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Epiglottitis in an adult — RCPSC EM MCQ

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HardRespiratory emergenciesEpiglottitis in an adultRCPSC EM

CTAS 1: A 48-year-old has fever, severe sore throat, muffled voice and drooling. Vitals are T 39.1°C, HR 122, RR 26, SpO2 93% sitting upright. Oropharynx looks relatively normal. Lateral neck radiograph from urgent care suggests a swollen epiglottis. What is the most appropriate next step?

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

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Correct answer: E — Keep upright and arrange controlled airway management with ENT and anaesthesia

Adult epiglottitis can deteriorate rapidly. Avoid agitation and supine positioning; controlled airway planning with expert help, IV antibiotics and monitoring are priorities.

Reference: Canadian airway emergency practice; infectious disease guidance