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Epiglottitis — ABEM Board MCQ

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HardPediatric emergenciesEpiglottitisABEM Board

A 4-year-old underimmunized child arrives with fever, drooling, and respiratory distress. Triage acuity is ESI 1; T 103.6 F, HR 154/min, RR 34/min, SpO2 92%. He sits leaning forward and has muffled voice. Oropharyngeal exam has not been attempted. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Call anesthesia and ENT for controlled airway management in the operating room

Suspected epiglottitis requires minimal agitation and controlled airway management by experienced clinicians.

Reference: Pediatric airway emergency guidance