

Pediatric Speech and Language Disorders
Test Preparation
Course Introduction
This course provides an in-depth exploration of speech and language disorders affecting children from infancy through adolescence. Students will examine the typical development of speech and language, identify deviations from normative milestones, and analyze the etiology, characteristics, and classification of various pediatric disorders, including articulation, phonological, fluency, voice, and language impairments. Emphasis is placed on evidence-based assessment tools, diagnostic procedures, and intervention strategies tailored to the diverse needs of pediatric populations. Additionally, the course addresses the impact of cultural, familial, and social factors on communication disorders and fosters interdisciplinary collaboration for effective management and support.
Recommended Textbook
Cleft Palate and Craniofacial Anomalies Effects on Speech and Resonance 3rd Edition by Ann W.
Available Study Resources on Quizplus
24 Chapters
372 Verified Questions
372 Flashcards
Source URL: https://quizplus.com/study-set/3526 Page 2


Chapter 1: Anatomy and Physiology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70043
Sample Questions
Q1) The velum rests against which structure while inactive?
A)Tip of the tongue
B)Base of the tongue
C)Dorsum of the tongue
D)Posterior pharyngeal wall
E)Adenoid pad
Answer: B
Q2) Which structure is a ridge that is caused by a projection of the cartilaginous portion of the Eustachian tube?
A)Torus tubarius
B)Alveolar ridge
C)Median palatine raphe
D)Torus palatinus
E)Passavant's ridge
Answer: A
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Chapter 2: Clefts of the Lip and Palate
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/70042
Sample Questions
Q1) What is the philtral tissue segment called when there is a bilateral complete cleft of the lip?
A)Philtral dimple
B)Prolabium
C)Simonart's band
D)Philtrum
E)Columella
Answer: B
Q2) Which is never associated with a cleft of the primary palate?
A)Wide and flattened nose
B)Altered orientation of orbicularis muscle
C)Nasal cavity deformities
D)Reduced size of nasal airway
E)Velopharyngeal insufficiency
Answer: E
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4

Chapter 3: The Genetics Evaluation and Common
Craniofacial
Syndromes
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2 Verified Questions
2 Flashcards
Source URL: https://quizplus.com/quiz/70041
Sample Questions
Q1) Cleft palate rather than cleft lip) is more likely to be associated with which of the following?
A)Deformations
B)Malformations
C)Disruptions
D)Associations
E)Other congenital anomalies
Answer: B
Q2) What is failure of the brain to divide into two separate hemispheres called?
A)Hydrocephaly
B)Macrocephaly
C)Holoprosencephaly
D)Microcephaly
E)Unicephaly
Answer: C
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Chapter 4: Genetics and Patterns of Inheritance
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/70040
Sample Questions
Q1) Which of the following is not characteristic of 'X-linked inheritance'?
A)It is caused by genes on chromosome 23
B)Females are more severely affected
C)Affected males pass the gene to 100% of their daughters
D)There is no father-to-son transmission
E)Affected females can transmit the disorder to their sons
Q2) Which of the following would be considered a threshold trait associated with multifactorial inheritance?
A)Height
B)Intelligence
C)Blood pressure
D)Cleft palate
E)Weight
Q3) What is the recurrence risk for parents of a child with nonsyndromic cleft lip and/or palate with their next pregnancy?
A)3% to 5%
B)25% to 50%
C)30% to 45%
D)10% to 15%
E)5% to 10%
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Chapter 5: Feeding Problems of Infantswith Clefts or
Craniofacial Anomalies
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70039
Sample Questions
Q1) As the infant grows, which of the following structures does not descend?
A)Velum
B)Epiglottis
C)Hyoid
D)Larynx
E)Vocal cords
Q2) Which of the following are essential for normal feeding?
A)Nipple compression
B)Generation of positive pressure suction
C)Generation of negative pressure suction
D)a and b
E)a and c
Q3) Which of these is a feeding concern in children with Moebius syndrome?
A)Timing and coordination of sucking and swallowing
B)Achieving and maintaining an adequate lip seal
C)Excessive airflow through an open cleft
D)Nasal regurgitation
E)Airway obstruction
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Chapter 6: Developmental Aspects:speech, Language, and Cognition
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/70038
Sample Questions
Q1) Which of the following are common phonemic substitutions used by children who have an unrepaired cleft palate?
A)Glides for liquids
B)Nasals for orals
C)Glottal stops for plosive stops
D)b and c
E)a, b, and c
Q2) Infants associate the physical movement of sound production with auditory results through which of the following?
A)Cooing and babbling system
B)Taking turns and external stimulation
C)Tactile-kinesthetic and auditory feedback loop
D)Speech stimulation of the caregivers
E)Contrasting voiced and voiceless phonemes
Q3) What is the most important requirement for speech and language learning?
A)Environmental stimulation
B)Motivation
C)Intelligence
D)Adequate hearing
E)Normal oral structure
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Chapter 7: Resonance Disorders Andvelopharyngeal
Dysfunction Vpd
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70037
Sample Questions
Q1) What is the most common cause of velopharyngeal dysfunction in patients with Crouzon syndrome?
A)Short velum
B)Deep pharynx
C)Velar paresis
D)Occult submucous cleft
E)Dysarthria
Q2) Nasal emission is never audible on which of the following types of speech sounds?
A)Affricates
B)Vowels
C)Fricatives
D)Plosives
Q3) Which of the following best describes cul-de-sac resonance?
A)A reduction of nasal resonance during speech due to a blockage in the nasopharynx
B)Too much sound in the nasal cavity
C)Sound trapped in one of the cavities of the vocal tract
D)Nasal air emission
E)Too much sound in the oral cavity
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Chapter 8: Facial, Oral and Pharyngeal Anomalies
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70036
Sample Questions
Q1) Which of the following is not used as a treatment for upper airway obstruction in children?
A)Tonsillectomy
B)Adenoidectomy
C)Tracheostomy
D)Uvulopalatopharyngoplasty
E)CPAP
Q2) What muscle is responsible for middle ear function?
A)Levator veli palatini
B)Musculus uvulae
C)Palatopharyngeous
D)Tensor veli palatini
E)Palatatoglossus
F)Superior constrictor
Q3) A frenulectomy is most often indicated for which of the following?
A)Speech difficulties
B)Feeding difficulties
C)Dental difficulties
D)Cosmetic concerns
E)Medical concerns
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Chapter 9: Dental Anomalies
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70035
Sample Questions
Q1) What is the term for the horizontal relationship of the upper to the lower incisors?
A)Labioversion
B)UnderJet
C)OverJet
D)Overbite
E)Diastema
Q2) What is the term for when the upper teeth are lingual to the lower teeth?
A)Labioversion
B)UnderJet
C)OverJet
D)Overbite
E)Diastema
Q3) Which dental abnormality occurs when the lower teeth overlap the upper teeth buccally?
A)Open bite
B)Overbite
C)Lateral crossbite
D)Diastema
E)Anterior crossbite
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Chapter 10: Psychosocial Aspects Ofcleft Lippalate and
Craniofacial Anomalies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/70034
Sample Questions
Q1) Why is elementary school difficult for children with clefts?
A)Teachers tend to reject them more often compared to unaffected classmates.
B)They often have communication deficits related to their speech skills.
C)They have higher levels of anxiety compared to their unaffected peers.
D)They have lengthy absences for surgeries.
E)All of the above
Q2) Which syndrome is not typically associated with intellectual impairment relative to unaffected peers?
A)Apert's syndrome
B)Smith-Lemli-Opitz syndrome
C)Treacher Collins syndrome
D)Velocardofacial syndrome
E)Fetal alcohol syndrome
Q3) Which syndrome includes a risk of psychosis as the child becomes a teenager?
A)Moebius syndrome
B)Velocardiofacial syndrome
C)CHARGE syndrome
D)Apert syndrome
E)Treacher Collins syndrome

12
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Chapter 11: Speech and Resonance Assessment
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70033
Sample Questions
Q1) Which of the following groups of sounds will never have nasal emission as a result of an oronasal fistula in the area of the incisive foramen?
A)Velars
B)Lingual-alveolars
C)Sibilants
D)Bilabials
E)Plosives
Q2) What is the appropriate recommendation for treatment of velopharyngeal mislearning?
A)Surgery and then speech therapy
B)Surgery only
C)Speech therapy for obligatory distortions
D)Speech therapy and then surgery
E)Speech therapy only
Q3) If the child demonstrates nasal emission on s/z only, what is the probable cause?
A)VPI only
B)A fistula only
C)VPI and the fistula
D)Misarticulation causing nasal emission
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Page 13

Chapter 12: Orofacial Examination
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70032
Sample Questions
Q1) 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
Q2) 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
Q3) 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)Zona pellucida
E)Uvula
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Page 14

Chapter 14: Nasometry
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70030
Sample Questions
Q1) What would you expect from a dialect, accent, or language that contains more high vowels or a higher tongue position in vowel production?
A)Later voice onset time for vowels
B)No effect on the nasalance score
C)A slightly higher average nasalance score
D)A slightly lower average nasalance score
E)Nasalance scores higher than 20%
Q2) High vowels have more nasal resonance than low vowels due to which of the following?
A)Shape of the pharynx
B)Frequency of the vowel
C)Greater incidence of velopharyngeal insufficiency
D)Tongue position in the oral cavity
E)Larger oral cavity size
Q3) Which of the following is not true about nasometry?
A)It is an indirect measure.
B)It provides objective data regarding resonance.
C)It can be used with connected speech.
D)It provides a visual representation of resonance in real time.
E)It provides direct visualization of the velopharyngeal valve.
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Chapter 15: Speech Aerodynamics
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70029
Sample Questions
Q1) Velopharyngeal closure is considered adequate in children if differential oral-nasal air pressure is greater than which of the following during the production of the word "hamper"?
A)1.0 cm H<sub>2</sub>O
B)2.0 cm H<sub>2</sub>O
C)3.0 cm H<sub>2</sub>O
D)4.0 cm H<sub>2</sub>O
E)5.0 cm H<sub>2</sub>O
Q2) Transducers convert the detected air pressure or flow into which of the following?
A)Electrical signals
B)A digital format
C)Static electricity
D)The aerodynamic equation
E)Pressure-flow kinematics
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Chapter 16: Videofluoroscopy
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/70028
Sample Questions
Q1) Which view shows the velum and posterior pharyngeal wall?
A)Lateral view
B)Frontal view
C)Base view
D)Oblique view
E)Towne's view
Q2) Which view is done to view the lateral pharyngeal walls?
A)Lateral view
B)Frontal view
C)Base view
D)Oblique view
E)Towne's view
Q3) On the base view, a black horizontal line during closure indicates which of the following?
A)Passavant's ridge
B)Adenoid pad
C)Coronal pattern
D)Sagittal pattern
E)Circular pattern
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Chapter 17: Nasopharyngoscopy
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/70027
Sample Questions
Q1) Which of the following suggests the presence of a small velopharyngeal opening?
A)Bubbling of secretions
B)Irregularity of the posterior part of the velum
C)Irregular adenoid tissue
D)A small black circle
E)Visible airflow through the valve
Q2) For surgical planning, what is the most important finding through nasopharyngoscopy?
A)Size of the opening
B)Shape of the opening
C)Location of the opening
D)Timing of closure
E)Pattern of closure
Q3) Which of the following should not be done prior to inserting the scope?
A)Have the child blow his nose
B)Check the image on the camera
C)Put lidocaine gel on the scope
D)Put the child in a supine position
E)Spray the nose with a decongestant
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Page 18

Chapter 18: Surgical Management of Clefts and
Velopharyngeal Insufficiencyincompetence VPI
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Source URL: https://quizplus.com/quiz/70026
Sample Questions
Q1) Why is the alveolar arch cleft left unrepaired until the age of 6 or 7?
A)It is technically difficult to close at an earlier age.
B)It allows anterior facial growth without restriction.
C)It does not affect speech or feeding.
D)Early closure can cause a risk of dental abnormalities.
E)The alveolar cleft will eventually close on its own.
Q2) When is a cheiloplasty usually performed?
A)Right after birth
B)3 to 4 weeks
C)5 to 6 weeks
D)10 to 12 weeks
E)16 to 18 weeks
Q3) Which of the following is true about VPI?
A)It is a surgical disorder.
B)It can be corrected with speech therapy.
C)It requires both speech therapy and surgery.
D)It can be corrected with speech therapy if it is mild.
E)It sometimes gets better without treatment.
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Chapter 19: Orthognathic Surgery for Craniofacial Conditions
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70025
Sample Questions
Q1) Which is not a method of mandibular reconstruction?
A)Distraction osteogenesis
B)Le Fort I
C)Rib graft reconstruction
D)Free tissue microsurgical reconstruction
E)Mandibular osteotomies
Q2) Which of the following is not addressed routinely by either the cheiloplasty or the palatoplasty?
A)Velum
B)Oronasal fistula
C)Philtral ridges
D)Alveolus
E)Incisive foramen
Q3) Which of the following may be improved with maxillary advancement surgery alone?
A)Obligatory distortions and hyponasality
B)Compensatory errors and obligatory distortions
C)Obligatory distortions and hypernasality
D)Compensatory errors and hypernasality
E)Compensatory errors and hyponasality
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Chapter 20: Prosthetic Management
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/70024
Sample Questions
Q1) Which of the following is not true of reduction therapy?
A)It aims to improve velopharyngeal function.
B)The length of the lift is gradually increased.
C)It aims to stimulate movement of the velopharyngeal structures.
D)It aims to avoid surgery, or reduce the severity of the surgery.
E)The length of time wearing it is gradually decreased.
Q2) When is it not appropriate to use prosthetic management?
A)For patients with a history of cleft who have a delay for surgery due to medical issues
B)For patients who have undergone a successful cleft repair without complications or residual effects
C)For patients with persistent velopharyngeal insufficiency or incompetence after unsuccessful surgeries
D)For patients with other structural disorders not related to cleft palate
E)For patients who have cancer affecting the maxilla or velum
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Chapter 21: Speech Therapy
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70023
Sample Questions
Q1) Which of the following can be corrected with speech therapy when there is VPI?
A)Short utterance length
B)Placement errors
C)Nasal grimace
D)Hypernasality
E)Weak consonants
Q2) The yawn technique is used to correct which of the following?
A)Glottal stops
B)Lateral sibilants
C)Substitution of /l
D)Posterior nasal fricatives
E)Pharyngeal plosives
Q3) Which of the following can be corrected by starting with the yawn technique?
A)Pharyngeal fricative
B)Pharyngeal plosive
C)Glottal stop
D) /l
E)Velar plosive
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22

Chapter 22: The Team Approach
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4 Verified Questions
4 Flashcards
Source URL: https://quizplus.com/quiz/70022
Sample Questions
Q1) Based on ACPA recommendations, which professionals must be on a Cleft Palate Team as a very minimum?
A)Plastic surgeon, ENT, pedodontist
B)Surgeon, dental professional, speech-language pathologist
C)Plastic surgeon, ENT, speech-language pathologist
D)Plastic surgeon, oral surgeon, speech-language pathologist
E)Dental professional, orthodontist, plastic surgeon
Q2) The team's primary contact person for the family is usually which of the following?
A)Primary care physician
B)Pediatrician
C)Family doctor
D)Managing surgeon
E)Team coordinator
Q3) Most of the managed care organizations exist as which of the following?
A)For-profit corporations
B)Not-for-profit organizations
C)Third-party administrators
D)Preferred providers PPOs.
E)Government-run providers
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Page 23
Chapter 23: Cleft Care in Developing Countries
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4 Verified Questions
4 Flashcards
Source URL: https://quizplus.com/quiz/70021
Sample Questions
Q1) In 1997, the International Task Force on Volunteer Cleft Missions outlined recommendations for volunteer cleft missions based on which of the following?
A)Mission objectives
B)Organization
C)Personal health and liability
D)Funding
E)All of the above
Q2) Which of the following statements is true?
A)The prevalence of clefts varies with ethnic background.
B)The prevalence of clefts varies with socioeconomic status.
C)The prevalence of clefts is not affected by malnutrition.
D)a and b
E)b and c
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24

Chapter 24: Velopharyngeal Dysfunction and Speech Disorders
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/70020
Sample Questions
Q1) Upon examination, the child demonstrates the use of nasal phonemes and glottal stops for all speech sounds.What is the most appropriate recommendation?
A)A trial period of speech therapy
B)A prosthetic device on a trial basis
C)Referral to an ENT for evaluation
D)Referral to a cleft palate team
Q2) What procedure is best for identifying an occult submucous cleft?
A)A visual inspection of the velum
B)Palpation of the velum
C)Videofluoroscopy
D)Nasopharyngoscopy
E)Nasometry
Q3) Which syndrome is most likely to include hearing loss?
A)Apert syndrome
B)Treacher Collins syndrome
C)Velocardiofacial syndrome
D)Down syndrome
E)Beckwidth-Weidemann syndrome
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