COM Treatment Planning & Intervention Strategies 2

Question 1

When establishing treatment frequency for an adult patient with a chronic tongue thrust, which scheduling approach is most appropriate during the initial active phase?

Accepted Answer

Bi-weekly sessions for 4–6 weeks, then monthly

Answer

Bi-weekly sessions during the active phase allow sufficient practice time between appointments while maintaining therapeutic momentum, transitioning to monthly visits as habits stabilize.

Question 2

A patient presents with a unilateral posterior crossbite and associated lateral tongue posture deviation. What is the correct sequence of intervention?

Accepted Answer

Refer to orthodontist first to expand the arch, then initiate myofunctional therapy

Answer

Arch expansion by the orthodontist must precede myofunctional therapy so the tongue has adequate arch width to achieve correct resting posture.

Question 3

Which of the following best describes the 'maintenance phase' in an orofacial myofunctional treatment plan?

Accepted Answer

Infrequent check-ins to monitor carryover of correct patterns into function

Answer

The maintenance phase consists of periodic monitoring visits to confirm that newly learned orofacial patterns are being maintained across daily functions.

Question 4

A 7-year-old child cannot achieve nasal breathing during sleep due to enlarged adenoids. What is the orofacial myologist's appropriate first action?

Accepted Answer

Refer to an ENT physician for evaluation before initiating therapy

Answer

Obstructive adenoids are a medical issue that must be assessed and treated by an ENT before myofunctional therapy for nasal breathing can be effective.

Question 5

In a COM treatment plan, what is the PRIMARY purpose of including 'awareness exercises' in the early stages?

Accepted Answer

To help the patient consciously recognize incorrect muscle patterns they were previously unaware of

Answer

Awareness exercises help patients recognize existing dysfunctional patterns so that conscious correction and eventual automaticity of new patterns can occur.

(COM) Certified Orofacial Myologist Practice Test

(COM) Certified Orofacial Myologist Practice Test

COM Treatment Planning & Intervention Strategies 2