Evaluation & Treatment Planning Flashcards
7 cards from real CMT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Evaluation & Treatment Planning flashcards as text
A therapist is evaluating a 6-year-old for orofacial myofunctional disorder. Which finding would be LEAST appropriate to treat at this developmental stage?
Answer: Slight variations in jaw relationship between primary and mixed dentition
Minor jaw relationship variations are normal in mixed dentition and self-correct with growth, making them inappropriate targets for myofunctional intervention at age 6.
When completing an intake form for a new myofunctional patient, which medical history item is MOST critical to document?
Answer: History of sleep-disordered breathing or sleep apnea diagnosis
Sleep-disordered breathing is highly correlated with orofacial myofunctional disorders, making it a critical medical history item to document.
A patient's evaluation reveals retracted tongue posture pressing against the posterior teeth. This finding is MOST associated with:
Answer: Posterior tongue thrust swallow and potential lateral force on molars
A posteriorly retracted tongue exerts lateral force on the posterior teeth during swallowing, creating a posterior tongue thrust pattern.
Which of the following BEST describes the role of a myofunctional therapist when a patient's evaluation reveals signs of obstructive sleep apnea?
Answer: Refer the patient to a sleep medicine physician before initiating treatment
Orofacial myofunctional therapists are not qualified to diagnose sleep apnea and must refer to a sleep medicine physician for proper evaluation and diagnosis.
A myofunctional evaluation includes an assessment of nasal breathing. Which test is MOST appropriate for a quick in-office check of nasal airflow?
Answer: Cotton wisp or mirror fogging test
A cotton wisp or mirror fogging test is a simple, non-invasive in-office tool to quickly screen for nasal airflow bilaterally.
During a facial assessment, a therapist notes a 'gummy smile' and vertical maxillary excess. This finding should be documented because it may indicate:
Answer: Habitual lip incompetence and possible upward tongue pressure on the palate
Vertical maxillary excess can be associated with or perpetuated by low tongue posture and chronic lip incompetence, both of which are within the scope of myofunctional assessment.
Which prognostic factor MOST predicts positive outcomes in a myofunctional therapy treatment plan?
Answer: Patient and caregiver motivation combined with nasal airway adequacy
Patient/caregiver motivation and an adequate nasal airway are the strongest predictors of myofunctional therapy success, regardless of age.