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Epiglottitis — USMLE Step 2 CK MCQ

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EasyPediatricsEpiglottitisUSMLE Step 2 CK

A 3-week-old African American girl comes to the pediatric clinic because of new symptoms noticed by a caregiver. History and focused examination are notable for toxic appearance, drooling, tripod position, and muffled voice. Temperature is 100.6°F (38.1°C), blood pressure is age appropriate, pulse is 128/min, respirations are 32/min, and oxygen saturation is 96% on room air. Physical examination confirms the key finding and shows no unrelated abnormality that would better explain the presentation. Growth parameters, hydration status, and focused testing are consistent with the described pediatric presentation. Which of the following is the most appropriate next step in management?

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

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Correct answer: B — Airway management in the operating room

The vignette describes Epiglottitis, supported by toxic appearance, drooling, tripod position, and muffled voice. Airway management in the operating room is the single best answer because it matches the diagnostic or management priority in this clinical setting. The other choices are plausible alternatives in related presentations, but they do not best fit the timing, findings, and guideline-directed approach described here.

Reference: AAP Red Book Epiglottitis Guidance