**Question:** Tonsillectomy is done after _weeks_ of attacks of quinsy.

**Core Concept:** Quinsy is a severe, potentially life-threatening complication of tonsillitis, characterized by the formation of a necrotic abscess in the tonsillar crypts. Tonsillectomy is a surgical procedure to remove the tonsils, often indicated in cases of recurrent or severe tonsillitis.

**Why the Correct Answer is Right:**
Tonsillectomy is indicated for quinsy when the abscess cannot be drained adequately with conservative management. Waiting for a certain duration allows the abscess to rupture spontaneously, enabling better visualization and removal of the tonsils during surgery. The correct answer is **D. 4-6 weeks**, as this time frame provides sufficient opportunity for the abscess to resolve partially or completely, improving the surgical outcome and reducing the risk of complications.

**Why Each Wrong Option is Incorrect:**

A. Tonsillectomy should be performed immediately: This is incorrect because waiting for a few days allows the abscess to rupture, reducing the risk of complications associated with premature surgery, such as hemorrhage and infection.

B. Tonsillectomy should be done after 1 week: This is incorrect because the abscess may not have had sufficient time to resolve, which can lead to complications during surgery.

C. Tonsillectomy should be done after 2 weeks: This is incorrect because, while waiting for too long increases the risk of complications, the abscess may still not have resolved adequately after 2 weeks, making the surgery more challenging.

**Why the Correct Answer is Right:**
Waiting for 4-6 weeks allows the abscess to rupture spontaneously and helps in achieving a better surgical outcome. The tonsils can be more easily visualized and removed, reducing the chances of complications. Additionally, the inflammation has typically resolved, making the procedure safer.

**Clinical Pearl:**
In cases of quinsy, ensuring a suitable waiting period before tonsillectomy helps in reducing complications and improving surgical outcomes. This period allows the abscess to rupture naturally and ensures a more effective surgical procedure with fewer risks.