Chapter 5

Question 1

What is the purpose of an Oreo facial examination?

Answer 1

To identify or rule out structural factors that relate to a communicative disorder or dysphagia

Question 2

The Centers for Disease Control and Prevention (CDC) has mandated Universal Precautions (UP) to be followed to reduce a persons exposure to diseases that are spread by blood and certain bodily fluids. True or false

Answer 2

True

Question 3

To complete an oral mechanism exam, you will need:

Answer 3

Disposable gloves
Small flashlight
Tongue depressor

Question 4

Asymmetrical face is often associated with -

Answer 4

Neurological impairment or muscle weakness

Question 5

A client who is classified as a mouth breather may have -

Answer 5

Restricted pathway to nasal cavity

Question 6

If mouth breathing problems persist and _____ is present, refer to physician

Answer 6

Hyponasal speech

Question 7

A client who is classified as a mouthed breather may be associated with-

Answer 7

Anterior posturing of the tongue at rest

Question 8

Children have a total of ___ teeth while adults have a total of ____ teeth

Answer 8

20;32

Question 9

Depending on which teeth are missing, articulation may be impaired. True or false

Answer 9

True

Question 10

An abnormal gray color of the tongue may be associated with-

Answer 10

Paresis or paralysis

Question 11

An abnormal blueish tint to the tongue may be associated with

Answer 11

Excessive vascularity or bleeding

Question 12

An abnormal whitish color along the border of the hard and soft palate may be associated with -

Answer 12

Submucosal cleft

Question 13

Dark or translucency color is an indication of

Answer 13

Fistula or cleft

Question 14

Poor intracranial pressure may be a sign of -

Answer 14

Labial weakness

Question 15

Poor intramural pressure may be a sign of

Answer 15

Velopharyngral inadequacy, velopharayngeal insufficiency (structural problem) or velopharyngeal incompetence (functional problem)

Question 16

When there is poor intracranial pressure, it’s important to check for

Answer 16

Nasal emission or air escaping from the lips

Question 17

Short lingual frenulum may result in -

Answer 17

An articulation disorder or tongue tie

Question 18

A short lingual frenulum may have to need to undergo ____

Answer 18

Frenulectomy

Question 19

Many children have large tonsils with ___ adverse effects on speech production

Answer 19

No

Question 20

In some cases enlarged tonsils may interfere with

Answer 20

General health
Normal resonance
Hearing acuity (when Eustachian tubes are blocked)

Question 21

Enlarged tonsils may ____, which capsule impact articulation

Answer 21

Force forward carriage of tongue

Question 22

Always assume clients, and possibly other staff, are an infectious risk and use appropriate barrier practices such as:

Answer 22

Sterilize all equipment used in the mouth.
Wash hands before and after contact.
Never use single-use equipment (e.g., gloved, tongue depressor, toothette, etc.) more than once.
Wear gloves if there will be any contact with bodily fluids, mucous membranes, or broken skin.
Remove gloves promptly without touching the outside of them (turn them inside out when removing), and then safely dispose of them.
Wash hands after removing gloves.