COM Pharmacology & Medication Management 3

Question 1

Phenytoin (Dilantin) used for seizure control is notorious for causing which orofacial side effect relevant to OMT?

Accepted Answer

Gingival hyperplasia

Answer

Phenytoin induces gingival hyperplasia, which can alter tongue placement and resting posture if tissue overgrowth is significant.

Question 2

A patient reports taking benzodiazepines nightly for sleep. Which specific concern is most relevant to the COM therapist regarding orofacial muscle function?

Accepted Answer

Suppression of REM sleep may mask sleep bruxism events

Answer

Benzodiazepines suppress REM sleep, potentially masking nocturnal bruxism that would otherwise be detected during sleep studies.

Question 3

Corticosteroids prescribed for inflammatory conditions can affect OMT patients by causing:

Accepted Answer

Increased muscle weakness and delayed healing of oral tissues

Answer

Long-term corticosteroid use impairs immune response and tissue healing, and can contribute to muscle weakness affecting myofunctional exercise progress.

Question 4

Decongestants such as pseudoephedrine may temporarily benefit OMT patients by:

Accepted Answer

Reducing nasal congestion to facilitate nasal breathing training

Answer

Pseudoephedrine reduces nasal mucosal swelling, which may temporarily enable nasal breathing practice during OMT sessions.

Question 5

A patient taking lithium for bipolar disorder presents with muscle tremors. How does this affect OMT exercise planning?

Accepted Answer

Fine motor tremors may impair tongue placement precision exercises

Answer

Lithium-induced tremors can compromise the fine motor tongue and lip placement tasks central to OMT.

(COM) Certified Orofacial Myologist Practice Test

(COM) Certified Orofacial Myologist Practice Test

COM Pharmacology & Medication Management 3