COM COM Speech & Swallowing Disorders 2

Question 1

A patient presents with a tongue-thrust swallow pattern. Which muscle group typically shows hyperactivity in this pattern?

Accepted Answer

Perioral and mentalis muscles

Answer

In a tongue-thrust swallow, the perioral and mentalis muscles often contract excessively to stabilize the lip seal.

Question 2

Which diagnostic tool is considered the gold standard for evaluating oropharyngeal swallowing function?

Accepted Answer

Videofluoroscopic swallow study (VFSS)

Answer

Videofluoroscopic swallow study (VFSS) provides real-time imaging of all swallowing phases and is considered the gold standard.

Question 3

When a patient has reduced lingual strength, which compensatory strategy is most commonly observed during swallowing?

Accepted Answer

Increased head extension

Answer

Patients with reduced lingual strength often extend the head backward to use gravity to move the bolus posteriorly.

Question 4

Which consonant class is most affected by inadequate tongue tip elevation and contact with the alveolar ridge?

Accepted Answer

Alveolar sounds /t/, /d/, /n/, /l/

Answer

Alveolar sounds require precise tongue tip elevation to contact the alveolar ridge, making them vulnerable to lingual dysfunction.

Question 5

What is the recommended resting posture of the tongue for optimal orofacial development and speech?

Accepted Answer

Tongue tip at the incisive papilla, body gently touching the palate

Answer

The correct resting posture places the tongue tip at the incisive papilla with the body lightly contacting the palate, supporting arch development.

(COM) Certified Orofacial Myologist Practice Test