Q:

A mother presents with her 3 year old son who has indistinct nasal speech. He snores at night and has restless sleep. He is tired by day. What is the best management strategy?

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A mother presents with her 3 year old son who has indistinct nasal speech. He snores at night and has restless sleep. He is tired by day. What is the best management strategy?


  1. Arrange hearing test
  2. Assess development milestones
  3. Refer to ENT surgeon
  4. Refer to speech therapist
  5. MRI brain

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The key is C. Refer to ENT surgeon. [Probable enlarged adenoid].

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