Cleft Palate Ch. 12

Which word contains the vowel that is the best to use for an intramural examination?

a. hot

b. hat

c. heat

d. hit

e. hut

What muscle from the velar dimple during contraction?

a. levator veli palatini

b. musculus uvulae

c. palatopharyngeous

d. tensor veli palatini

e. palatatoglossus

An individual with a craniofacial syndrome may present with hypertelorism, indicating which of the following?

a. absence of an external auditory canal

b. excess folds of tissue extending from the upper eyelid to the inner corner of the orbit

c. too little space between the eyes

d. excessive spacing between the eyes

e. narrow palpebral fissures

A lobulated tongue is most indicative of which syndrome?

a. Crouzon's

b. Velocardiofacial

c. Orofaciodigital

d. Beckwith-Wiedermann

e. Trisomy 18

When do tonsils create a concern for speech production?

a. when they extend beyond the facial pillars

b. when they are absent

c. when they are symmetrical

d. when they are size 2 on the rating scale

e. when they are visible

What are infections acquired in the hospital called?

a. nosocomial infections

b. acquired infections

c. microbial infections

d. septic infections

e. influenzacoccal infections

What is the most common cause of the spread of infection in healthcare settings?

a. providers not wearing gloves, when appropriate

b. providers not wearing a mask, when appropriate

c. providers not following proper hand washing guidelines

d. medical equipment that is not properly disinfected

e. medical equipment that is not properly sterilized

Which of the following is an abnormal finding in the palate?

a. torus palatinus

b. median palatine raphe

c. velar dimple

d. zona pellucida

e. palatal rugae

Which of the following can often be viewed in young children during an oral examination, but cannot be seen in adults during this exam?

a. bifid uvula

b. epiglottis

c. medan palatine raphe

d. velar dimple

e. zona pellucida

What does a white line in the middle of the velum indicate?

a. an overt submucous cleft

b. an occult submucous cleft

c. an inadequate cleft palate repair

d. a normal velum

e. velar diastasis

An intraoral eval reveals a bifid uvual. Which of the following statements is true?

a. resonance will be hypernasal

b. a tonsillectomy is contraindicated

c. the child will have nasal emission

d. the child may have normal velopharyngeal function

e. the child will have velopharyngeal incompetence

What is the typical cause of asymmetrical movement of the velum during phonation?

a. velar paralysis or paresis

b. a submucous cleft

c. adenoid hypertrophy

d. velopharyngeal hypotonia

e. anterior attachment of the levator muscle

Which of the following is not an indication of an upper airway obstruction?

a. hypernasality

b. chronic open-mouth posture

c. suborbital coloring

d. srtident breathing

e. snoring

The absence of a velar dimple is related to structural variation of which of the following muscles?

a. levator veli palatini

b. superior constrictor muscle

c. palatoglossus

d. palatopharyngeus

e. musculus uvulae

What is the term for too little spacing between the eyes?

a. hypotelorism

b. hypertelorism

c. facial cleft

d. macro-optical focus

e. micro-optical focus

If you see evidence of food (e.g., chocolate mile or red sauce) around the nostril area, this is an indication of which of the following?

a. nasolabial fistula

b. bilateral lip pit

c. palpebral fissur

d. oropharyngeal fissure

e. hypertelorism

What can cause the velum to "tent up" in an inverted V shape during phonation?

a. levator veli palatini muscle inserting into the aponeurosis

b. paralysis of the posterior part of the velum

c. levator veli palatini muscles inserting onto the hard palate

d. paralysis of the levator veli palatini muscles

e. palatopharyngeus muscle inserting abnormally into the velum

To determine whether ankyloglossia is affecting the speech of an English speaker, the examiner should test which of the following phonemes?

a. /l/ and sibilants

b. /l/ and lingual-alveolars

c. /r/ and /θ/

d. /r/ and /l/

e. /l/ and /θ/

Long-term upper airway obstruction can cause which of the following?

a. anterior open bite

b. anterior tongue position

c. mandible that grows downward

d. b and c

e. all of the above

Bilateral lip pits is indicative of what syndrome?

a. Apert syndrome

b. Beckwidth-Weidemann syndrome

c. Van der Woude syndrome

d. Treacher Collins syndrome

e. Crouzon syndrome

The area where the levator veli palatini muscle interdigitates in the velum is known as which of the following?

a. Median palatine raphe

b. Velar dimple

c. Torus palatinus

d. Zonapellucida

e. Uvula

If the velum appears "V" shaped" during phonation, what does this suggest?

a. Malformed tensor veli palatini muscle

b. Submucous cleft

c. Torus palatinus

d. Passavant's ridge

e. Abnormal attachment of the musculus uvulae muscle