Pharynx and tonsils: Friedman tongue position: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Pharynx and tonsils: Friedman tongue position

Sample item

A patient with obstructive sleep apnoea is examined, and the surgeon grades how much of the uvula and tonsils are visible with the tongue in a neutral position and mouth open. Which staging system is this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Friedman tongue position

Friedman tongue position grades the oropharyngeal view from I (uvula and pillars visible) to IV (only hard palate visible) and, with tonsil size and BMI, predicts the success of palatal surgery. The Mallampati grade is similar, but it is taken with protruded tongue. It helps choose surgical candidates.

Option by option

  • A. Friedman tongue position (correct)

    Correct. It predicts success of palate surgery in OSA.

  • B. House-Brackmann grading

    House-Brackmann grades facial palsy.

  • C. Cormack-Lehane grading

    Cormack-Lehane grades the laryngoscopic view.

  • D. Chandler classification

    Chandler classifies orbital complications of sinusitis.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Friedman tongue position. Friedman tongue position grades the oropharyngeal view from I (uvula and pillars visible) to IV (only hard palate visible) and, with tonsil size and BMI, predicts the success of palatal surgery.

Why is "House-Brackmann grading" not the answer?

House-Brackmann grades facial palsy.

Why is "Cormack-Lehane grading" not the answer?

Cormack-Lehane grades the laryngoscopic view.

Why is "Chandler classification" not the answer?

Chandler classifies orbital complications of sinusitis.

What concept does this question test?

It tests Pharynx and tonsils: Friedman tongue position in ENT. The Mallampati grade is similar, but it is taken with protruded tongue. It helps choose surgical candidates.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pharynx and tonsils: Friedman tongue position?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.