This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pharynx, Subject name: ENT
[{'content': 'Adenoidectomy is contraindicated in: \nSelect and explain. \nA. Large adenoids, B. Large tonsils, C. Cleft lip, D. Cleft palate', 'role': 'user'}, {'content': 'Answer: D \nExplanation: (d) Cleft palate(Ref. Scott Brown, 6th ed., 6/18/12)Adenoidectomy in a child with cleft palate will lead to nasopharyngeal/velopharyngeal insufficiency so it is a contraindication.Large adenoids causing complications as discussed in the text is an indication of adenoidectomy.In a child who is simultaneously suffering due to large tonsils, tonsillectomy is done along with adenoidectomy in the same sitting.Cleft lip does not lead to nasopharyngeal/ velopharyngeal insufficiency after adenoidectomy.', 'role': 'assistant'}]