Deck 9: Cleft Lip and Palate and Other Craniofacial Disorders

Question 1

Hyponasality refers to too much air flow through the nasal cavity when speaking.

Answer 1

False

Question 2

There is also a child on your caseload born with a bilateral cleft lip and palate.John is a five year-old kindergartner who has been receiving early intervention services since birth.You read that his surgery to repair his cleft lip and palate was not very successful in helping him achieve normal speech resonance.Another treatment option may be

A)Pharmacology Nasopharyngoscopy
B)Prosthetics
C)Use of oral motor exercises such as repetitive blowing and sucking to improve velopharyngeal function
D)Occlusion of the child's nose to improve velopharyngeal function

Answer 2

B

Question 3

The cause of cleft palate and other craniofacial disorders is thought to be multifactorial,suggesting that the disorders are caused by the mutation of a single gene.

Answer 3

False

Question 4

Nasal air emission and hypernasality produce identical effects on speech sound production.

Question 5

Justin was born in Chicago with a bilateral cleft lip and palate.You read his assessment report from the early intervention center that he has been attending since 15 months of age.You read that Jason has undergone several surgeries to repair his cleft lip and palate and you most likely find that

A)Justin's first surgery involved repairing his cleft lip and was performed after the age of 10 months
B)Justin's first surgery involved repairing his cleft palate and was performed before the age of 10 months
C)Justin's first surgery involved repairing his cleft lip and was performed before the age of 10 months.
D)Justin's second surgery involved repairing his cleft lip and was performed after the age of 10 months

Question 6

The speech-language pathologist that conducted the assessment describes Amy's velopharyngeal competency.In her report,the speech-language pathologist provides the results of the videoflouroscopic examination which in Amy's case focused on

A)The degree of movement of the adenoids and palatine tonsils during production of a rehearsed speech sample
B)The degree of movement of the palate and pharynx during production of a rehearsed speech sample
C)The degree of movement of the vocal folds during production of a rehearsed speech sample
D)The degree of movement of the tongue during production of a rehearsed speech sample

Question 7

Surgical repair of a cleft palate is usually performed around the age of 3 or 4.

Question 8

The prevalence rates for cleft lip/palate vary among boys and girls.

Question 9

You read Amy's case history report very carefully.You find that Amy's cleft of the palate was located on the left side.It is clear that Amy was born with a

A)Unilateral cleft lip and palate
B)Bilateral cleft lip and palate
C)Unilateral cleft lip,but intact palate
D)Unilateral cleft palate,but intact lip

Question 10

Both John and Amy exhibit articulation errors related to their VPI.You decide to conduct further testing of the misarticulated sounds to determine which errors are most likely the result of VPI.Some of these errors would include

A)Weak syllable deletion and substitution of /w/ for /r/
B)Glottal stop and pharyngeal plosive
C)Lateral lisp and frontal lips
D)All of the above

Question 11

As a new speech-language pathologist to the Lincoln School District,you note that six year-old Amy is on your caseload.You read that she was born with a unilateral cleft palate on the left side.Your first clinical experience

A)Supports the research that claims that unilateral cleft palate occurs more often in girls than in boys
B)Disputes the research that claims that girls are more likely to be born with cleft lip and palate while boys are more likely to be born with unilateral cleft palate
C)Supports the research that shows more children are born with isolated cleft palate than with cleft lip and palate
D)Supports the research that shows that bilateral cleft lip and/or palate occurs more often than unilateral cleft lip and/or palate

Question 12

Velopharyngeal insufficiency results from inappropriate articulation patterns.

Question 13

The prevalence rates for cleft lip/palate vary among Native Americans,Asians,Caucasians,and persons with African heritage.

Question 14

Babies born with isolated cleft palate are more likely than those born with cleft lip and palate to have other birth defects that represent an identifiable syndrome.

Question 15

The surgeon's goal in repairing a cleft lip is to achieve an optimal aesthetic outcome.

Question 16

Because Amy exhibits VPI,her speech is most likely to demonstrate

A)Hyponasality
B)Hypernasality
C)Denasality
D)Balanced oral and nasal resonance

Question 17

An experienced speech-language pathologist may use the following to assess Amy's speech resonance

A)Nasometry
B)Videoflouroscopy
C)Perceptual ratings of sentence repetition
D)All of the above
E)All but C

Question 18

The ONL will

A)Allow you and the child to hear the nasality produced during speech at the same time
B)Prevent the child from being distracted by the nasality produced,while allowing you as the SLP to hear the nasality produced
C)Provide objective measurement of the amount of nasality produced during speech
D)Suppress the amount of nasality produced during speech

Question 19

During speech production,which suggests

A)The movement of the vocal folds failed to close the space separating the oral and nasal cavities
B)The movement of the palate and pharynx closed the space separating the oral and nasal cavities
C)The movement of the palate and pharynx failed to close the space separating the oral and nasal cavities
D)The movement of the palate and pharynx accomplished velopharyngeal closure

Question 20

Cleft lip/palate is most likely to occur during the last trimester of pregnancy.

Question 21

Twenty-five percent of children with a repaired cleft palate will have velopharyngeal insufficiency.