Exam 24: Velopharyngeal Dysfunction and Speech Disorders

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Pierre Robin sequence typically includes which of the following characteristics at birth?

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A

A child presents for an evaluation with a complaint of "nasality." An evaluation reveals abnormal resonance on vowels and the following consonants: m, n, ng.Which condition is present?

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Best technique to determine whether there is an occult submucous cleft
Aerodynamics
Gives the best indication of the location of the opening
Nasometry
Best technique to visualize the size of the tonsils
Videofluoroscopy
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Best technique to determine whether there is an occult submucous cleft
Aerodynamics
Gives the best indication of the location of the opening
Nasometry
Best technique to visualize the size of the tonsils
Videofluoroscopy
Is the best for evaluating the entire length of the posterior pharyngeal wall
Nasopharyngoscopy
Can provide objective data regarding the approximate size of the velopharyngeal orifice
Oral examination
Is the best for evaluating for a medialized carotid artery
Perceptual examination
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A patient evaluation finds that she has a combination of hyponasality and inconsistent nasal emission.Irregular adenoids are suspected as a cause.What is the best way to evaluate that?

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Upon examination, the child demonstrates the use of nasal phonemes and glottal stops for all speech sounds.What is the most appropriate recommendation?

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Which syndrome is most likely to include hearing loss?

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Hypernasality 6 months status post adenoidectomy
Surgery
Phoneme-specific nasal emission
Speech therapy
Glottal stops
Blowing/sucking exercises
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Hypernasality 6 months status post adenoidectomy
Surgery
Phoneme-specific nasal emission
Speech therapy
Glottal stops
Blowing/sucking exercises
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What procedure is best for identifying an occult submucous cleft?

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Nasal emission is most audible on which of the following sounds?

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Associated with hypernasality and weak consonants
Nasal rustle
Primarily noted on nasal consonants
Frontal distortion
Can be an obligatory error
Pharyngeal fricative
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Associated with hypernasality and weak consonants
Nasal rustle
Primarily noted on nasal consonants
Frontal distortion
Can be an obligatory error
Pharyngeal fricative
Can be due to microstomia
Mixed resonance
Compensatory production that is often co-articulated
Weak consonants
Production that will cause audible nasal emission
Cul-de-sac resonance
Can be caused by enlarged tonsils
Nasal emission
May cause phoneme-specific nasal emission
Hypernasality
Occurs on voiceless consonants but is low in intensity
Glottal stop
Can be caused by adenoid hypertrophy
Palatal dorsal production
Secondary to significant nasal emission
Hyponasality
May be a substitution not distortion) for /s/
Nasal grimace
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