Question 183 · LEK · Acute pharyngitis and tonsillitis
A 15-year-old boy called at the doctor’s office because of discomfort, runny nose and cough. The measured temperature was 37.5°C. On physical examination reddish and swollen throat and rhinitis. The physician assigned the patient 1 point according to Centor/McIsaac criteria. Consequently, he should treat the boy with:
- A. oral penicillin because the common pathogen causing pharyngitis is Streptococcus pyogenes.
- B. macrolide, because of possible coinfection with atypical microorganisms in the upper respiratory tract.
- C. symptomatic treatment only.
- D. acyclovir, because the identified signs and symptoms indicate a viral infection.
- E. synthetic antimicrobial drug (trimethoprim/sulfamethoxazole) because in mild infection bactericidal antibiotics are not necessary.
Hint
A Centor/McIsaac score of 1 implies a very low probability of streptococcal pharyngitis — what does that mean for antibiotics?
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
- The indication for an urgent hospitalization of a child with bronchial asthma is:
- Indicate the false statement of hives:
- A thirteen-year-old boy has been complaining for several weeks of abdominal pain and black stools. What test should be performed first?
- In a 10-day-old neonate marked bilateral edemas of the limbs and periorbital edemas occurred. The most probable cause is:
- Which of the following is recommended in a 2-year old child diagnosed with acute pyelonephritis?
- Indicate the false statement concerning broncholitis: