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
A 6 year old child presented with recurrent UI, mouth breathing and failure to grow. On examination he has high arched palate and impaired hearing. What is the management of choice in this child? 
Select and explain. 
A. Myringotomy, B. Myringotomy with grommet inseion, C. Adenoidectomy with grommet inseion, D. Tonsillectomy
C: Adenoidectomy with grommet inseion
Answer: C: Adenoidectomy with grommet inseion 
Explanation: Child in the question is showing features of adenoid hyperplasia as indicated by mouth breathing, nasal obstruction and recurrent UI. He has impaired hearing as a result of serous otitis media which occur as a complication of adenoid hyperplasia. So the treatment of choice is adenoidectomy with grommet inseion which will take care of both the adenoid as well as serous otitis media.