Question 1

Which of the following is true regarding pediatric obstructive sleep apnea?

Accepted Answer

Meta-analysis has shown improved ADHD in children post surgery

Answer

Those under the age of 3 are recommended to undergo adenoidectomy alone as first-line management.

Answer

Enuresis in children with OSA should seek Urology consultation prior to surgery

Answer

The use of CPAP in children has shown to have a greater than 99% success rate.

Question 2

A child has evidence of sore throat and fever. Examination reveals thick white pseudomembrane. What is the next best step in management?

Accepted Answer

Treatment for diptheria

Answer

Tuberculosis skin test

Answer

Culture swab of the tonsil

Answer

Initiation of dexamethasone

Question 3

A 3-year old male presents with repeated episodes of otitis media, adenoiditis, and bronchitis. The parent is concerned that he is ill more than the normal. There is evidence of dextrocardia. Which of the following is the next step in evaluating what is related to the repeated episodes of sinusitis, ear infections, and pneumonia?

Accepted Answer

Bronchoscopy with biopsy

Answer

Chest X-Ray

Answer

CT scan of the head without contrast

Answer

pH impedance probe

Question 4

A 5-year old Thai boy has otalgia post tonsillectomy. Which of the following is the cause of the referred pain?

Accepted Answer

Edema of the muscle with pressure on the CNIX

Answer

TMJ disorder

Answer

Mouth gag causing edema along the tongue with associated pain

Answer

Post-op acute otitis media

Question 5

Which of the following is not an indication for tonsillectomy

Accepted Answer

Recurrent URI

Answer

Post-transplant lymphoproliferative disorder

Answer

Two episodes of peritonsillar abscess

Answer

Sleep disordered breathing

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