This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (E.N.T.), Subject name: ENT
[{'content': 'A children presents with recurrent upper respiratory tract infection with mouth breathing and impairment of hearing. Treatment is \nSelect and explain. \nA. Tonsillectomy, B. Grommet insertion, C. Adenoidectomy + Grommet insertion, D. Tympanoplasty', 'role': 'user'}, {'content': 'Answer: C \nExplanation: (Adenoidectomy + Grommet insertion) (228- Dhingra 4th)* Recurrent URTI + mouth breathing and impairment of hearing reflects - diagnosis is ADENOIDSClinical featuresAetiology - Physiological enlargement* Recurrent attack of rhinitis, sinusitis or chronic tonsillitis* URTI** Nasal symptoms Aural Symptoms General Symptoms* Nasal obstruction is the commonest symptoms. This leads to mouth breathing*** Nasal discharge* Sinusitis - chronic maxillary sinusitis* Epistaxis* Voice change - toneless(i) Tubal obstruction 1/t conductive hearing loss**(ii) Recurrent attacks of Acute otitis media(iii) CSOM(iv) Serous otitis media**(1) Adenoid facies(2) Pulmonary hypertension and cor pulmonale* Adenoidectomy + Grommet insertion is treatment of choice', 'role': 'assistant'}]