Context: I saw a 9 year old girl for a well child check a month or so ago . She is a beautiful girl , and she has a speech impediment . As is our routine , we did a hearing screen , which she failed .

Question: What might be a cause of the child 's speech impediment ?
Options:
0. The child has a speech problem which may cause hearing impediment .
1. The child has a hearing problem which may cause speech impediment .
2. None of the above choices .
3. The child has a speech impediment which may result in hearing problems .
Answer: 1

Question: Why is the mom worried about her daughter ?
Options:
0. She has a speech impediment .
1. She has an addiction .
2. None of the above choices .
3. She has a drinking problem .
Answer: 0

Question: Why is the mom worried about her daughter ?
Options:
0. She has a drinking problem .
1. She has a learning disability
2. She has an addiction .
3. None of the above choices .
Answer: 1