A 29-year-old with severe sore throat, fever, tender anterior cervical nodes, tonsillar exudates, no cough. Centor/McIsaac score 4. Best next step?...

Question

A 29-year-old with severe sore throat, fever, tender anterior cervical nodes, tonsillar exudates, no cough. Centor/McIsaac score 4. Best next step?

Accepted Answer

Rapid antigen detection test then treat if positive

Answer

Empiric penicillin without testing

Answer

Throat culture only

Answer

Azithromycin empirically for 3 days

Answer

No antibiotics even if positive

us-abfm MCQ (SBA): Streptococcal Pharyngitis