This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
[{'content': 'All of the following are indications for tonsillectomy except-a) Foreign body in tonsilsb) Unilateral enlargement of tonsils with suspected malignancyc) Keratin tonsild) Recurrent quinsy \nSelect and explain. \nA. ac, B. bc, C. ad, D. b', 'role': 'user'}, {'content': "Answer: A \nExplanation: Tonsillectomy\n\nTonsillectomy, as the name suggests, is the surgical procedure to remove the tonsils.\nOften, tonsillectomy is done at the same time as adenoidectomy.\n\nIndications\n\nIndications are divided into :-\n\nA) Absolute\n1.\xa0\xa0 Recurrent infections of throat. This is the most common indication. Recurrent infections are further defined\nas\n\nSeven or more episodes in one year, or\nFive episodes per year for 2 years, or\nThree episodes per year for 3 years, or\nTwo weeks or more of lost school or work in one year.\n\n2. Peritonsillar abscess. In children. tonsillectomy is done 4-6 weeks after abscess has been treated. In adults, second attack of peritonsillar abscess forms the absolute indication.\n3.\xa0\xa0 Tonsillitis causing febrile seizures.\n4.\xa0\xa0 Hypertrophy of tonsils causing\n\nAirway obstruction (sleep apnoea)\nDifficulty in deglutition\nInterference with speech.\n\n5.\xa0\xa0 Suspicion of malignancy. A unilaterally enlarged tonsil may be a lymphoma in children and an epidermoid\ncarcinoma in adults. An excisional biopsy is done.\nB) Relative \n\nDiphtheria carriers, who do not respond to antibiotics\nStreptococcal carriers, who may be the source of infection to others.\nChronic tonsillitis with bad taste or halitosis which is unresponsive to medical treatment.\nRecurrent streptococcal tonsillitis in a patient with valvular heart disease.\n\nC) As a part of Another Operation\n\nPalatopharyngoplaty which is done for sleep apnoea syndrome.\nGlossopharyngeal neurectomy. Tonsil is removed first and then IX nerve is severed in the bed of tonsil.\nRemoval of styloid process.\n\nAbout option 'a'\n\nForeign body in tonsils is very rare, and the treatment is removal of foreign body. I could not find any information about keratin tonsil.", 'role': 'assistant'}]