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
4 year old male, recurrent URTI, has difficulty breathing, High arched palate, Failure to grow and impaired hearing, management is 
Select and explain. 
A. Tonsillectomy, B. Adenoidectomy, C. Antibiotics and nasal decongestants, D. Adenoidectomy with grommet insertion
D: Adenoidectomy with grommet insertion
Answer: D: Adenoidectomy with grommet insertion 
Explanation: None