This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ear, Subject name: ENT
[{'content': 'Treatment of a 6-year-old child with recurrent UI, mouth breathing, failure to grow with high arched palate and impaired hearing is \nSelect and explain. \nA. Tonsillectomy, B. Grommet inseion, C. Myringotomy with grommet inseion, D. Adenoidectomy with grommet inseion', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Mouth breathing with recurrent UI suggest adenoid hyperplasia, treatment is adenoidectomy. Hearing impairment and the option of myringotomy and grommet inseion suggests the patient is also suffering from serious otitis media (glue ear/secretory otitis media), which is one of the complications of adenoid hyperplasia. Treatment of glue ear requires myringotomy and grommet inseion. Ref: Textbook of disease of ENT, PL Dhingra,7th edition; pg no: 70', 'role': 'assistant'}]