Boutique Consulting Exit Opportunity

I was wondering what are the exit opportunities of a boutique consulting firm? is it possible to get into a top 10 b school after 2 years of work?
-should i try to look for something specialized?
-will I be at a disadvantage because I am not from a MBB. I was set on going to med school until my senior year. I decided I hated it and went looking for jobs. Sorta found my place in consulting.
-should i try to get a job at a feeder firm for a year or two then apply to b-school

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