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Adult Assessments in Hearing Healthcare: Working Across the Continuum

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1.  When should you introduce cochlear implants into a patient’s hearing healthcare journey? Only if the patient brings up cochlear implants At the time of diagnosis of hearing loss As a last resort for treatment of hearing loss Only if the patient is a child under 18 years of age

2.  Hearing across the life course includes which of the following? Screening, diagnosis, fitting of hearing devices, across the life course Prevention, identification, treatment and rehabilitation, across the life course Fitting of implantable and non-implantable hearing devices, across the life course None of the above

3.  Which of the following is a benefit of functional staging systems? Predicts outcomes nearly all of the time Allows patients and clinicians to understand the functional deficits associated with a PROM score Help correlate PROM scores to speech recognition scores There are no substantial benefits of functional staging systems

4.  If a patient has been a CI candidate for at least 10 years, what is a typical change in speech perception outcomes with a cochlear implant after one year? Little or no change in outcomes—the benefit occurs after 12 months of learning to listen 10 percent improvement in patient understanding above the pre-implant sentence score There is no “typical” outcome—results are quite variable Median change in best aided condition (CI and hearing aid) was greater than 35% improvement

5.  What is the current standard of care intervention for individuals with bilateral severe-to-profound sensory hearing loss? Hearing aids Bone anchored implants (passive and/or active systems) Cochlear implants Auditory brainstem implants

6.  Which of the following is NOT usually a concern for patients with untreated hearing loss? Cognitive decline Depression Vision problems Social isolation

7.  What are the two factors that the 60/60 rule considers? Insurance coverage and access to rehabilitation services post implantation. Unaided pure tone average and unaided monosyllabic word recognition scores. Aided speech-in-noise test scores and quality of life questionnaires. None of the above

8.  Do CI users' speech recognition scores correlate to patient self-reported communication abilities? No, not at all Yes, to a small degree Yes, to a medium degree Yes, to a large degree

9.  Patient-reported outcome measures have been highlighted as vital for measuring patient outcomes by which of the following organizations? FDA CMS CDC Both A and B

10.  When characterizing auditory outcomes for the various hearing technologies discussed here, which of the following is true? There is considerable variance in the outcomes published in the peer-reviewed literature. There are few peer-reviewed studies describing auditory outcomes for hearing aids and auditory implants. There is a clear definable prognosis for each individual pursuing hearing aids and/or auditory implants. Few auditory benefits have been documented.