🏥 USMLE Exam Prep

A 5-year-old boy presents with a 2-day history of fever, sore throat, and difficulty swallowing. On examination, he has inspiratory stridor, drooling, and is leaning forward in the 'tripod' position. He is unvaccinated. Which of the following is the most appropriate initial management?

A Oral antibiotics and discharge home
B Direct laryngoscopy in the emergency department
C Immediate endotracheal intubation in the operating room
D Nebulized racemic epinephrine and corticosteroids

✓ Correct Answer: Option C

The clinical presentation (fever, stridor, drooling, tripod position, unvaccinated) is highly suggestive of epiglottitis, a life-threatening airway emergency. Immediate securement of the airway in a controlled environment, like the operating room, is paramount.

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