In-service Exam: Cleft Lip & Palate
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In-Service Exam: Cleft Lip & Palate
- 1.A 24-year-old man who underwent repair of isolated cleft lip and palate in infancy and his wife ask about the risk of their children having cleft deformities. The patient’s family history includes isolated cleft lip and palate in his mother. The wife has no congenital deformities and has no known family history of cleft palate. Which percentage best represents the chance that they will have a child with a cleft deformity?
- A.
5%
- B.
10%
- C.
15%
- D.
25%
- 2.
- A.
Levator veli palatini
- B.
Muscularis uvulae
- C.
Palatoglossus
- D.
Palatopharyngeus
- E.
Superior pharyngeal constrictor
- 3.Cleft palate occurs during which weeks of fetal development?
- A.
1-2
- B.
3-4
- C.
5-6
- D.
7-8
- E.
9-10
- 4.
![Which is the rotation flap in this preoperatively marked rotation-advancement flap? - ProProfs]( "Which is the rotation flap in this preoperatively marked rotation-advancement flap?")
Which is the rotation flap in this preoperatively marked rotation-advancement flap?- A.
A
- B.
B
- C.
C
- D.
D
- 5.
![Which is the advancement flap in this preoperatively marked rotation-advancement flap? - ProProfs]( "Which is the advancement flap in this preoperatively marked rotation-advancement flap?")
Which is the advancement flap in this preoperatively marked rotation-advancement flap?- A.
A
- B.
B
- C.
C
- D.
D
- 6.A 5-year-old boy with submucus cleft palate has velopharyngeal incompetence. Which of the following is the most likely underlying cause?
- A.
Incorrectly positioned levator palatine muscles
- B.
Incorrectly positioned palatoglossus muscles
- C.
Incorrectly positioned palatopharyngeal muscles
- D.
Incorrectly positioned tensor palatine muscles
- E.
Short soft palate
- 7.During fetal development, a cleft lip results when the maxillary process fails to fuse normally with which of the following processes?
- A.
Lateral nasal
- B.
Frontonasal
- C.
Medial nasal
- D.
Mandibular
- 8.
- A.
Augmentation of the posterior pharynx
- B.
Inferiorly based posterior pharyngeal flap
- C.
Sphincter pharyngoplasty
- D.
Superiorly based posterior pharyngeal flap
- E.
V-Y pushback palatoplasty
- 9.
- A.
2
- B.
4
- C.
10
- D.
16
- E.
32
- 10.In neonates with submucous cleft palate, the zona pellucida results from abnormal morphology of which of the following muscles?
- A.
Levator veli palatini
- B.
Muscularis uvulae
- C.
Palatopharyngeus
- D.
Pharyngeal constrictor
- E.
Tensor veli palatini
- 11.During normal development of the secondary palate, elevation of the palatal shelf occurs at approximately how many weeks’ gestation?
- A.
4
- B.
8
- C.
12
- D.
16
- E.
20
- 12.The C flap in the Millard rotation advancement repair of unilateral cleft lip is used to achieve which of the following?
- A.
Columellar lengthening
- B.
Lip lengthening
- C.
Alar flare reduction
- D.
Lip shortening
- E.
Philtral column symmetry
- 13.A 6-year-old boy with velopharyngeal incompetence is scheduled to undergo sphincter pharyngoplasty, after cleft palate repair in infancy. In the sphincter pharyngoplasty procedure, which of the following muscles is elevated in the posterior tonsillar pillar?
- A.
Levator veli palatini
- B.
Palatoglossus
- C.
Palatopharyngeus
- D.
Stylopharyngeus
- E.
Superior pharyngeal constrictor
- 14.In neonates with isolated cleft palate, which of the following percentages best represents the incidence of additional anomalies?
- A.
10%
- B.
30%
- C.
50%
- D.
70%
- E.
90%
- 15.
- A.
Levator veli palatini
- B.
Musculus uvulae
- C.
Nasal lining
- D.
Palatopharyngeus
- E.
Tensor veli palatini
- 16.
- A.
Abbe flap
- B.
Banked fork flaps
- C.
Gilles fan flap
- D.
Karapandzic flap
- E.
Nasolabial flap
- 17.A 5-year-old child who underwent cleft palate repair in infancy has velopharyngeal insufficiency. Nasoendoscopy shows closure of the central velopharyngeal mechanism with residual openings on the left and right. The patient is scheduled to undergo sphincter pharyngoplasty for reconstruction of the pharynx. This procedure involves transposition of which of the following muscles?
- A.
Buccinator
- B.
Levator veli palatini
- C.
Palatoglossus
- D.
Palatopharyngeus
- E.
Tensor veli palatini
- 18.
- A.
Levator veli palatini
- B.
Palatoglossus
- C.
Palatopharyngeus
- D.
Tensor veli palatini
- E.
Uvula
- 19.In patients with nasal deformities associated with complete unilateral cleft lip, which of the following best describes the displacement of the ala?
- A.
Lateral, inferior, anterior
- B.
Lateral, inferior, posterior
- C.
Medial, inferior, posterior
- D.
Medial, superior, anterior
- E.
Medial, superior, posterior
- 20.
- A.
Angle class II, division I
- B.
Angle class II, division II
- C.
Deep overbite
- D.
Excessive overjet
- E.
Posterior crossbite
- 21.During embryologic development, which of the following structures arises from the lateral nasal processes?
- A.
Columella
- B.
Nasal bridge
- C.
Nasal tip
- D.
Nasal ala
- E.
Nasal septum
- 22.
- A.
Prone positioning
- B.
Orotracheal intubation
- C.
Lip-tongue adhesion
- D.
Tracheostomy
- E.
Mandibular distraction osteogenesis
- 23.During embryologic development, which of the following structures arises from the frontonasal processes?
- A.
Columella
- B.
Nasal bridge
- C.
Nasal septum
- D.
Nasal tip
- E.
Philtrum
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