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Epiglottitis — USMLE Step 3 MCQ

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HardEmergency MedicineEpiglottitisUSMLE Step 3

A 55-year-old man with diabetes presents to urgent care with fever, severe sore throat, muffled voice, and drooling. He is sitting upright and appears anxious. Oropharyngeal examination is limited because he cannot tolerate a tongue depressor. Oxygen saturation is 96% on room air. Which of the following is the most appropriate at this time?

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

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Correct answer: E — Arrange controlled airway management in the operating room

Adult epiglottitis can deteriorate rapidly; suspected airway compromise requires controlled airway management with experienced personnel rather than provocative examination.

Reference: IDSA upper airway infection guidance