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Pathology · single question

First-line management of an uncomplicated tonsillolith is to:

  1. Immediately perform tonsillectomy
  2. Prescribe long-term antibiotics
  3. Gargle and rinse to dislodge it
  4. Surgically excise the tonsil tissue immediately
Show answer and explanation

Correct answer: C. Gargle and rinse to dislodge it

  • A. Incorrect – reserved for recurrent/symptomatic cases, not first-line.
  • B. Incorrect – not indicated for a simple tonsillolith.
  • C. Correct – conservative measures (saltwater gargle/rinse, gentle dislodgement, hygiene) are first-line.
  • D. Incorrect. Surgical excision/tonsillectomy is reserved for recurrent or refractory cases; a simple uncomplicated tonsillolith is first managed conservatively (gargling/dislodging).

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