Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
             sinuses, pharynx or larynx. This commonly includes nasal 
obstruction, sore throat, tonsillitis, pharyngitis, laryngitis, sinusitis, otitis 
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media and the common cold. Most infections are viral in nature and in 
other instances the cause is bacterial. 
 
 
1) Tonsillitis 
Introduction 
 The tonsils are two small rounded masses of tissue that can be seen in 
the back of the throat. 
 They are composed of tissue similar to the lymph nodes or glands 
and are part of the immune system. 
 The tonsils are thought to help protect the body from infection 
during the first year of life. 
Definition 
 Tonsillitis is a common viral infection in children; however, 20% of 
acute tonsillitis is caused by group A b-hemolytic streptococci 
(GABHS) and can lead to significant health problems. 
 It is spread by close contact with other individuals and occurs more 
during winter periods 
Incidence 
 Tonsillitis can occur at any age, however it most common at pre-
school children, when they start nursery or school and come into 
95 
 
contact with many new infections, but rarely in children less than 
two years of age. 
 
 
 
 
 
 
 
 
           Tonsillitis                                                                   Nasal area 
 
Nursing considerations 
 Encourage bed rest. 
 Introduce soft liquid diet according to the child's preferences. 
 Provide cool mist atmosphere to keep the mucous membranes moist 
during periods of mouth breathing. 
 Warm saline gargles &paracetamol are useful to promote comfort. 
 If antibiotics are prescribed, counsel the child's parents regarding 
the necessity of completing the treatment period. 
Management 
The controversy of tonsillectomy 
 Surgical removal of chronic tonsillitis (tonsillectomy) is controversial. 
Generally, tonsils should not remove before 3 or 4 yrs. of age, 
because of the problem of excessive blood loss & the possibility of re-
growth or hypertrophy of lymphoid tissue, in young children. 
96 
 
 If a child has severe tonsillitis that is recurrent, persistent and 
troublesome, i.e.; in cases where the child is subjected to around 4 
attacks a year for two years or more, then surgery should be 
considered as an option. 
 Surgery might also be considered if the tonsils were so large that they 
are causing breathing problems at night. 
Postoperative nursing care (after tonsillectomy) 
 Abdomen or side lying position to facilitate drainage of secretions. 
 Provide comfort and minimizing activities that precipitate bleeding. 
 Discourage from coughing, clearing their throat, blowing their nose 
that may aggravate the operation site. 
 Analgesics may be given rectally or intravenously to avoid the oral 
route. 
 Food and fluids are restricted until children are fully alert and there 
are no signs of bleeding. 
 Cool water, crushed ice, diluted fruit juice is given. 
 Soft foods, cooked fruits, mashed potatoes are started on the first or 
second postoperative day. 
 All secretions and vo

            Quiz: