Patient with ankyloglossia (tongue-tie). Which word is difficult for them to say due to limited tongue tip elevation?

Correct answer: A. 'Lily' (requires tongue tip elevation)

• A. Correct. Words requiring tongue tip elevation against the palate (like the 'L' sounds in 'Lily') are classically difficult for patients with restricted tongue mobility from ankyloglossia.
• B. 'Fifty' primarily involves labiodental ('F') and lingual-alveolar ('S','T') sounds but is not the classic example used to demonstrate tongue-tip elevation difficulty in ankyloglossia testing.
• C. 'Mama' involves bilabial sounds requiring lip closure, not tongue tip elevation.
• D. 'Pop' involves bilabial plosive sounds, not tongue tip elevation.