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 CMT therapist performs a frenum evaluation using the Kotlow classification. A Class IV designation MOST accurately describes:
Answer: A posterior tongue tie extending to the base of the tongue with severe restriction
Kotlow Class IV represents a posterior tongue tie extending to the base of tongue with the most severe degree of restriction in the classification system.
Which assessment area is considered OUTSIDE the typical scope of a CMT evaluation?
Answer: Formal language sample analysis
Formal language sample analysis falls within the scope of speech-language pathology and is not a component of orofacial myofunctional evaluation.
A therapist conducting a jaw evaluation notes that the patient's mandible deviates to the left on opening. This finding MOST likely suggests:
Answer: Unilateral muscle imbalance or joint restriction on the left side
Mandibular deviation during opening typically indicates a muscular imbalance or joint restriction ipsilateral to the direction of deviation.
When setting SMART goals in a myofunctional treatment plan, 'measurable' BEST refers to:
Answer: Quantifiable benchmarks such as tongue elevation distance or lip seal force in grams
Measurable goals in myofunctional therapy use objective data like tongue elevation distance or lip seal force to track progress.
A therapist is designing a treatment plan for a patient post-frenectomy. How soon after release should active myofunctional exercises typically begin?
Answer: As directed by the releasing provider, typically within a few days to manage scar tissue
Post-frenectomy exercises are typically initiated within days of the procedure per the releasing provider's guidance to prevent scar tissue contracture.
During an evaluation, a therapist assesses the patient's 'spot' awareness. What does this evaluation target?
Answer: The patient's ability to identify the incisive papilla as the correct resting place for the tongue tip
Assessing 'spot' awareness determines whether the patient can identify and voluntarily place the tongue tip at the incisive papilla, the foundation of correct resting posture.
Which co-morbidity finding during a myofunctional evaluation would MOST warrant coordination with a pediatric pulmonologist?
Answer: Chronic nighttime mouth breathing with observed apneic episodes
Observed apneic episodes during sleep indicate possible obstructive sleep apnea requiring pulmonology co-management beyond the myofunctional therapist's scope.