Question 1

Breastfeeding is more likely to be possible in which of the following circumstances?

Accepted Answer

A) Anterior cleft hard palate only) 
B) Posterior cleft soft palate only) 
C) Cleft lip only 
D) a and c 
E) b and c 
A) Anterior cleft hard palate only) 
B) Posterior cleft soft palate only) 
C) Cleft lip only 
D) a and c 
E) b and c E

Question 2

Which of these is a feeding concern in children with Moebius syndrome?

Accepted Answer

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 
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 B

Question 3

Around what age is an infant ready to transition from a bottle to a cup?

Accepted Answer

A) 4 to 6 months 
B) 8 to 9 months 
C) 10 to 12 months 
D) 12 to 13 months 
E) 15 to 18 months 
A) 4 to 6 months 
B) 8 to 9 months 
C) 10 to 12 months 
D) 12 to 13 months 
E) 15 to 18 months B

Question 4

When feeding an infant, a general rule of thumb to follow is that the infant should be burped after how many ounces of intake?

Accepted Answer

A) 1/2 ounce 
B) 1 ounce 
C) 2 ounces 
D) 3 ounces 
E) 4 ounces 
A) 1/2 ounce 
B) 1 ounce 
C) 2 ounces 
D) 3 ounces 
E) 4 ounces

Question 5

What two items must work synchronously to be effective for normal feeding?

Accepted Answer

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 
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

Question 6

Which of the following facilitates early suckling?

Accepted Answer

A) The tongue rests in a more anterior position 
B) The tongue tip protrudes past the alveolar ridge and maintains contact with the lower lip 
C) The temporomandibular joint does not allow for much movement, causing the mouth opening to be small 
D) a and c 
E) a, b, and c 
A) The tongue rests in a more anterior position 
B) The tongue tip protrudes past the alveolar ridge and maintains contact with the lower lip 
C) The temporomandibular joint does not allow for much movement, causing the mouth opening to be small 
D) a and c 
E) a, b, and c

Question 7

As the infant grows, which of the following structures does not descend?

Accepted Answer

A) Velum 
B) Epiglottis 
C) Hyoid 
D) Larynx 
E) Vocal cords 
A) Velum 
B) Epiglottis 
C) Hyoid 
D) Larynx 
E) Vocal cords

Question 8

What is the most effective feeding positioning to decrease nasopharyngeal regurgitation during feeding?

Accepted Answer

A) Supine 
B) Semi-reclined 
C) Fully reclined 
D) Upright 
E) Prone 
A) Supine 
B) Semi-reclined 
C) Fully reclined 
D) Upright 
E) Prone

Question 9

Which of the following is described as "assisted fluid delivery"?

Accepted Answer

A) Use of nasogastric feeding to supplement volume of intake 
B) Use of gastrostomy tube feedings following oral intake 
C) Use of gentle squeezing of a nipple or flexible bottle during feeding to deliver fluid 
D) Use of a crosscut nipple to increase flow of fluid during sucking 
E) Use of a tube in addition to breast feeding 
A) Use of nasogastric feeding to supplement volume of intake 
B) Use of gastrostomy tube feedings following oral intake 
C) Use of gentle squeezing of a nipple or flexible bottle during feeding to deliver fluid 
D) Use of a crosscut nipple to increase flow of fluid during sucking 
E) Use of a tube in addition to breast feeding

Question 10

Which of the following are essential for normal feeding?

Accepted Answer

A) Nipple compression 
B) Generation of positive pressure suction 
C) Generation of negative pressure suction 
D) a and b 
E) a and c 
A) Nipple compression 
B) Generation of positive pressure suction 
C) Generation of negative pressure suction 
D) a and b 
E) a and c

Question 11

Which of the following structures is not actively involved in the physical act of sucking?

Accepted Answer

A) Jaw 
B) Cheeks 
C) Lips 
D) Maxilla 
E) Tongue 
A) Jaw 
B) Cheeks 
C) Lips 
D) Maxilla 
E) Tongue

Question 12

What is the best way to determine the effectiveness of airway protection during rapid chain swallowing sequences?

Accepted Answer

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 
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

Question 13

What is the main reason that an infant with bilateral complete cleft lip and palate will have feeding difficulty?

Accepted Answer

A) The nipple gets pushed into the open cleft during attempts at feeding 
B) There is not enough hard palate surface for compression of the nipple 
C) The open cleft interferes with the ability to build up suction 
D) The infant cannot purse the lip adequately around the nipple 
E) The base of the tongue occludes the posterior cleft, making swallowing difficult 
A) The nipple gets pushed into the open cleft during attempts at feeding 
B) There is not enough hard palate surface for compression of the nipple 
C) The open cleft interferes with the ability to build up suction 
D) The infant cannot purse the lip adequately around the nipple 
E) The base of the tongue occludes the posterior cleft, making swallowing difficult

Question 14

What is the purpose of a nonnutritive stimulation?

Accepted Answer

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 
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

Question 15

What is the main reason that infants with cleft palate have difficulty with breastfeeding?

Accepted Answer

A) Abnormal swallowing 
B) Inability to generate adequate suction 
C) Abnormal compressions 
D) Abnormal breathing 
E) Poor coordination of suck-swallow-breathe 
A) Abnormal swallowing 
B) Inability to generate adequate suction 
C) Abnormal compressions 
D) Abnormal breathing 
E) Poor coordination of suck-swallow-breathe

Question 16

Match between columns
                        Premises: Pliability of bottle allows assistive squeeze to generate flow of liquid
Delivers fluid by compression of nipple alone
Eliminates the need for the baby to extend its head and neck during feeding
Has a “Y” crosscut in the nipple, with one thin side and one thicker side
Used for infants who cannot tolerate intraoral placement of nipple

Accepted Answer

The Answer of Medela Soft CupFeeder and Bottle and Angled-neck is...

Question 17

Feeding problems are most likely to occur when the infant presents with which of the following?

Accepted Answer

A) Bilateral cleft lip 
B) Incomplete cleft of the soft palate 
C) Complete cleft of the palate 
D) Glossoptosis 
E) c and d 
A) Bilateral cleft lip 
B) Incomplete cleft of the soft palate 
C) Complete cleft of the palate 
D) Glossoptosis 
E) c and d

Question 18

The size of a newborn's larynx is approximately what proportion to that of an adult's larynx?

Accepted Answer

A) 1/2 
B) 1/3 
C) 1/4 
D) 1/5 
E) 1/8 
A) 1/2 
B) 1/3 
C) 1/4 
D) 1/5 
E) 1/8

Question 19

Which of the following is true about a child with Pierre Robin sequence?

Accepted Answer

A) There are fewer feeding difficulties in comparison to infants with other types of clefts. 
B) Breastfeeding is easier due to the micrognathia. 
C) A shorter wider nipple is best for bottle-feeding. 
D) There are often respiratory difficulties associated with feeding attempts. 
E) The glossoptosis affects the infant's ability to latch on to the nipple. 
A) There are fewer feeding difficulties in comparison to infants with other types of clefts. 
B) Breastfeeding is easier due to the micrognathia. 
C) A shorter wider nipple is best for bottle-feeding. 
D) There are often respiratory difficulties associated with feeding attempts. 
E) The glossoptosis affects the infant's ability to latch on to the nipple.

Question 20

Which of the following describes the pacing strategy?

Accepted Answer

A) Providing oral feeding at defined intervals during a 24-hour period 
B) Decreasing the rate of intake during feeding by imposing periodic pauses during feeding 
C) Alternating feeding and burping at a predetermined schedule 
D) Providing assistive squeezing at a certain rate per minute 
E) Burping the infant every minute, regardless of oral intake 
A) Providing oral feeding at defined intervals during a 24-hour period 
B) Decreasing the rate of intake during feeding by imposing periodic pauses during feeding 
C) Alternating feeding and burping at a predetermined schedule 
D) Providing assistive squeezing at a certain rate per minute 
E) Burping the infant every minute, regardless of oral intake

Exam 5: Feeding Problems of Infantswith Clefts or Craniofacial Anomalies

Breastfeeding is more likely to be possible in which of the following circumstances?

Which of these is a feeding concern in children with Moebius syndrome?

Around what age is an infant ready to transition from a bottle to a cup?

When feeding an infant, a general rule of thumb to follow is that the infant should be burped after how many ounces of intake?

What two items must work synchronously to be effective for normal feeding?

Which of the following facilitates early suckling?

As the infant grows, which of the following structures does not descend?

What is the most effective feeding positioning to decrease nasopharyngeal regurgitation during feeding?

Which of the following is described as "assisted fluid delivery"?

Which of the following are essential for normal feeding?

Which of the following structures is not actively involved in the physical act of sucking?

What is the best way to determine the effectiveness of airway protection during rapid chain swallowing sequences?

What is the main reason that an infant with bilateral complete cleft lip and palate will have feeding difficulty?

What is the purpose of a nonnutritive stimulation?

What is the main reason that infants with cleft palate have difficulty with breastfeeding?

Feeding problems are most likely to occur when the infant presents with which of the following?

The size of a newborn's larynx is approximately what proportion to that of an adult's larynx?

Which of the following is true about a child with Pierre Robin sequence?

Which of the following describes the pacing strategy?

Anatomy and Physiology

Clefts of the Lip and Palate

The Genetics Evaluation and Common Craniofacial Syndromes

Genetics and Patterns of Inheritance

Developmental Aspects:speech, Language, and Cognition

Resonance Disorders Andvelopharyngeal Dysfunction Vpd

Facial, Oral and Pharyngeal Anomalies

Dental Anomalies

Psychosocial Aspects Ofcleft Lippalate and Craniofacial Anomalies

Speech and Resonance Assessment

Orofacial Examination

Overview of Instrumental Procedures

Nasometry

Speech Aerodynamics

Videofluoroscopy

Nasopharyngoscopy

Surgical Management of Clefts and Velopharyngeal Insufficiencyincompetence VPI

Orthognathic Surgery for Craniofacial Conditions

Prosthetic Management

Speech Therapy

The Team Approach

Cleft Care in Developing Countries

Velopharyngeal Dysfunction and Speech Disorders

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