A 39-year-old with a 1-day history of severe sore throat, fever, tender anterior cervical nodes, tonsillar exudates, and no cough has a Centor score o...

Question

A 39-year-old with a 1-day history of severe sore throat, fever, tender anterior cervical nodes, tonsillar exudates, and no cough has a Centor score of 4. Rapid antigen test is positive for GAS; no penicillin allergy. What is first-line therapy?

Accepted Answer

Penicillin V 500 mg twice or three times daily for 10 days

Answer

Azithromycin 500 mg daily for 3 days

Answer

Levofloxacin 500 mg daily for 5 days

Answer

Clindamycin 300 mg TID for 5 days

Answer

Ceftriaxone 1 g IM once

us-abfm MCQ (SBA): Streptococcal Pharyngitis

A 39-year-old with a 1-day history of severe sore throat, fever, tender anterior cervical nodes, tonsillar exudates, and no cough has a Centor score of 4. Rapid antigen test is positive for GAS; no penicillin allergy. What is first-line therapy?