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Epiglottitis — RCPSC EM MCQ

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HardRespiratory emergenciesEpiglottitisRCPSC EM

CTAS 1. A 49-year-old with diabetes has fever, severe sore throat, drooling, and muffled voice. He sits leaning forward and becomes anxious when examined. SpO2 is 94%, RR 26, and lateral neck x-ray is not yet obtained. What is the most appropriate next step?

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Correct answer: C — Call anaesthesia and ENT for controlled airway management

Adult epiglottitis with drooling and distress requires minimal stimulation and expert controlled airway planning with antibiotics after airway priorities.

Reference: Canadian Airway Focus Group recommendations; Tintinalli's Emergency Medicine