Question 1

Short utterance length is usually associated with which of the following?

Accepted Answer

A) Hypernasality 
B) Hyponasality 
C) Nasal air emission 
D) Cul-de-sac resonance 
E) Nasal rustle 
A) Hypernasality 
B) Hyponasality 
C) Nasal air emission 
D) Cul-de-sac resonance 
E) Nasal rustle C

Question 2

Compensatory productions usually sacrifice which of the following?

Accepted Answer

A) Manner of production 
B) Place of production 
C) Voicing 
D) Intensity of production 
E) Air pressure 
A) Manner of production 
B) Place of production 
C) Voicing 
D) Intensity of production 
E) Air pressure B

Question 3

Maxillary advancement may improve which of the following?

Accepted Answer

A) Cul-de-sac resonance 
B) Hypernasality 
C) Hyponasality 
D) Mixed resonance 
E) Nasal emission 
A) Cul-de-sac resonance 
B) Hypernasality 
C) Hyponasality 
D) Mixed resonance 
E) Nasal emission C

Question 4

Very large tonsils are most likely to cause which of the following?

Accepted Answer

A) Cul-de-sac resonance 
B) Hypernasality 
C) Hyponasality 
D) Mixed resonance 
E) Nasal emission 
A) Cul-de-sac resonance 
B) Hypernasality 
C) Hyponasality 
D) Mixed resonance 
E) Nasal emission

Question 5

Nasal emission is never audible on which of the following types of speech sounds?

Accepted Answer

A) Affricates 
B) Vowels 
C) Fricatives 
D) Plosives 
A) Affricates 
B) Vowels 
C) Fricatives 
D) Plosives

Question 6

Which of the following is an obligatory distortion?

Accepted Answer

A) Generalized backing 
B) Nasalization of vowels 
C) Velar fricative 
D) Nasal sniff 
E) Pharyngeal fricative 
A) Generalized backing 
B) Nasalization of vowels 
C) Velar fricative 
D) Nasal sniff 
E) Pharyngeal fricative

Question 7

Which cause of velopharyngeal dysfunction cannot be corrected or improved with surgery?

Accepted Answer

A) Dysarthria 
B) Status post adenoidectomy 
C) Cranial nerve damage 
D) Hypotonia 
E) Apraxia 
A) Dysarthria 
B) Status post adenoidectomy 
C) Cranial nerve damage 
D) Hypotonia 
E) Apraxia

Question 8

Match between columns
                        Premises: May occur when the back of the tongue remains high during speech
Has been called "potato-in-the-mouth speech"
Requires velopharyngeal closure on oral sounds
Is most perceptible on vowels
May be caused by an adenoidectomy
Can be caused by a deep pharynx
Can be caused by large, touching tonsils
Is perceptible on nasal sounds
When sound resonates in pharynx or nasal cavity and can't get out
May be caused by large adenoids
May be due to a combination of VPI and large adenoids
Can be caused by maxillary retrusion

Accepted Answer

The Answer of Hypernasality and Normal resonance and Mixed resonance is...

Question 9

What is the most common cause of velopharyngeal dysfunction in patients with Crouzon syndrome?

Accepted Answer

A) Short velum 
B) Deep pharynx 
C) Velar paresis 
D) Occult submucous cleft 
E) Dysarthria 
A) Short velum 
B) Deep pharynx 
C) Velar paresis 
D) Occult submucous cleft 
E) Dysarthria

Question 10

Cul-de-sac resonance can be due to which of the following?

Accepted Answer

A) Adenoidectomy 
B) Tonsillectomy 
C) Enlarged tonsils 
D) Enlarged adenoids 
E) A fistula 
A) Adenoidectomy 
B) Tonsillectomy 
C) Enlarged tonsils 
D) Enlarged adenoids 
E) A fistula

Question 11

Which speech characteristics are most likely to occur with a very large velopharyngeal opening?

Accepted Answer

A) Significant audible nasal emission 
B) Hypernasality and audible nasal emission 
C) A loud and distorting nasal rustle 
D) Hypernasality and inaudible nasal emission 
E) Pharyngeal fricatives 
A) Significant audible nasal emission 
B) Hypernasality and audible nasal emission 
C) A loud and distorting nasal rustle 
D) Hypernasality and inaudible nasal emission 
E) Pharyngeal fricatives

Question 12

What is it called when airflow is released through the nose during production of pressure sensitive consonants?

Accepted Answer

A) Nasal flow 
B) Nasal fricative 
C) Nasal emission 
D) Nasal grimace 
E) Nasal resonance 
A) Nasal flow 
B) Nasal fricative 
C) Nasal emission 
D) Nasal grimace 
E) Nasal resonance

Question 13

Which of the following is not caused by significant nasal emission?

Accepted Answer

A) Short utterance length 
B) Compensatory errors 
C) Nasal grimace 
D) Hypernasality 
E) Weak consonants 
A) Short utterance length 
B) Compensatory errors 
C) Nasal grimace 
D) Hypernasality 
E) Weak consonants

Question 14

Which compensatory production for velopharyngeal insufficiency is often co-articulated with /b/?

Accepted Answer

A) Pharyngeal fricative 
B) Pharyngeal plosive 
C) Palatal dorsal production 
D) Nasal fricative 
E) Glottal stop 
A) Pharyngeal fricative 
B) Pharyngeal plosive 
C) Palatal dorsal production 
D) Nasal fricative 
E) Glottal stop

Question 15

Match between columns
                        Premises: Not hypernasality, but occurs with hypernasality and is often barely audible
Nasal emission that only affects sibilants
Compensatory production that is most often co-articulated
Commonly substituted for sibilants when there is VPI; continues to cause nasal emission after VPI is corrected
Most likely to occur on /s/ blends
Occurs on /b/ and /d/ when placement is normal but there is a large VP opening
Is caused by bubbling of secretions
Type of speech sound error that will self-correct with surgical correction of structure
High-frequency, high-intensity sound that is associated with a small VP opening

Accepted Answer

The Answer of Obligatory distortion and Nasal grimace and Glottal is...

Question 16

Hyponasality is most noticeable on which of the following:

Accepted Answer

A) Affricates 
B) Vowels 
C) Fricatives 
D) Plosives 
E) Nasals 
A) Affricates 
B) Vowels 
C) Fricatives 
D) Plosives 
E) Nasals

Question 17

What type of resonance disorder occurs due to abnormal of the oral and nasal cavities during speech?

Accepted Answer

A) Hyponasality 
B) Hypernasality 
C) Nasal air emission 
D) Mixed resonance 
E) Cul-de-sac resonance 
A) Hyponasality 
B) Hypernasality 
C) Nasal air emission 
D) Mixed resonance 
E) Cul-de-sac resonance

Question 18

Hyponasality most affects the production of which type of sounds?

Accepted Answer

A) High vowels 
B) Stop consonants 
C) Nasal consonants 
D) Fricative consonants 
E) Low vowels 
A) High vowels 
B) Stop consonants 
C) Nasal consonants 
D) Fricative consonants 
E) Low vowels

Question 19

Match between columns
                        Premises: Can cause VPI that is usually not correctable with surgery
Improves aesthetics but may exacerbate VPI
Almost never causes problems with speech, but may improve both speech and resonance
Done for ankyloglossia
Can eliminate pharyngeal cul-de-sac resonance
Is usually contraindicated with a submucous cleft

Accepted Answer

The Answer of Maxillary advancement and Radiation treatment and Tonsillectomy is...

Question 20

Velopharyngeal incompetence can be due to which of the following?

Accepted Answer

A) A velar fistula 
B) A thin velum 
C) Velar paresis 
D) Enlarged tonsils 
E) Irregular adenoids 
A) A velar fistula 
B) A thin velum 
C) Velar paresis 
D) Enlarged tonsils 
E) Irregular adenoids

Exam 7: Resonance Disorders Andvelopharyngeal Dysfunction Vpd

Short utterance length is usually associated with which of the following?

Compensatory productions usually sacrifice which of the following?

Maxillary advancement may improve which of the following?

Very large tonsils are most likely to cause which of the following?

Nasal emission is never audible on which of the following types of speech sounds?

Which of the following is an obligatory distortion?

Which cause of velopharyngeal dysfunction cannot be corrected or improved with surgery?

What is the most common cause of velopharyngeal dysfunction in patients with Crouzon syndrome?

Cul-de-sac resonance can be due to which of the following?

Which speech characteristics are most likely to occur with a very large velopharyngeal opening?

What is it called when airflow is released through the nose during production of pressure sensitive consonants?

Which of the following is not caused by significant nasal emission?

Which compensatory production for velopharyngeal insufficiency is often co-articulated with /b/?

Hyponasality is most noticeable on which of the following:

What type of resonance disorder occurs due to abnormal of the oral and nasal cavities during speech?

Hyponasality most affects the production of which type of sounds?

Velopharyngeal incompetence can be due to which of the following?

Anatomy and Physiology

Clefts of the Lip and Palate

The Genetics Evaluation and Common Craniofacial Syndromes

Genetics and Patterns of Inheritance

Feeding Problems of Infantswith Clefts or Craniofacial Anomalies

Developmental Aspects:speech, Language, and Cognition

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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