CD 692 Quiz 3 Comprehensive
Questions with Verified Answers
Graded A+
1. EVALUATION OF PEDIATRIC FEEDING DISORDERS POWERPOINT:
2. CAPS Answer: critical analysis and problem solving
3. components of a feeding assessment Answer:
Tethered oral tissues Case history
Protocol completion
Oral assessment of
structure Bedside
feeding assessment
Additional assessment
Consideration of an instrumental
assessment Treatment exploration
Results
Comprehensive
report
4. Ankyloglossia (tongue tie) Answer: defined by the International Aflliation of Tongue Tie
Professionals as "an
embryological remand of tissue in the midline between the under surface of the tongue and the floor of
the mouth that restricts normal tongue movement"
5. what is a tethered oral tissue? Answer: Tethered oral tissue may represent anatomic
variation or true
pathology with functional limitations. The most prevalent functional limitation is impaired feeding due to
ankyloglossia. Treatment options include conservative management with feeding support versus
intervention such as frenotomy or frenuloplasty.
6. Tethered oral tissues Answer: A symptom of Orofacial myofunctional disorders- it is not a
disorder in and of itself.
,If diagnosed/released prior to 4 years of age- treated by a pediatric feeding therapist (SLP or OT).
If diagnosed/released after 4 years of age, pre and post treatment and monitoring for the new
movement of the tongue for swallowing and speech production is recommended.
Estimated to occur in 4-10% of newborns.
Occurs more frequently in males than
females.
Thought of as a midline "disorder" (stork bite, angel kiss, sacred dimple)
7. How many frenula can be found in the oral cavity and what are
they? Answer: 7
, Lingual frenulum- connective tissue between the tissue under the tongue and the floor of the mouth.
Upper labial frenulum- tissue between the upper lip and gum (creates a seal for ettective breastfeeding,
cup/straw drinking, and closed lip swallowing)
Lower labial frenulum- tissue between the lower lip and
gum. 2 Upper buccal frena- connects the cheeks to the
gums
2 lower buccal frena- connects the cheeks to the gums.
8. Anterior tongue tie Answer: 1-3 mm from the tip
9. Posterior tongue tie Answer: middle under the tongue to the floor of the mouth is sho
(ROM is going to be less)
10. Posterior/Submucosal Answer: Tongue tie-typical attachment under the tongue but the
lower attachment is at the mandibular wall (may look like the Eittel Tower). Submucosa- you have to
go in a palate (front and back under the tongue)
11. Anterior restriction Answer: Heart shaped
12. Posterior restriction Answer: Can be thin, thick, can pull up the entire floor, can be Eit
Tower shaped.
The tongue needs full ROM to make the wave movement if the middle is restricted they may have
escape, bolus diflculties, in babies you may hear a click sound.
Eittel Tower shape doesn't mean restriction you have to try the palate to see if it
moves. SHORT, TIGHT, AND WHITE
13. Common signs and symptoms in infants and toddlers Answer: Open
mouth posture at rest,
tongue laying in the floor of the mouth, they may have enlarged tonsils.
Poor latch to breast/bottle (may have diflculty latching to. a bottle/breast. They may do better with breast
due to the nipple taking over the entire mouth.
Questions with Verified Answers
Graded A+
1. EVALUATION OF PEDIATRIC FEEDING DISORDERS POWERPOINT:
2. CAPS Answer: critical analysis and problem solving
3. components of a feeding assessment Answer:
Tethered oral tissues Case history
Protocol completion
Oral assessment of
structure Bedside
feeding assessment
Additional assessment
Consideration of an instrumental
assessment Treatment exploration
Results
Comprehensive
report
4. Ankyloglossia (tongue tie) Answer: defined by the International Aflliation of Tongue Tie
Professionals as "an
embryological remand of tissue in the midline between the under surface of the tongue and the floor of
the mouth that restricts normal tongue movement"
5. what is a tethered oral tissue? Answer: Tethered oral tissue may represent anatomic
variation or true
pathology with functional limitations. The most prevalent functional limitation is impaired feeding due to
ankyloglossia. Treatment options include conservative management with feeding support versus
intervention such as frenotomy or frenuloplasty.
6. Tethered oral tissues Answer: A symptom of Orofacial myofunctional disorders- it is not a
disorder in and of itself.
,If diagnosed/released prior to 4 years of age- treated by a pediatric feeding therapist (SLP or OT).
If diagnosed/released after 4 years of age, pre and post treatment and monitoring for the new
movement of the tongue for swallowing and speech production is recommended.
Estimated to occur in 4-10% of newborns.
Occurs more frequently in males than
females.
Thought of as a midline "disorder" (stork bite, angel kiss, sacred dimple)
7. How many frenula can be found in the oral cavity and what are
they? Answer: 7
, Lingual frenulum- connective tissue between the tissue under the tongue and the floor of the mouth.
Upper labial frenulum- tissue between the upper lip and gum (creates a seal for ettective breastfeeding,
cup/straw drinking, and closed lip swallowing)
Lower labial frenulum- tissue between the lower lip and
gum. 2 Upper buccal frena- connects the cheeks to the
gums
2 lower buccal frena- connects the cheeks to the gums.
8. Anterior tongue tie Answer: 1-3 mm from the tip
9. Posterior tongue tie Answer: middle under the tongue to the floor of the mouth is sho
(ROM is going to be less)
10. Posterior/Submucosal Answer: Tongue tie-typical attachment under the tongue but the
lower attachment is at the mandibular wall (may look like the Eittel Tower). Submucosa- you have to
go in a palate (front and back under the tongue)
11. Anterior restriction Answer: Heart shaped
12. Posterior restriction Answer: Can be thin, thick, can pull up the entire floor, can be Eit
Tower shaped.
The tongue needs full ROM to make the wave movement if the middle is restricted they may have
escape, bolus diflculties, in babies you may hear a click sound.
Eittel Tower shape doesn't mean restriction you have to try the palate to see if it
moves. SHORT, TIGHT, AND WHITE
13. Common signs and symptoms in infants and toddlers Answer: Open
mouth posture at rest,
tongue laying in the floor of the mouth, they may have enlarged tonsils.
Poor latch to breast/bottle (may have diflculty latching to. a bottle/breast. They may do better with breast
due to the nipple taking over the entire mouth.
