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ENT · Paediatric ENT
Sample itemWhat is the commonest reason children require adenoid assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Persistent nasal obstruction with snoring or recurrent otitis media
Enlarged adenoids can obstruct the nasopharynx and impair Eustachian tube function, producing mouth breathing, snoring, and recurrent middle-ear effusion.
Option by option
A. Acute sensorineural deafness after noise
Noise injury affects cochlear hearing.
B. Persistent nasal obstruction with snoring or recurrent otitis media (correct)
Correct: adenoid hypertrophy commonly affects airway and middle-ear ventilation.
C. Progressive dysphagia with weight loss
Progressive dysphagia needs malignancy or structural evaluation.
D. Sudden unilateral facial paralysis
Facial paralysis has another neurological cause.
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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