JAAA CEU Program

Questions refer to Moore et al, “Referral and Diagnosis of Developmental Auditory Processing Disorder in a Large, United States Hospital-Based Audiology Service,” 364–377.

Learner Outcomes:

Readers of this article should be able to:

• Summarize the most common concerns reported by parents regarding their child’s listening difficulties, and the most common co-occurring learning difficulties experienced by these same children.

• Based on the presented test findings, describe the reasons why a simple diagnosis of auditory processing disorder, based on current AAA/ASHA guidelines, is neither realistic nor appropriate.

1. Which of the following is not a common report of parents concerning their child’s listening difficulties?

   • difficulty hearing speech in challenging environments

   • impaired attention to sounds

   • inability to distinguish sounds in one ear from those in the other

2. Most children with listening difficulties have a variety of other learning problems. What is the most commonly reported problem?

   • speech and language

   • autism spectrum disorders

   • dyscalculia

3. What was the most common outcome from SCAN evaluation of children in this study who received a central auditory processing evaluation (CAPE)?

   • weakness

   • undiagnosed

   • disorder

4. What proportion of pediatric visits to Cincinnati Children’s Audiology were CAPEs?

   • about 1%

   • about 5%

   • about 10%

5. Which of the following statements about ‘right ear advantage’ (REA) for SCAN testing is true?

   • most children diagnosed with APD had an overall REA

   • most children diagnosed with APD had an overall left ear advantage (LEA)

   • most children diagnosed with APD had a weaker REA than undiagnosed children on dichotic listening tests

6. Was evidence presented in this paper for large differences between individual audiologists in APD diagnostic practice?

   • no evidence presented

   • no

   • yes

7. For dichotic digits performance, how did the REA change with age?

   • REA was stronger for younger children than for older children

   • REA was stronger for older children than for younger children

   • REA did not change with age

8. What proportion of the 486 children who completed the Pitch Pattern Test scored 100%?

   • about 1/10

   • about 1/3

   • about 2/3

9. How did the proportion of children receiving a CAPE change during the 5 years of the study?

   • increased

   • decreased

   • unchanged

10. Which of the following statements is not part of current APD guidelines (AAA, 2010) about using electrophysiology?

    • There are no widely accepted criteria as to when ABRs should be included.

    • ABRs are widely accepted as a useful diagnostic tool for APD.

    • Even when abnormalities are noted, these results may be of limited use for the development of intervention plans.

No conflict of interest has been declared by the author(s).