Cleft Palate and Velopharyngeal Insufficiency — Board-Style Questions

What this deck covers

Cleft Palate and Velopharyngeal Insufficiency in 18 board-style clinical 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, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Snoring, and a divided tip
2. Slow gain, hard work
3. Six weeks, no better
4. Nothing seen at birth
5. Vowels fine, the rest not
6. A year of weekly sessions
7. Why look again
8. Latching, and getting nothing
9. Normal until this term
10. Fine at breakfast
11. Found by accident
12. Needed, and still risky
13. A busy medical history
14. Which of the two
15. Two children, one word
16. When, not whether
17. Comfortable, first night
18. Bigger every year

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Reflux of stomach contents, Start exercises now, Arrange imaging of the head, A general delay in speech, in, The size of the tonsils and adenoid, As a behaviour learned from another child, A valve with no reserve at all, An operation now, before she reaches the age at, Only the risks of bleeding and anaesthesia, Repairing the palate first, after, His age alone, since there is a fixed age at, Bleeding from the operation site.

Clinical pearls from this deck

• Look at the uvula before you remove the adenoid.
• Milk during a feed goes up. Milk after one comes back.
• After this operation, watch the trajectory, not the day.
• The cleft you cannot see is the one you can feel.
• Ask which sounds fail, not only whether speech is clear.
• Therapy trains a valve. It does not build one.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ENT case decks · pediatric reference values.