CMT CMT Swallowing & Feeding Disorders 2

Question 1

A myofunctional therapist is evaluating an adult patient who was referred by an orthodontist. The patient demonstrates tongue protrusion between the teeth on every swallow. What is this called?

Accepted Answer

Anterior tongue thrust

Answer

Anterior tongue thrust is characterized by the tongue pushing forward between or against the upper and lower front teeth during swallowing.

Question 2

Which finding during a swallowing evaluation indicates a lateral tongue thrust?

Accepted Answer

Posterior open bite or crossbite

Answer

Lateral tongue thrust, where the tongue presses sideways against the posterior teeth during swallowing, can cause or maintain a posterior open bite or crossbite.

Question 3

In assessing a toddler with feeding difficulties, the myofunctional therapist notes excessive food spillage from the mouth and lip smacking. This MOST likely indicates:

Accepted Answer

Poor lip and buccal muscle tone and coordination

Answer

Food spillage and lip smacking during feeding suggest reduced labial and buccal muscle tone and coordination, which are key myofunctional targets in pediatric feeding therapy.

Question 4

What is the primary risk of a myofunctional therapist treating dysphagia that involves laryngeal or pharyngeal-phase disorders without proper referral?

Accepted Answer

Working outside their scope of practice and risking patient safety

Answer

Laryngeal and pharyngeal dysphagia involves aspiration risk and falls within the scope of speech-language pathology; treating it without referral exceeds the myofunctional therapist's scope of practice.

Question 5

Which of the following best describes the swallowing phase that myofunctional therapy primarily addresses?

Accepted Answer

Oral preparatory and oral phase

Answer

Myofunctional therapy primarily addresses the oral preparatory and oral phases of swallowing, where tongue, lip, and jaw muscle function determine how food is manipulated and propelled.

(CMT) Certified Myofunctional Therapist Practice Test

(CMT) Certified Myofunctional Therapist Practice Test

CMT CMT Swallowing & Feeding Disorders 2