A 5-year-old boy presents with a 2-day history of fever, sore throat, and difficulty swallowing. On examination, he has enlarged tonsils coated with w...

Question

A 5-year-old boy presents with a 2-day history of fever, sore throat, and difficulty swallowing. On examination, he has enlarged tonsils coated with white exudate, tender cervical lymphadenopathy, and a temperature of 38.8°C. He has no rash. What is the most appropriate initial management approach according to NICE/CKS guidance?

Accepted Answer

Advice on self-care and safety netting

Answer

Amoxicillin 250mg TDS for 7 days

Answer

Throat swab for bacterial culture

Answer

Azithromycin 200mg OD for 3 days

Answer

Rapid antigen detection test (RADT) for Group A Streptococcus

ukmla MCQ (SBA): Acute Tonsillitis