Tonsillectomy Indications — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

EasyInfectious DiseaseTonsillectomy IndicationsRACP Paediatrics

A 3-year-old has enlarged tonsils (grade 3-4) but no symptoms. His mother asks if tonsillectomy is needed. What is the advice?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Tonsillectomy is not indicated for tonsillar hypertrophy alone without symptoms

Tonsillectomy is indicated for symptomatic obstruction (OSA), recurrent tonsillitis (Paradise criteria: ≥7 episodes/year, ≥5/year × 2 years, or ≥3/year × 3 years), or peritonsillar abscess. Asymptomatic hypertrophy alone is not an indication.

Reference: RCH Melbourne – 2024