Which signs are most characteristic of epiglottitis?

• A. Drooling, dysphagia, tripod position
• B. Runny nose with barking cough
• C. Wheezing with exertion
• D. Cough with chest tightness

Answer: (A)

Epiglottitis causes rapid airway obstruction, so the signs that are most characteristic reflect this effort to keep the airway open. Drooling occurs because swallowing is painful with an inflamed epiglottis, making it hard to swallow saliva. Dysphagia follows from that same swelling and obstruction. The tripod position—leaning forward with the neck extended and the jaw thrust forward—helps maximize airway patency by using accessory neck and chest muscles to improve airflow. These findings together point to a supraglottic process causing airway compromise. By contrast, a runny nose with a barking cough is classic for croup, while wheezing with exertion or a cough with chest tightness suggests asthma or reactive airway disease. Epiglottitis is an emergency, requiring prompt medical evaluation and airway management.