Question 316 · LEK · Acute pharyngitis and tonsillitis
A 16-year-old male patient reported to a physician due to a sore throat, fever up to 39°C and enlarged cervical lymph nodes. There was a sudden onset of the symptoms. The patient does not cough, does not have a runny nose. The physical examination revealed reddening of the palatine tonsils, no abnormalities were detected, otherwise. Indicate the right further management:
- A. antipyretic treatment, local anaesthetics into the throat.
- B. antipyretic treatment, treatment with amoxicillin for 7 days.
- C. antipyretic treatment, treatment with phenoxymethylpenicillin for 10 days.
- D. a rapid test for Streptococcus pyogenes infection, and if the test is positive, treatment with phenoxymethylpenicillin for 10 days.
- E. a rapid test for Streptococcus pyogenes infection, and if the test is positive, treatment with phenoxymethylpenicillin for 7 days.
Hint
Score the patient using Centor/McIsaac criteria and recall the recommended length of penicillin treatment for confirmed strep throat.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Pediatrics
- What are the most common pathogens that cause of meningitis in newborns?
- Due to the necessity to fill the vascular bed in case of sepsis in a child who weighs 15kg, within the first ten minutes cristalloids should be…
- Indicate the right diagnosis in a 3-year-old boy with the following capillary blood gas analysis parameters - pH 7.3, pCO₂ 55 mmHg, HCO₃⁻ 22 mmol/L…
- Which of the following is true about pyloric hypertrophy (pylorostenosis)?
- Glycogenoses are rare metabolic diseases in which glycogen is stored in different organs. Which of the following is a glycogenosis connected with an…
- Which of the following diseases is associated with niacin/nicotinamide deficiency?