Question 230 · LEK · Tonsillar hypertrophy

In a 4-year-old child with recurrent respiratory tract infections, hearing impairment and snoring the physical examination showed high-arched palate, distoclusion, mouth breathing and the presence of exudation in the nasal ducts. The most probable cause of the abnormalities is:

  1. A. chronic sinusitis.
  2. B. chronic rhinitis.
  3. C. hypertrophy of the pharyngeal tonsil.
  4. D. hypertrophy of the palatine tonsils.
  5. E. chronic otitis media.
Hint

Combine nasal obstruction, mouth breathing, snoring, conductive hearing loss and craniofacial changes in a preschooler.

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