Nasopharynx: adenoid hypertrophy: 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 · Nasopharynx: adenoid hypertrophy

Sample item

A 6-year-old with mouth breathing, snoring and recurrent otitis media with effusion needs assessment of adenoid size. Which is the usual simple investigation?

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

The answer and the reasoning

B. Lateral soft tissue radiograph of the nasopharynx or flexible nasendoscopy

A lateral radiograph shows the adenoid-nasopharyngeal ratio, and flexible endoscopy gives direct views. Adenoid facies (open mouth, pinched nostrils and high-arched palate) is the long-term consequence.

Option by option

  • A. Barium swallow

    Barium swallow evaluates the oesophagus.

  • B. Lateral soft tissue radiograph of the nasopharynx or flexible nasendoscopy (correct)

    Correct. A lateral radiograph or endoscopy shows the adenoid size.

  • C. Chest X-ray

    A chest X-ray does not show the nasopharynx.

  • D. Audiometry alone

    Audiometry does not show adenoid size.

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, Lateral soft tissue radiograph of the nasopharynx or flexible nasendoscopy. A lateral radiograph shows the adenoid-nasopharyngeal ratio, and flexible endoscopy gives direct views.

Why is "Barium swallow" not the answer?

Barium swallow evaluates the oesophagus.

Why is "Chest X-ray" not the answer?

A chest X-ray does not show the nasopharynx.

Why is "Audiometry alone" not the answer?

Audiometry does not show adenoid size.

What concept does this question test?

It tests Nasopharynx: adenoid hypertrophy in ENT. Adenoid facies (open mouth, pinched nostrils and high-arched palate) is the long-term consequence.

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 Nasopharynx: adenoid hypertrophy?

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.