Pharynx and tonsils: sialorrhoea management: 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: sialorrhoea management

Sample item

A child with cerebral palsy has severe drooling with recurrent aspiration. After failure of glycopyrrolate, which procedure may be offered?

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

The answer and the reasoning

B. Botulinum toxin injection into the submandibular and parotid glands

Sialorrhoea in neurological disease is treated with anticholinergics such as glycopyrrolate, followed by botulinum toxin into the salivary glands. Surgical options include submandibular duct relocation or ligation and gland excision. Laryngeal separation is a last resort for intractable aspiration.

Option by option

  • A. Total glossectomy

    Glossectomy is not used.

  • B. Botulinum toxin injection into the submandibular and parotid glands (correct)

    Correct. Botulinum toxin reduces salivary secretion.

  • C. Laryngectomy

    Laryngectomy is far too radical.

  • D. Tonsillectomy

    Tonsillectomy does not reduce drooling.

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 B, Botulinum toxin injection into the submandibular and parotid glands. Sialorrhoea in neurological disease is treated with anticholinergics such as glycopyrrolate, followed by botulinum toxin into the salivary glands.

Why is "Total glossectomy" not the answer?

Glossectomy is not used.

Why is "Laryngectomy" not the answer?

Laryngectomy is far too radical.

Why is "Tonsillectomy" not the answer?

Tonsillectomy does not reduce drooling.

What concept does this question test?

It tests Pharynx and tonsils: sialorrhoea management in ENT. Surgical options include submandibular duct relocation or ligation and gland excision. Laryngeal separation is a last resort for intractable aspiration.

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: sialorrhoea management?

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.