Check for symmetric elevation of palate-uvula with phonation (“ahh”), as well as position of uvula and palatal arch at rest. Sensation in region of tonsils, posterior pharynx, and tongue may also require testing. Pharyngeal (“gag”) reflex is evaluated by stimulating posterior pharyngeal wall on each side with a blunt object (e.g., tongue blade). Direct examination of vocal cords by laryngoscopy is necessary in some situations.