https://quizplus.com/study-set/3526
Rehabilitation of Cleft Palate and Craniofacial Disorders
Exam Solutions
Course Introduction
This course covers the principles and practices involved in the multidisciplinary rehabilitation of individuals with cleft palate and craniofacial disorders. Topics include the etiology and classification of cleft and craniofacial anomalies, assessment methods, and the roles of surgical, dental, orthodontic, speech-language, and psychosocial interventions in patient care. Emphasis is placed on comprehensive treatment planning and coordinated team-based management to maximize function, aesthetics, and quality of life for affected individuals. Students will explore evidence-based strategies, case presentations, and the latest advancements in rehabilitation, as well as the long-term follow-up considerations necessary for successful outcomes.
Recommended Textbook
Cleft Palate and Craniofacial Anomalies Effects on Speech and Resonance 3rd Edition by Ann W.
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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) What structure supports the nasal tip?
A)Ala
B)Nasion
C)Nasal root
D)Nasal tip
E)Columella
Answer: E
Q2) 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
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3
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) A cleft of the velum or submucous cleft primarily affects the interdigitation of which muscle?
A)Superior constrictor muscle
B)Palatoglossus muscle
C)Tensor veli palatini muscle
D)Levator veli palatini muscle
E)Palatopharyngeus muscle
Answer: D
Q2) What anatomical structure is not included in the Kernahan "striped Y" for cleft classification?
A)Lip
B)Hard palate
C)Alveolus
D)Area between alveolus and incisive foramen
E)Posterior pharyngeal wall
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 would be considered a threshold trait associated with multifactorial inheritance?
A)Height
B)Intelligence
C)Blood pressure
D)Cleft palate
E)Weight
Q2) What term is used to describe having two different alleles of a gene for a particular trait?
A)Homozygous
B)Phenotypic
C)Autosomal dominant
D)Heterozygous
E)Multifactorial
Q3) Which of the following is not a rule of inheritance that Mendel described?
A)All alleles are dominant
B)Variations of genes are referred to as alleles
C)We get one gene from each parent
D)Alleles segregate from each other at meiosis
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Page 6
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) What two items must work synchronously to be effective for normal feeding?
A)Nipple compression and rooting reflex
B)Tongue elevation and cupping of the tongue
C)Nipple compression and generation of negative pressure suction
D)A and B
E)All of the above
Q2) What is the best way to determine the effectiveness of airway protection during rapid chain swallowing sequences?
A)Fiberoptic endoscopic evaluation of swallowing FEES)
B)Assessment of breathing after the swallow
C)Videofluoroscopy
D)Assessment of coughing after a swallow
E)Evaluation of nasal regurgitation
Q3) What is the purpose of a nonnutritive stimulation?
A)To heighten sensory awareness
B)To facilitate oral motor action
C)To help prevent development of oral aversion
D)To elicit a sucking response
E)All of the above
Page 7
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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 statements is true?
A)There is an undeniable connection between facial development and the brain based on a wide set of evidence.
B)There is no connection between the facial development and the brain based on a wide set of evidence.
C)The research shows a connection between the brain and facial development, but only when there is both a cleft lip and a cleft palate.
D)Some studies have suggested that there may be a connection between the facial development and the brain.
E)The research shows a connection between the brain and facial development, but only when there is cleft palate.
Q2) Which of the following is not true about children with palate only?
A)They are more likely to have deficits in prelanguage skills than their peers.
B)They tend to have the same scores in verbal performance as in nonverbal performance on standardized tests.
C)They may receive more early stimulation than their unaffected peers.
D)They are at increased risk for syndromes.
E)They often have language and learning problems.
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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 it called when airflow is released through the nose during production of pressure sensitive consonants?
A)Nasal flow
B)Nasal fricative
C)Nasal emission
D)Nasal grimace
E)Nasal resonance
Q2) Which speech characteristics are most likely to occur with a very large velopharyngeal opening?
A)Significant audible nasal emission
B)Hypernasality and audible nasal emission
C)A loud and distorting nasal rustle
D)Hypernasality and inaudible nasal emission
E)Pharyngeal fricatives
Q3) Hyponasality most affects the production of which type of sounds?
A)High vowels
B)Stop consonants
C)Nasal consonants
D)Fricative consonants
E)Low vowels
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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) What two sounds should be evaluated when determining whether ankyloglossia is affecting speech?
A)/s/ and /z/
B)/l/ and / /
C)/s/ and /l/
D)/ / and /s/
E)/s/ and / /
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) What syndrome causes facial nerve paralysis?
A)Crouzon syndrome
B)Down syndrome
C)Moebius syndrome
D)Treacher Collins syndrome
E)Orofaciodigital syndrome
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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) At about what age does an infant's first tooth primary lower incisors) begin to erupt?
A)4 months
B)6 months
C)8 months
D)10 months
E)12 months
Q2) Which of the following occurs when one or more maxillary teeth fail to occlude with the opposing mandibular teeth?
A)Protruding maxilla
B)Crossbite
C)Posterior Crossbite
D)Open Bite
E)Ectopic Teeth
Q3) What is the term for the permanent teeth that replace the baby teeth?
A)Deciduous teeth
B)Incisor teeth
C)Succedaneous teeth
D)Wisdom teeth
E)Canine teeth
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Page 11
Chapter 10: Psychosocial Aspects Ofcleft Lippalate and
Craniofacial Anomalies
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following is true about children with clefts?
A)They see themselves as less acceptable than their peers.
B)They view themselves as positively as their typical peers if the cleft is invisible, such as in cleft palate only.
C)They are more satisfied with their appearance when they are younger than when they are teens.
D)They become more socially competent than their peers to compensate for their differences.
E)All of the above
Q2) Which of the following is true about a person's degree of physical attractiveness?
A)It influences responses to him or her as a baby.
B)It interacts with speech quality to affect social judgments by others.
C)It affects the child's experience of school.
D)It changes the likelihood of the person being hired.
E)All of the above
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12
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 has a significant effect on utterance length?
A)Range of motion of the oral structures
B)Pharyngeal fricatives
C)Nasal emission
D)Weak consonants
E)Hypernasal resonance
Q2) What phoneme is best to use when testing for hypernasality?
A)/m/ B)/p/ C)/b/ D)/n/
E)/ /
Q3) Which of the following is an example of a low-pressure sentence for evaluation of hypernasality?
A)Many men are in the mine.
B)What do you like best, baseball or basketball?
C)Go get the wagon.
D)Why are you here?
E)He has a big horse.
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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) 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
Q2) Which word contains the vowel that is the best to use for an intraoral examination?
A)Hot
B)Hat
C)Heat
D)Hit
E)Hut
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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) What should the nasalance score be for a prolonged /s/ when produced by a normal speaker?
A)0%
B)About 5%
C)About 10%
D)About 15%
E)About 20%
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) Aerodynamic techniques do not provide information about which of the following?
A)Intraoral air pressure level
B)Rates of nasal air emission
C)Estimates of VP orifice size during consonant production
D)Estimates of VP orifice size during vowel production
E)Measurements of nasal airway resistance
Q2) Which of the following speech symptoms of velopharyngeal dysfunction is assessed with aerodynamic instrumentation?
A)Hypernasality
B)Hyponasality
C)Glottal stops
D)Nasal air emission
E)a and d
Q3) Why do pressure-flow estimates of orifice size decrease in accuracy when the orifice area exceeds 80 mm<sup>2</sup>?
A)Limitations of the pneumotachograph to record high rates of airflow
B)Limitations of the transducers to detect small pressure changes
C)Limitations of the pneumotachograph to record an increase in nasal airflow
D)Limitations of the transducers to measure an increase in nasal resonance
E)Limitations of the transducers to detect a decrease in oral airflow
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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 used for videofluoroscopy is most similar to the orientation of nasopharyngoscopy?
A)Towne's view
B)Oblique view
C)AP view
D)Base view
E)Lateral view
Q2) 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
Q3) Which view is typically done without barium?
A)Lateral view
B)Frontal view
C)Base view
D)Oblique view
E)Towne's view
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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) When doing nasopharyngoscopy procedure, what is the narrowest part of the passage to the nasopharynx?
A)The entrance to the nasal vestibule
B)Just under the inferior turbinate
C)Just under the middle turbinate
D)Just in front of the choana
E)The superior meatus
Q2) Why should the morphology of the posterior pharyngeal wall be carefully examined in patients with velocardiofacial syndrome?
A)They often have very irregular adenoids, which can affect velopharyngeal closure
B)The carotid arteries can be medially displaced in the pharyngeal wall
C)They usually have a Passavant's ridge
D)They often have hypoplasia of the pharyngeal wall
E)They often have hyperplasia and irregularity of the posterior pharyngeal wall
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Chapter 18: Surgical Management of Clefts and
Velopharyngeal
Insufficiencyincompetence
VPI Available Study Resources on Quizplus for this Chatper
Flashcards
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Sample Questions
Q1) With regard to the timing of cleft lip repair, the "rule of 10s" includes which of the following?
A)10 months old and 10 pounds
B)10 weeks of age and 10 pounds
C)10 grams of hemoglobin
D)b and c
E)a and b
Q2) What is the location of an "intentional" fistula?
A)Alveolar ridge
B)Junction of the hard and soft palate
C)Area of the incisive foramen
D)Alveolus under the lip
E)Upper lip
Q3) What procedure is used for aligning the maxillary segments prior to formal surgery for unilateral and bilateral clefts?
A)Taping the lip
B)Dental elastics
C)Latham appliance
D)Lip adhesion
E)All of the above
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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) Orthognathic surgery of the maxilla cannot be performed until which of the following is well developed?
A)Maxilla
B)Maxillary sinus
C)Dentition
D)Mandible
E)Palatal arch
Q2) If an alveolar cleft is left untreated, what can be the result?
A)Loss of the permanent lateral incisor
B)Loss of the central incisor
C)Loss of the canine cuspid) tooth
D)a and b
E)a and c
Q3) What is a cant?
A)Surgical cut
B)Slant in occlusion
C)Protrusion
D)Partial cut
E)Orthodontic device
Page 20
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Chapter 20: Prosthetic Management
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) 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
Q2) When working directly with the prosthodontist to modify an appliance for best results, what procedure is most effective to use?
A)Perceptual assessment
B)Nasopharyngoscopy
C)Nasometry
D)Intraoral examination
E)Videofluoroscopy
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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 is not a therapy technique used to treat hypernasality, nasal emission, or compensatory productions?
A)Auditory feedback
B)Tactile feedback
C)Oral-motor exercises
D)Visual feedback
E)Nose pinch
Q2) 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
Q3) What is the most appropriate method of therapy for children with a history of VPI?
A)Blowing exercises
B)Oral-motor exercises
C)Articulation therapy
D)Increasing oral activity
E)Sucking exercises
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Page 22
Chapter 22: The Team Approach
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4 Verified Questions
4 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) One standard requirement for meeting the ACPA standards is that each Cleft Palate Team must have which of the following:
A)Coordinator
B)Geneticist
C)Psychologist
D)Pulmonologist
E)Medical records specialist
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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) What is the primary role of the speech-language pathologist on a cleft palate surgical mission?
A)To evaluate patients for VPI
B)To determine which patients are appropriate for palate repair
C)To work with the dental professional to develop speech appliances
D)To provide speech therapy
E)To counsel the family and teach others
Q2) Which of the following statements is true?
A)The prevalence of clefts does not vary with geography.
B)Poverty is the only reason children in developing countries do not have access to care.
C)Interpreters should be given some written "scripts" prior to the evaluations.
D)The main mission of international organizations is to provide direct surgical care to affected children.
E)c and d
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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) Nasal emission is most audible on which of the following sounds?
A)Nasal sounds
B)Voiceless consonants
C)Vowels
D)Voiced continuents
E)Voiced plosives
Q2) Pierre Robin sequence typically includes which of the following characteristics at birth?
A)Cleft palate, micrognathia, airway obstruction
B)Cleft palate, prognathia, glossoptosis
C)Cleft palate, ankyloglossia, airway obstruction
D)Micrognathia, glossoptosis, ankyloglossia
E)Cleft lip and palate, micrognathia, glossoptosis
Q3) 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
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