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Assessment
Cleft Palate Exam 3
| Question | Answer |
|---|---|
| Types of Cleft VPI | Velopharyngeal insufficiency |
| Types of Non-Cleft VPI | Velopharyngeal mislearning, velopharyngeal incompetency, velopharyngeal insufficiency |
| Example of Velopharyngeal incompetency | Dysarthria or Apraxia |
| Example of Velopharyngeal mislearning | Phoneme specific NAE |
| Example of Velopharyngeal insufficiency (non-cleft) | Mechanmial interference (ex. tonsils too big, adenoids removed, etc.) |
| Clinical Paradigm number 1 | Perceptual analysis (clinical judgement) |
| Clinical Paradigm number 2 | Perceptual leading to assumptions (clinical skill) |
| Clincial Paradigm number 3 | Instrumental analysis confirms perceptual |
| What is the gold standard? | Perceptual judgment |
| 3 people from care team | Audiologist, pediatric dentist, pediatrician |
| Assessment in the first year | Monitoring feeding, development, and speech/language |
| A type of language screener | MacArther Communicative Developmental Inventory |
| A type of language screener | Receptive-Expressive Emergent Language Scale (REEL) |
| A type of language screener that can be used birth to 3yr | Rossetti Infant-Toddler Language Scale |
| A type of language screener that can be used 2 to 6 yr | Fluhasty Preschool speech and language screening test |
| What should be done when assessing a preschool age child's language? | Take informal observations and gather parent interview |
| Speech assessments for preschool age | Speech Sample, articulation tests |
| What do you assess during perceptual assessment? | Nasality, phone specific NAE, NAE, compensatory errors, arctic/phonology (omissions, distortions, etc.), Voice issues |
| How to assess nasality? | Nasal pinching for vocalic sounds, Popeye plays baseball |
| What happens if you perceive a change in nasality during nasal pinching? | Hypernasal |
| No fog during production of nasal consonants means.... | Hyponasality |
| A nasalized sentence | Mom's name is Nancy |
| Other ways to assess NAE | Straw, See Scape, oralized sentences with plosives |
| Phonene specific | Only on specific phonemes |
| Sentences for phone specific | Should have lots of sibilants |
| Obligatory test for velopharyngeal | Artic. test with plugged and unplugged nose |
| Obligatory test for fistula | Artic. test with plugged and unplugged fistula |
| Maladaptive test for dental | Diagnostic therapy to see if changing tongue placement alters distortion |
| If you use a rating scale you must.... | Explain what is means |
| How to know if fistula or hypernasality? | Close off fistula, if anterior sounds (t, d) and posterior (k, g) are not different then NAE to VPI |
| Indicates NAE is due to fistula | Nasal emissions stronger on anterior sounds than posterior |
| Small Palatal (oronasal) fistula | Nasal turbulence and NAE |
| Large Palatal (oronasal) fistula | Inaudible, weak consonants, short utterance length, hyper nasal |
| What happens if fistula is symptomatic? | Surgery typically |
| Toosl for orafacial | Gloves, flashlight, mirror, tongue blade, "ahhh," |
| What are you looking for when you palpate the palate? | Notch |
| What are you looking for on hard palate? | Vault low/flat, fistulas, any devices that impact speech |
| What are you looking for on velum? | Bifid ubula, zona pellucids, length, mobility |
| What are you looking for on pharynx? | Movement of lateral/posterior PW, Passavant's Ridge |
| What are you looking for on tonsils? | Enlarged |
| What are you looking for with lips? | Movement, (I to ooo) |
| What are you looking for with eyes? | Hypertelorism or hypo, epicentral folds |
| What are you looking for with ears? | Microtia, anotia, atresia |
| What are you looking for with nose? | What of each nostril |
| What are you looking got with maxilla? | Micro/macrognathia, mico/macrostoenia |
| What are you looking for with tongue? | Tongue tie (ankyloglossia) |
| Parts of oral motor function | Oral motor exam, sequence speech (diadochokinetic) |
Created by:
morganmc3
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