ENT · Pediatric ENT (OSA, Adenotonsillar Disease, Congenital Hearing Loss, Airway Foreign Bodies)

Newborn hearing screening using automated ABR (AABR) detects sensorineural hearing loss ≥35 dB HL. A baby who fails the AABR twice should have confirmatory diagnostic evaluation completed by what age?

  • A 1 month of age
  • B 6 months of age
  • C 12 months of age
  • D 3 months of age
Correct answer: D. 3 months of age

Explanation

The '1-3-6 framework' (JCIH guidelines) states: hearing screening by 1 month, diagnostic evaluation by 3 months, and early intervention by 6 months of age for infants with confirmed hearing loss. This early intervention window is critical for speech and language development during the sensitive period. Delayed diagnosis beyond 6 months significantly worsens speech outcomes.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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