Question 1

A newborn is evaluated because of a cleft of the soft and hard palates that extends to the incisive foramen. Which of the following is the most appropriate Veau classification of this cleft?

Accepted Answer

III

Answer

I

Answer

II

Answer

IV

Question 2

Which of the following skeletal anomalies of the anterior nasal spine are most commonly found in unilateral cleft lip and palate patients?

Accepted Answer

Deviation to the noncleft side and decreased projection of the pyriform aperture and dentoalveolar arch on the cleft side

Answer

Deviation to the cleft side and decreased projection of the pyriform aperture and dentoalveolar arch on the cleft side

Answer

Deviation to the cleft side and increased projection of the pyriform aperture and dentoalveolar arch on the cleft side

Answer

Deviation to the noncleft side and increased projection of the pyriform aperture and dentoalveolar arch on the cleft side

Question 3

A 2-month-old male infant is evaluated for complete unilateral cleft of the lip and palate. Development of which of the following tooth buds is most likely to be impaired in this patient?

Accepted Answer

Lateral incisor

Answer

Central incisor

Answer

First molar

Answer

1st Premolar

Answer

3rd Molar

Question 4

Failure of fusion of which of the following results in the formation of a cleft of the lip?

Accepted Answer

Medial nasal and maxillary prominences during the first 6 to 8 weeks of gestation

Answer

Frontonasal and maxillary prominences during the first 4 to 5 weeks of gestation

Answer

Frontonasal and maxillary prominences during the first 9 to 11 weeks of gestation

Answer

Lateral nasal and maxillary prominences during the first 2 to 4 weeks of gestation

Answer

Medial nasal and maxillary prominences during the first 9 to 11 weeks of gestation

Question 5

A 30-month-old female infant is evaluated for unilateral complete cleft lip and palate. She was adopted from China, where her lip was previously repaired. Her parents are concerned about her palate, which has not been repaired, and the appearance of her lip and nose. Which of the following is the most appropriate next step in management?

Accepted Answer

Repair the palate first and revise the lip at a later time

Answer

Repair the palate and perform a rhinoplasty

Answer

Revise the lip and repair the palate simultaneously with a gingivoperiosteoplasty

Answer

Revise the lip now and repair the palate at a later time

Answer

Wait one year until more English vocabulary is acquired, and then undergo speech evaluation before palate repair

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