A 6-year-old child presents with recurrent episodes of acute tonsillitis. According to the Paradise criteria, which of the following meets the threshold for recommending tonsillectomy?
- A 7 episodes in the past year, 5 episodes/year in the past 2 years, or 3 episodes/year in the past 3 years ✓
- B 5 episodes in the past year for 2 consecutive years
- C 3 episodes in the past year with positive throat culture
- D 10 episodes in the past 2 years regardless of documentation
Correct answer: A. 7 episodes in the past year, 5 episodes/year in the past 2 years, or 3 episodes/year in the past 3 years
Explanation
Paradise criteria for tonsillectomy require 7 or more episodes in the past year, 5 or more episodes per year in the past 2 years, or 3 or more episodes per year in the past 3 years. Episodes must be documented, clinically evaluated, and meet specific criteria (fever, cervical lymphadenopathy, tonsillar exudate, or positive GAS culture).
Reference: Kliegman et al., Nelson Textbook of Pediatrics, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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