Deck 12: Orofacial Examination

Question 1

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

A)Hypernasality
B)Chronic open-mouth posture
C)Suborbital coloring
D)Strident breathing
E)Snoring

Answer 1

A

Question 2

If you see evidence of food e.g., chocolate milk 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 fissure
D)Oropharyngeal fistula
E)Hypertelorism

Answer 2

A

Question 3

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

Answer 3

C

Question 4

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

A)Levator veli palatini muscles 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

Question 5

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

Question 6

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 handwashing guidelines
D)Medical equipment that is not properly disinfected
E)Medical equipment that is not properly sterilized

Question 7

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

Question 8

What muscle forms the velar dimple during contraction?

A)Levator veli palatini
B)Musculus uvulae
C)Palatopharyngeous
D)Tensor veli palatini
E)Palatatoglossus

Question 9

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

Question 10

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)Median palatine raphe
D)Velar dimple
E)Zona pellucida

Question 11

A lobulated tongue is most indicative of which syndrome?

A)Crouzon's
B)Velocardiofacial
C)Orofaciodigital
D)Beckwith-Wiedemann
E)Trisomy 18

Question 12

An intraoral evaluation reveals a bifid uvula.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

Question 13

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/

Question 14

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

Question 15

When do tonsils create a concern for speech production?

A)When they extend beyond the faucial pillars
B)When they are absent
C)When they are asymmetrical
D)When they are size 2 on the rating scale
E)When they are visible

Question 16

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

Question 17

What are infections acquired in the hospital called?

A)Nosocomial infections
B)Acquired infections
C)Microbial infections
D)Septic infections
E)Influenzacoccal infections

Question 18

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

Question 19

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

Question 20

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

A)Levator veli palatini
B)Superior constrictor muscles
C)Palatoglossus
D)Palatopharyngeus
E)Musculus uvulae

Question 21

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

Question 22

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