Method Of Exam

• Have patient say "ah" and observe movement of palate with flash light
• Stimulate posterior pharynx (gag reflex) with cotton tipped probe one side at a time
• Have the patient cough
• Observe patients voice

Normal:

• No hoarseness is noted in voice and the cough is effective.
• Palate moves symmetrically and the uvula stays in mid line
• Pharynx moves forwards with retching on stimulation of posterior pharynx.