Title: Chapter 50: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Incomplete fusion of which of the following causes clefting of the lip?
- Median palatine process and lateral palatine process
- Median palatine process and nasal septa
- Frontal process and maxillary process
- Maxillary process and globular process
A: Maxillary process and globular process

Q: At what stage of prenatal development does clefting of the lip take place?
- 4 to 7 weeks
- 8 to 12 weeks
- 13 to 18 weeks
- 19 to 24 weeks
A: 4 to 7 weeks

Q: All of the following are oral manifestations of cleft palate except which one?
- Poorly formed teeth
- Mouth breathing
- Fluorosis
- Malocclusion
A: Fluorosis

Q: A cleft of the soft palate that includes a cleft lip on the same side of the premaxilla is what classification?
- Class II
- Class III
- Class IV
- Class V
- Class VI
A: Class V

Q: A removable appliance designed to close off the opening in a cleft palate case is called a(n):
- prosthodontic retainer
- obturator
- orthopedic appliance
- scaffold
A: obturator

Q: A child with a cleft palate is at greater risk for all of the following except:
- upper respiratory infections
- middle ear infections
- tissue overgrowth
- inadequate speech development
A: tissue overgrowth

Q: Cleft lip and cleft palate are craniofacial deformities that are associated with inadequate fusing of the lip, hard and soft palates, and uvula. This birth defect occurs during the 22nd to the 40th week of gestation.
- Both statements are true
- Both statements are false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is false

Q: A child with a cleft palate is more likely to have a mental disability. A child with a cleft palate is more prone to ear infections.
- Both statements are true
- Both statements are false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is false and the second statement is true

Q: Environmental risk factors that may impact normal development and cause clefting to occur include all of the following except:
- tobacco smoking
- alcohol consumption
- use of phenytoin for seizures
- use of herbal supplements
- folic acid deficiency
A: use of herbal supplements

Q: The type of graft that is completed to replace palatal tissue to provide architecture through which the maxillary teeth can erupt is:
- alveolar
- palatal
- osseous
- scaffolding
A: alveolar

Q: Malpositioned teeth, problems with mastication, and dental biofilm retention are intensified for cleft palate patients. These predisposing factors are also related to a higher incidence rate of caries in children with a cleft palate.
- Both statements are true and related
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are correct but not related
A: Both statements are true and related

Q: Case Study1
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment.

Reference: Ref 50-1

Open and read the attached case to answer the following question. The first priority to address in providing treatment for Paul is:
- referral for orthodontics
- referral to a speech therapist
- routine cleaning and fluoride application
- restorative work
A: routine cleaning and fluoride application

Q: Case Study1
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment.

Reference: Ref 50-1

Open and read the attached case to answer the following question. The appropriate time to begin orthodontic treatment for realigning the teeth of a child with a cleft is:
- after the eruption of the 12-year molars
- dependent upon which teeth are malpositioned and if they are fully erupted
- it should not be completed until adulthood when full development is complete
- it can be completed during the mixed dentition years
A: it can be completed during the mixed dentition years

Q: Case Study1
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment.

Reference: Ref 50-1

Open and read the attached case to answer the following question. Due to an obvious need to keep up with oral hygiene care for Paul, recall visits should probably be scheduled at what interval?
- 1 to 2 months
- 3 to 4 months
- Every 6 months
- Once a year
A: 3 to 4 months

Q: Case Study1
Paul, who is 8 years old, is a patient who had cleft palate surgery completed at an early age to repair a Class VI cleft. He has malpositioned teeth in the maxillary arch that have contributed to speech problems, poor oral hygiene, and several carious teeth. His parents ask for guidance on what can be done to improve his speech and his smile. Paul cares for his teeth on his own and brushes once a day. He is apprehensive about dental treatment.

Reference: Ref 50-1

Open and read the attached case to answer the following question. Anticipatory guidance for the parents should address all of the following except:
- biofilm removal
- speech therapy
- orthodontics
- hearing loss
A: hearing loss