What this deck covers
Newborn Hearing Screening 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: Initiate hearing aid fitting immediately, Autoimmune destruction of the stria vascularis, Prematurity alone, Low birth weight alone, Mitochondrial mutations, Serum immunoglobulin G antibodies to toxoplasmosis, Urine culture for cytomegalovirus, Genetic testing for connexin twenty-six mutations, Sensorineural hearing loss, Central auditory processing disorder, Conductive hearing loss, Mixed hearing loss.
Clinical pearls from this deck
- Parental concern that a baby does not respond to voice is one of the most reliable early signs of hearing loss and always warrants formal audiology — even if the newborn screen passed or is unknown. Newborns DO localize sound by 2–3 weeks, so failing to respond to a familiar voice is abnormal, not developmental. Reinforce the EHDI 1-3-6 benchmarks.
- A “refer” (fail) screen is not a diagnosis but demands prompt diagnostic confirmation (by 3 months), not casual rescreening. Know the two methods: OAE tests cochlear outer-hair-cell function (sens ~90–95%, can false-positive from vernix/fluid); automated ABR tests the whole cochlea-to-brainstem pathway (sens ~93–100%, spec ~97%). Either way, a refer result mandates a formal workup.
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.
