During try-in a patient accidentally swallows a crown and is coughing. After confirming the airway is clear with no respiratory distress, the appropriate next step is to:

A swallowed or aspirated object must be localized. If the patient is not in respiratory distress, radiographs (chest and/or abdomen) confirm whether the object was swallowed (GI tract, usually passes spontaneously) or aspirated (airway, needs urgent removal). Persistent choking or distress suggests aspiration and requires emergency referral.Other options: Dismissing the patient without localization is negligent; surgery is not first-line; inducing vomiting risks aspiration.Key exam takeaway: Swallowed or aspirated object: secure the airway, then radiograph to localize (GI usually passes; airway = emergency).