CMT Evaluation & Treatment Planning 3

Question 1

A CMT therapist is evaluating an adult patient who reports neck pain and TMJ clicking. Which myofunctional assessment finding would MOST likely connect these symptoms?

Accepted Answer

Bilateral masseter hypertrophy with clenching habit

Answer

Masseter hypertrophy from clenching increases joint loading, which can cause TMJ clicking and associated cervical muscle tension.

Question 2

When evaluating a lingual frenum, which clinical finding would MOST indicate a referral for frenectomy prior to myofunctional therapy?

Accepted Answer

Tongue tip cannot reach the palate and 'bowstrings' on protrusion

Answer

A frenum that prevents palatal contact and bowstrings on protrusion indicates a significant restriction requiring frenectomy before myofunctional exercises can be effective.

Question 3

A therapist documents 'interdental lisp' in a pediatric patient during the speech evaluation. Which muscle function is MOST likely contributing to this finding?

Accepted Answer

Forward tongue placement during sibilant production

Answer

An interdental lisp results from the tongue protruding between the teeth during /s/ and /z/ production, reflecting forward tongue positioning.

Question 4

Which assessment method provides the MOST objective measure of lip seal strength during a myofunctional evaluation?

Accepted Answer

Button pull-test with measured force gauge

Answer

The button pull-test using a calibrated force gauge objectively quantifies orbicularis oris strength for pre- and post-treatment comparison.

Question 5

During treatment planning, a CMT identifies that a patient has both an atypical swallow and a digit-sucking habit. Which issue should be addressed FIRST?

Accepted Answer

Digit-sucking habit, because eliminating it reduces the reinforcing stimulus

Answer

Eliminating the digit-sucking habit removes the primary causative factor that perpetuates the tongue thrust pattern.

(CMT) Certified Myofunctional Therapist Practice Test

(CMT) Certified Myofunctional Therapist Practice Test

CMT Evaluation & Treatment Planning 3