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Adult epiglottitis — ABEM Board MCQ

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ModeratePulmonary emergenciesAdult epiglottitisABEM Board

A 29-year-old man arrives as ESI 3 with severe sore throat, drooling, and muffled voice. Temperature is 39.0 C, HR 118, RR 24, SpO2 95%. He is sitting forward and has no cough. 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: D — Prepare for controlled airway management with ENT/anesthesia support

Adult epiglottitis requires airway-focused management in a controlled setting; agitation and blind examination can precipitate obstruction.

Reference: Tintinalli Emergency Medicine; IDSA upper airway infection guidance