Pharynx and tonsils: mandibular advancement device: 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: mandibular advancement device

Sample item

A 40-year-old thin man with mild obstructive sleep apnoea and retrognathia cannot tolerate CPAP. Which alternative is most suitable?

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

The answer and the reasoning

B. Custom mandibular advancement device

Oral appliances hold the mandible forward and enlarge the retroglossal airway, helping mild to moderate apnoea and CPAP-intolerant patients. Tracheostomy is a last resort and sedatives worsen collapse.

Option by option

  • A. Nasal decongestant at night

    Decongestants offer little for a retroglossal problem.

  • B. Custom mandibular advancement device (correct)

    Correct. A mandibular advancement device is suitable for mild disease with retrognathia.

  • C. Tracheostomy

    Tracheostomy is reserved for life-threatening disease unresponsive to all other measures.

  • D. Sedative hypnotic

    Sedatives relax the airway and worsen apnoea.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Custom mandibular advancement device. Oral appliances hold the mandible forward and enlarge the retroglossal airway, helping mild to moderate apnoea and CPAP-intolerant patients.

Why is "Nasal decongestant at night" not the answer?

Decongestants offer little for a retroglossal problem.

Why is "Tracheostomy" not the answer?

Tracheostomy is reserved for life-threatening disease unresponsive to all other measures.

Why is "Sedative hypnotic" not the answer?

Sedatives relax the airway and worsen apnoea.

What concept does this question test?

It tests Pharynx and tonsils: mandibular advancement device in ENT. Tracheostomy is a last resort and sedatives worsen collapse.

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: mandibular advancement device?

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.