Question

A 30-year-old with severe sore throat, drooling, and muffled voice has lateral neck radiograph showing thumb sign. Immediate management?

Accepted Answer

Airway evaluation and secure airway if needed, then IV antibiotics

Answer

IM penicillin and discharge

Answer

Oral steroids and outpatient follow-up

Answer

Nebulized epinephrine only

Answer

CT neck with contrast before any intervention

Practice question

A 30-year-old with severe sore throat, drooling, and muffled voice has lateral neck radiograph showing thumb sign. Immediate management?