Patient Assessment & Evaluation Flashcards
7 cards from real COM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Evaluation flashcards as text
During a case history intake, a parent reports their child is a restless sleeper, grinds teeth at night, and wakes frequently. Which referral is most appropriate before initiating orofacial myofunctional therapy?
Answer: Sleep medicine specialist or ENT for sleep-disordered breathing evaluation
Nighttime bruxism, restless sleep, and frequent waking are hallmark signs of sleep-disordered breathing, warranting evaluation by an ENT or sleep medicine specialist.
The Friedman Tongue Position (FTP) grading system is used by orofacial myologists to assess:
Answer: Tongue size and position relative to oral cavity structures at rest
The FTP scale grades tongue visibility relative to palatal pillars and uvula, correlating tongue bulk/position with airway obstruction risk.
Which cranial nerve is primarily responsible for tongue movement and should be assessed during orofacial myological evaluation?
Answer: CN XII (Hypoglossal)
CN XII (Hypoglossal) is the primary motor nerve for intrinsic and extrinsic tongue muscles and is assessed by observing tongue protrusion, lateralization, and elevation.
When assessing chewing function, the clinician observes that the patient consistently chews only on the right side. This finding is best described as:
Answer: Unilateral chewing preference
Consistent chewing on one side is classified as a unilateral chewing preference and may contribute to asymmetric muscle development and jaw deviation.
In pediatric orofacial myofunctional assessment, which finding would prompt immediate medical referral rather than proceeding with therapy?
Answer: Asymmetric tongue movement with unilateral fasciculations
Fasciculations (involuntary muscle twitches) and asymmetric tongue movement suggest a neurological etiology that requires medical evaluation before therapy.
The OMES-E (Orofacial Myofunctional Evaluation with Scores – Expanded) protocol evaluates orofacial functions in which standardized domains?
Answer: Face, lips, jaws, tongue, hard palate, teeth, pharynx, and speech
The OMES-E is a validated, standardized assessment protocol examining multiple orofacial structures and functions including facial symmetry, lips, mandible, tongue, palate, teeth, pharynx, and speech.
During a tonsil grading assessment, a patient's tonsils meet at the midline. This is classified as:
Answer: Grade 4+ (kissing tonsils)
Grade 4+ or 'kissing tonsils' describes tonsillar tissue meeting at midline, significantly reducing oropharyngeal airway space.