Exam Preview for 42101: Single Sided Deafness and CIs: Pre- and pos

Single Sided Deafness and CIs: Pre- and post-operative evaluation and outcomes, in partnership with the American Academy of Audiology

Please note: exam questions are subject to change.

1. Which of the following is a factor that should be discussed when determining single-sided deafness candidacy? Patient age alone, regardless of health status Preference for specific earbud brands Duration of the hearing loss Financial income level of the patient's extended family
2. Which of the following was previously considered a contraindication for cochlear implantation in patients with single sided deafness but is no longer an absolute contraindication? Duration of deafness Deafness due to lesions of the acoustic nerve or central auditory pathway Tinnitus severity Tympanic membrane perforation in the presence of active middle ear disease
3. What is a typical outcome received by patients with single sided deafness that underwent cochlear implantation? CNC word score improvement of more than 20% Performance and patient satisfaction vary, all patients are different. Tinnitus is fully suppressed in all cases Significant improvement in quality of life questionnaires, but minimal improvement in speech aided testing.
4. What are the cochlear implant indications for patients with single sided deafness in the ear to be implanted? Severe to profound sensorineural hearing loss defined as: Pure-tone average at .5, 1, 2, 4 kHz>80 dB HL Aided CNC word score or developmentally appropriate word test ≤ 5% Normal or near normal hearing defined as: Pure-tone average at .5, 1, 2, 4 kHz ≤30 dB HL Duration of profound sensorineural hearing loss greater than ten years Moderate to profound sensorineural hearing loss defined as: Pure-tone average at .5, 1, 2, 4 kHz>80 dB HL Aided Sentence score or developmentally appropriate word test ≤ 5%
5. Which of the following statements best reflects current evidence regarding patients with single sided deafness after receiving a cochlear implant? Outcomes are predictable and uniform across all SSD patients Cochlear implantation provides benefit only for speech understanding in quiet Although outcomes vary among individuals, growing evidence supports benefits in binaural hearing, tinnitus suppression, and quality of life. Patients with Single Sided Deafness generally do not experience meaningful benefit from cochlear implantation.
6. According to MSTB-3 guidelines, which assessment is not recommended during an audiological evaluation to determine cochlear candidacy for patients with single sided deafness? Aided assessment using CNC word in quiet Aided assessment using AzBio sentences in noise (signal at 65 dBA from front with 60-65 dBA to the normal hearing ear). Aided assessment using AzBio sentences in quiet Plug and/or mask better hearing ear
7. What medical or audiological factors should be considered when evaluating patients with single sided deafness? Middle ear function Consider MRI due to asymmetry Duration of profound SNHL < 10 yrs All of the above
8. In single sided deafness evaluation for a cochlear implant, which of the following best differentiates "indications" from "candidacy criteria"? Indications refer to FDA approved labeling, whereas candidacy criteria may consider the whole patient for clinical consideration. Indications are created by the manufacturer, while candidacy criteria are determined by the audiologist. Candidacy and Indications are always interchangeable terms. Candidacy criteria is required prior surgery while indications may be considered after.
9. Which of the following patient reported outcome measurement may be useful to include during cochlear candidacy evaluation for patients with single sided deafness? Cochlear Implant Quality of Life (CIQOL) Profile. Speech, Spatial, and Qualities of Hearing Scale (SSQ-12). Tinnitus Handicap Inventory (THI). All of the above.
10. Which is not a contraindication for cochlear candidacy for patient with single sided deafness in patients 5 years or older? Absence of a cochlear nerve Normal or near normal hearing defined as: Pure-tone average at .5, 1, 2, 4 kHz ≤30 dB HL Absence of cochlea development Profound sensorineural hearing loss in both ears.