Upper airway

Question	Answer
1. Tim is 4 years old and his parents bring him to see you because he snores at night. What questions do you ask on history to find out if he has obstructive sleep apnoea (OSA)?	How loudly does he snore? Have there been any episodes of apnoea Does he wake up at night with coughing, gagging or vomiting? Any history of nocturnal enuresis Does he wake up frequently at night? Does he wake up tired in the morning?
2. What are the causes of snoring in children?	Hypertrophied adenoids and tonsils Allergic rhinitis Foreign body in the nose Septal deviation Large tongue
3. What do you do if you suspect that a child has significant OSA due to large adenoids?	Refer them to an ENT surgeon.
4. TRUE/FALSE? A. All children with snoring should have adenoidectomy.	False. In the absence of OSA children who snore do not require an adenoidectomy.
4. TRUE/FALSE? B. Topical nasal steroid spray can be useful for treatment of children with snoring due to allergic rhinitis.	True.
4. TRUE/FALSE? C. Children with quinsy have trismus.	True.
4. TRUE/FALSE? D. Children with Down syndrome are at risk of obstructive sleep apnoea.	True.
4. TRUE/FALSE? E. Children who have had 6 or more attacks of tonsillitis in a year or 4-5 attacks per year for 2 years or 3 attacks per year for 3 years warrant tonsillectomies.	True.

Resource summary

	Created by Averil Tam over 6 years ago