Question 1

Which of the following can often be viewed in young children during an oral examination, but cannot be seen in adults during this exam?

Accepted Answer

A)  Bifid uvula
B)  Epiglottis
C)  Median palatine raphe
D)  Velar dimple
E)  Zona pellucida B

Question 2

What does a white line in the middle of the velum indicate?

Accepted Answer

A)  An overt submucous cleft
B)  An occult submucous cleft
C)  An inadequate cleft palate repair
D)  A normal velum
E)  Velar diastasis D

Question 3

To determine whether ankyloglossia is affecting the speech of an English speaker, the examiner should test which of the following phonemes?

Accepted Answer

A)  /l/ and sibilants
B)  /l/ and lingual-alveolars
C)  /r/ and /θ/
D)  /r/ and /l/
E)  /l/ and /θ/ E

Question 4

Which word contains the vowel that is the best to use for an intraoral examination?

Accepted Answer

A)  Hot
B)  Hat
C)  Heat
D)  Hit
E)  Hut

Question 5

What are infections acquired in the hospital called?

Accepted Answer

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

Question 6

Long-term upper airway obstruction can cause which of the following?

Accepted Answer

A)  Anterior open bite
B)  Anterior tongue position
C)  Mandible that grows downward
D)  b and c
E)  All of the above

Question 7

What is the term for too little spacing between the eyes?

Accepted Answer

A)  Hypotelorism
B)  Hypertelorism
C)  Facial cleft
D)  Macro-optical focus
E)  Micro-optical focus

Question 8

An individual with a craniofacial syndrome may present with hypertelorism, indicating which of the following?

Accepted Answer

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 9

A lobulated tongue is most indicative of which syndrome?

Accepted Answer

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

Question 10

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

Accepted Answer

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 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

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

Question 13

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?

Accepted Answer

A)  Nasolabial fistula
B)  Bilateral lip pit
C)  Palpebral fissure
D)  Oropharyngeal fistula
E)  Hypertelorism

Question 14

What is the typical cause of asymmetrical movement of the velum during phonation?

Accepted Answer

A)  Velar paralysis or paresis
B)  A submucous cleft
C)  Adenoid hypertrophy
D)  Velopharyngeal hypotonia
E)  Anterior attachment of the levator muscle

Question 15

An intraoral evaluation reveals a bifid uvula.Which of the following statements is true?

Accepted Answer

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 16

When do tonsils create a concern for speech production?

Accepted Answer

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 17

Which of the following is an abnormal finding in the palate?

Accepted Answer

A)  Torus palatinus
B)  Median palatine raphe
C)  Velar dimple
D)  Zona pellucida
E)  Palatal rugae

Question 18

What muscle forms the velar dimple during contraction?

Accepted Answer

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

Question 19

If the velum appears "V" shaped" during phonation, what does this suggest?

Accepted Answer

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 20

What is the most common cause of the spread of infection in healthcare settings?

Accepted Answer

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

Exam 12: Orofacial Examination