Knowledge-intensive multimodal question answering (KI-MMQA) sits at the intersection of three expensive primitives: long visual token sequences, dense retrieval over large external corpora, and full cross-modal fusion. Existing systems pay all three costs uniformly per query, even though only a small fraction of visual content and retrieved knowledge is actually relevant to any given question. We introduce SKIP (Salient Knowledge-Injected Pathways), a unified inference architecture that routes computation along sparse pathways jointly conditioned on the question, the image, and a difficulty estimate. SKIP combines question-guided visual token pruning, region-conditional sparse retrieval, bipartite sparse cross-attention, and speculative knowledge verification with an adaptive budget controller that allocates compute proportional to predicted question difficulty. We derive an information-bottleneck bound showing that the optimal visual sparsity rate scales as $O(1/\sqrt{N})$ under realistic question-image mutual-information assumptions, with retained accuracy guarantees. Across five KI-MMQA benchmarks (OK-VQA, A-OKVQA, InfoSeek, Encyclopedic-VQA, and ViQuAE), SKIP matches or exceeds the accuracy of strong dense baselines while using $3.4$--$6.8\times$ fewer FLOPs and $2.7\times$ less end-to-end latency. Code available at: https://pmlrbd.github.io/skip/

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