Maxillofacial surgery: Pierre Robin sequence: practice question

A Dentistry 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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Dentistry · Maxillofacial surgery: Pierre Robin sequence

Sample item

A newborn has a small receding jaw, a U-shaped cleft palate and respiratory distress as the tongue falls back. What is the initial management?

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

The answer and the reasoning

C. Prone or lateral positioning to relieve the airway

Pierre Robin sequence includes micrognathia, glossoptosis and cleft palate. Prone or lateral positioning moves the tongue forward, and persistent obstruction may need nasopharyngeal airway or surgery.

Option by option

  • A. Routine tracheostomy in all cases

    Tracheostomy is reserved for failed less invasive measures.

  • B. Immediate palate repair

    Palate repair is done later at about a year.

  • C. Prone or lateral positioning to relieve the airway (correct)

    Correct. Positioning is first-line.

  • D. Wait and observe with no positioning

    Untreated airway obstruction is dangerous.

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 Dentistry question

What is the answer to this Dentistry question?

The best answer is C, Prone or lateral positioning to relieve the airway. Pierre Robin sequence includes micrognathia, glossoptosis and cleft palate.

Why is "Routine tracheostomy in all cases" not the answer?

Tracheostomy is reserved for failed less invasive measures.

Why is "Immediate palate repair" not the answer?

Palate repair is done later at about a year.

Why is "Wait and observe with no positioning" not the answer?

Untreated airway obstruction is dangerous.

What concept does this question test?

It tests Maxillofacial surgery: Pierre Robin sequence in Dentistry. Prone or lateral positioning moves the tongue forward, and persistent obstruction may need nasopharyngeal airway or surgery.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Maxillofacial surgery: Pierre Robin sequence?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry 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.