Adenoidal Hypertrophy — RACP Paediatrics MCQ

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EasyRespiratoryAdenoidal HypertrophyRACP Paediatrics

A 3-year-old with recurrent otitis media and snoring has tonsillar hypertrophy (grade 4, kissing tonsils) and mouth breathing at rest. What is the most likely cause of his nasal obstruction?

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Correct answer: A — Adenoidal hypertrophy

Adenoidal hypertrophy is the most common cause of nasal obstruction in young children. It contributes to mouth breathing, snoring, OSA, recurrent otitis media with effusion, and rhinosinusitis. Adenoidectomy +/- tonsillectomy is indicated for significant symptoms.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Adenotonsillar Hypertrophy