following is most likely to underestimate real-world communication challenges for children with hearing loss?
  1. Speech recognition in a two-talker masker
  2. Speech recognition in quiet
  3. Speech recognition with the target and the noise at different spatial locations
  4. Speech recognition in speech-shaped noise.
8.  What level of performance should lead an audiologist to consider moving a child up in the auditory skills hierarchy to a new outcome measure?
  1. Performance less than 20% correct
  2. Performance around 50% correct
  3. Performance around 75% correct
  4. Performance at or greater than 85%
9.  What measures are the easiest for audiologists to track reliability over time?
  1. Speech recognition
  2. Auditory development questionnaires
  3. Listening fatigue questionnaires
  4. Pupilometry measures
10.  Which of the following measures would be most sensitive to changes in perception that occur with a bone conduction device for single-sided deafness?
  1. Speech recognition in quiet
  2. Spatial release from masking
  3. Speech recognition in noise with collocated speech and masker
  4. The PEACH questionnaire

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