Cleft Palate Flashcards
You have been asked to give an in-service to a group of students who wish to eventually specialize in service delivery to children with cleft palates and their families. The students want to know what detailed information about in utero development of the hard and soft palate (among other things). You can accurately tell them that, in utero, the hard palate fuses between the developmental ages of
a. 1-2 weeks
b. 5-6 weeks
c. 8-9 weeks
d. 10-12 weeks
c. 8-9 weeks**
A clinician in a private practice is approached by the parents of Tommy, a 5 year old boy. The parents want to place Tommy in kindergarten in the fall, but say “we know there’s something wrong with him, we’re just not sure what.” According to Tommy’s parents, he’s “a sweet, lovable boy who will go to anybody. He likes to sing a lot too.” Because the parents live in a rural area, health care access has been limited. After seeing Tommy for the first time, the clinician refers him to a neurologist because she suspects that Tommy has a syndrome. He is small for his age and has an elfin like appearance characterized by a small chin, turned up nose, puffiness around the eyes, a long upper lip, and wide mouth. His teeth are small and widely spaced.
The clinician suspects that Tommy has:
a. Williams syndrome
b. Apert syndrome
c. Moebius syndrome
d. Turner syndrome
d. Turner Syndrome **
A clinician in a private practice is approached by the parents of Tommy, a 5 year old boy. The parents want to place Tommy in kindergarten in the fall, but say “we know there’s something wrong with him, we’re just not sure what.” According to Tommy’s parents, he’s “a sweet, lovable boy who will go to anybody. He likes to sing a lot too.” Because the parents live in a rural area, health care access has been limited. After seeing Tommy for the first time, the clinician refers him to a neurologist because she suspects that Tommy has a syndrome. He is small for his age and has an elfin like appearance characterized by a small chin, turned up nose, puffiness around the eyes, a long upper lip, and wide mouth. His teeth are small and widely spaced.
This syndrome is caused by a rare genetic disorder that affects an estimated 1 out of every 20,000 babies. It is caused by
a. a missing part of chromosome 22, known as 22q11
b. an expanded number of CGG nucleic acid repeats on a specific gene on one of the distal ends of the X chromosome
c. a spontaneous autosomal dominant mutation whose gene and locus is FGR 2 at 10q25-26
d. the deletion of approximately 25 genes on one copy of the chromosome 7q11.23
a. a missing part of chromosome 22, known as 22q11
A clinician in a private practice is approached by the parents of Tommy, a 5 year old boy. The parents want to place Tommy in kindergarten in the fall, but say “we know there’s something wrong with him, we’re just not sure what.” According to Tommy’s parents, he’s “a sweet, lovable boy who will go to anybody. He likes to sing a lot too.” Because the parents live in a rural area, health care access has been limited. After seeing Tommy for the first time, the clinician refers him to a neurologist because she suspects that Tommy has a syndrome. He is small for his age and has an elfin like appearance characterized by a small chin, turned up nose, puffiness around the eyes, a long upper lip, and wide mouth. His teeth are small and widely spaced.
The clinician knows that she will probably see Tommy for intervention if his parents are able to bring him on a weekly basis. She will probably be working on which of the following goals?
a. Pragmatics, to increase his ability to interact with others
b. Oral motor coordination, because children with this syndrome usually have oral motor coordination problems which contribute to decreased intelligibility
c. Overall expressive and receptive language because children with this syndrome generally have IQs of 50-70 (although some have good language skills)
d. Morphological skills because although children with this syndrome usually have above average IQs they frequently delete bound morphemes from the beginnings and ends of words
c. Overall expressive and receptive language because children with this syndrome generally have IQs of 50-70 (although some have good language skills)
A condition in which the surface tissues of the soft or hard palate fuse, but the underlying bone or muscle does not is called
a. fusion disorder
b. submucous cleft or occult cleft palate
c. class III cleft palate
d. submucosal cleft class IV
b. submucous cleft or occult cleft palate
Though cleft palate is often caused by genetic factors, it can be related to mechanical factors. Which one of these is not a mechanical factor related to cleft palate?
a. Intrauterine crowding
b. twinning
c. uterine tumor
d. illegal drug use by mother
b. twinning
Children with bilateral cleft lip or palate may have problems with their teeth. A common problem for those children is
a. supernumerary teeth
b. teeth erupting out of the hard palate
c. hypodontia or missing teeth
d. teeth that are too small
c. hypodontia or missing teeth **
The surgical method for a cleft palate repair that involves raising two bipedicled flaps of mucoperiosteum, bringing them together and attaching them to close the cleft is called the
a. von Langenbeck surgical method
b. V-Y retroposition
c. Veau-Wardill-Kilner method
d. Pharyngeal flap
a. von Langenbeck surgical method
A child comes to the clinic with her mother for articulation therapy. The mother tells the clinician that her daughter has Hurler’s syndrome. Hurler’s syndrome is caused by
a. autosomal recessive deficiency of X-L iduronidase
b. a spontaneous autosomal dominant mutation of FGR2 at 10q25-26
c. autosomal dominant inheritance and deletion in the region of the long arm of chromosome 15 (15q11-15q13)
d. an expanded number of
