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ENT · Larynx
Sample itemWhat is the immediate priority in suspected acute epiglottitis with stridor and drooling?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Protect the airway and avoid upsetting examination
Epiglottitis can deteriorate rapidly; airway expertise is required and unnecessary throat manipulation may precipitate complete obstruction.
Option by option
A. Inspect the throat vigorously with a tongue depressor
Forceful examination can worsen upper-airway obstruction.
B. Give oral fluids while lying flat
Oral intake may be unsafe with swallowing difficulty.
C. Protect the airway and avoid upsetting examination (correct)
Correct: controlled airway management takes priority.
D. Arrange routine hearing assessment
Hearing assessment is irrelevant to acute airway risk.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.