Which patient group should not have blindly placed feeding tubes?

• A. Head and neck pathology
• B. Diabetes mellitus
• C. Hypertension
• D. Osteoarthritis

Answer: (A)

Blind placement of feeding tubes is risky when head and neck pathology is present because the anatomy in that region can be distorted or the skull base may be compromised. This raises the chance that a tube inserted nasogastrically or orogastrically could enter the cranial cavity through a defect, or injure surrounding structures, leading to serious complications such as meningitis or brain injury. In these patients, tube placement should be guided by endoscopy or confirmed with imaging before use. The other conditions listed do not inherently alter head and neck anatomy in a way that makes blind tube placement unsafe, so they don’t carry the same contraindication.