What this deck covers
Cleft Lip and Palate in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: 4 to 7 weeks, Bifid uvula, macroglossia, and high arched palate, Bifid uvula, micrognathia, and glossoptosis, Choanal atresia, Tracheoesophageal fistula, Other congenital malformations or genetic syndromes, Maternal smoking during pregnancy, Advanced paternal age, Male gender, Horizontal positioning to prevent nasal regurgitation, Pediatric surgeon, Speech-language pathologist, Supernumerary or congenitally missing teeth, Early eruption of permanent molars, Macrodontia of the central incisors, Excessive mandibular growth, Velopharyngeal insufficiency, Laryngeal stridor, Apraxia of speech, Less than one percent, Three to five percent, Twenty-five percent, Fifty percent.
Clinical pearls from this deck
- The primary palate (lip + premaxilla) forms when the medial nasal and maxillary processes fuse at 4–7 weeks — failure here gives cleft lip ± alveolus. The secondary palate (hard + soft palate) forms later, at 8–12 weeks, as the palatal shelves swing horizontal and fuse. This is why cleft lip and cleft palate can occur together or independently, and why early first-trimester insults matter.
- The submucous cleft palate triad: a bifid uvula, a palpable notch at the posterior hard palate (absent posterior nasal spine), and a midline translucent zone (zona pellucida) in the soft palate. The mucosa looks intact but the muscles fail to fuse, so it is often missed until hypernasal speech or nasal regurgitation appears. Isolated bifid uvula alone can be a normal variant but still warrants a careful palate exam.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
