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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Management of a 6-year-old child with recurrent URTI with mouth breathing and failure to thrive with high arched palate and impaired hearing is:
assistant
The correct answer is  (d) Adenoidectomy with grommet insertion(Ref. Scott Brown, Vol 2; 288)Recurrent URTI with mouth breathing and failure to thrive in the given 6-year-old child with high arched palate is due to persistently hypertrophied adenoids.The impaired hearing is due to serous otitis media which in turn is because of hypertrophied adenoids blocking the Eustachian tubes.So treatment will be adenoidectomy with grommet insertion.