Nasopharynx: adenoidectomy contraindication: 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: adenoidectomy contraindication

Sample item

In which child is adenoidectomy relatively contraindicated?

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

The answer and the reasoning

D. Child with submucous cleft palate

Adenoids in a child with a submucous or overt cleft palate help close the nasopharyngeal isthmus during speech. Removal can cause velopharyngeal insufficiency with hypernasal speech and nasal regurgitation.

Option by option

  • A. Child with obstructive sleep apnoea

    Sleep apnoea due to adenoids is an indication.

  • B. Child with recurrent otitis media with effusion

    Recurrent effusion is an indication.

  • C. Child with chronic nasal obstruction

    Chronic obstruction due to adenoids is an indication.

  • D. Child with submucous cleft palate (correct)

    Correct. Cleft palate risks velopharyngeal insufficiency after adenoidectomy.

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 D, Child with submucous cleft palate. Adenoids in a child with a submucous or overt cleft palate help close the nasopharyngeal isthmus during speech.

Why is "Child with obstructive sleep apnoea" not the answer?

Sleep apnoea due to adenoids is an indication.

Why is "Child with recurrent otitis media with effusion" not the answer?

Recurrent effusion is an indication.

Why is "Child with chronic nasal obstruction" not the answer?

Chronic obstruction due to adenoids is an indication.

What concept does this question test?

It tests Nasopharynx: adenoidectomy contraindication in ENT. Removal can cause velopharyngeal insufficiency with hypernasal speech and nasal regurgitation.

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: adenoidectomy contraindication?

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.