Question 192 · LEK · Acute pharyngitis and tonsillitis
Indicate the false statement concerning the management of streptococcal pharyngitis:
- A. there is no need to determine the susceptibility of Streptococcus pyogenes to antibiotics.
- B. probability of Streptococcus pyogenes infection can be assessed with the use of Centor criteria.
- C. phenoxymethylpenicillin is the drug of choice in the treatment of streptococcal pharyngitis.
- D. doxycycline should be used in patients with hypersensitivity type I to penicillin.
- E. when in doubts whether the patient will take orally phenoxymethylpenicillin, benzathine benzylpenicillin should be administered in a single dose intramuscularly.
Hint
Recall the alternatives to penicillin in true allergy and whether S. pyogenes is reliably susceptible to tetracyclines.
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