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

The Universal Newborn Hearing Screening (UNHS) protocol recommends that permanent hearing loss be identified and intervention initiated by what ages respectively?

  • A Screen by 1 month, diagnose by 2 months, intervene by 3 months
  • B Screen by 3 months, diagnose by 6 months, intervene by 12 months
  • C Screen by 6 months, diagnose by 12 months, intervene by 18 months
  • D Screen by 1 month, diagnose by 3 months, intervene by 6 months
Correct answer: D. Screen by 1 month, diagnose by 3 months, intervene by 6 months

Explanation

The 1-3-6 rule is the cornerstone of Universal Newborn Hearing Screening: screen by 1 month of age, audiological diagnosis by 3 months, and appropriate intervention (hearing aid fitting or cochlear implant referral) by 6 months. This critical period aligns with auditory pathway plasticity windows. Early intervention before 6 months correlates with significantly better speech and language outcomes compared to later identification.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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