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Pediatrics · Respiratory: epiglottitis
Sample itemA febrile child is drooling, sitting forward, has muffled voice, and inspiratory distress. What is the safest immediate principle?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Avoid upsetting airway examination and arrange expert airway management
Suspected epiglottitis is an airway emergency. Agitation and direct pharyngeal examination can precipitate complete obstruction, so the child should remain calm while experienced airway support is mobilized.
Option by option
A. Use a tongue depressor to inspect the throat immediately
Direct inspection can trigger sudden airway obstruction.
B. Send home with cough syrup
Cough syrup is unsafe and inadequate.
C. Force the child to lie flat
Forcing supine positioning may worsen distress and airway compromise.
D. Avoid upsetting airway examination and arrange expert airway management (correct)
Correct. Protecting the airway without provoking distress is paramount.
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.
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