Which test assesses soft palate, uvula and pharynx appearance when saying AH?

• A. Soft palate, uvula and pharynx appearance when saying AH
• B. Hoarseness of voice
• C. Trapezius strength
• D. Tongue movements

Answer: (A)

This item assesses the motor function of the soft palate and pharynx by watching how the palate elevates when the patient says “AH.” When IX and X are working properly, the soft palate and uvula rise together and stay aligned in the midline. If one side is weak, the uvula deviates toward the normal side and the soft palate elevation may be reduced on the weaker side, signaling possible cranial nerve IX/X involvement that can affect swallowing and speech resonance.

Hoarseness of voice looks at vocal fold function rather than palate elevation during AH, trapezius strength tests the spinal accessory nerve, and tongue movements test the hypoglossal nerve. Therefore, observing the soft palate, uvula, and pharynx during AH is the correct way to assess this aspect of cranial nerve function.