What this deck covers
Hearing, Speech, and Language Development in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Normal language development for her age, Isolated expressive language delay, Type A, normal, Type A d, high compliance, Type C, negative pressure, Type B, flat tracing, Formal assessment for autism spectrum disorder, Lead screening and iron studies, Congenital heart disease, Congenital hypothyroidism, Alport syndrome, Branchio-oto-renal syndrome, Receptive language disorder, Intellectual disability, Childhood apraxia of speech, Central auditory processing disorder, Attention-deficit hyperactivity disorder, Mild sensorineural hearing loss, Auditory neuropathy, Every three months until age three, Six months, Eighteen months, Twenty-four months, Nine months.
Clinical pearls from this deck
- Screening at 24 hours often false-positives from retained vernix/fluid/debris, so a two-stage approach is used: rescreen a failed OAE, ideally with automated ABR, which tests the whole pathway (cochlea → nerve → brainstem) and catches auditory neuropathy that OAE misses. Follow the 1-3-6 rule (screen by 1 month, diagnose by 3, intervene by 6). Do not just reassure or discharge.
- At 12–15 months, expect 1–3 words beyond meaningful “mama/dada,” sound imitation, following simple commands with gestures, and understanding “no.” This girl points (a key joint-attention skill) and follows commands — intact receptive skills and social communication. Expecting 10 words at 13 months is unrealistic. Red flags at 12 months would be no babbling, pointing, gestures, or response to name.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
