A 15-year-old boy presents with fever, sore throat, tender cervical lymphadenopathy and exudative tonsils. He has no cough. His Centor score is 4. Acc...

Question

A 15-year-old boy presents with fever, sore throat, tender cervical lymphadenopathy and exudative tonsils. He has no cough. His Centor score is 4. According to Canadian primary care guidelines, which management is appropriate?

Accepted Answer

Empiric penicillin or amoxicillin for presumed streptococcal pharyngitis

Answer

No investigation or treatment; it is likely viral

Answer

Throat swab and treat only if positive for group A streptococcus

Answer

Routine use of macrolides in all cases

Answer

Immediate tonsillectomy

ca-mccqe1 MCQ (SBA): Streptococcal pharyngitis

A 15-year-old boy presents with fever, sore throat, tender cervical lymphadenopathy and exudative tonsils. He has no cough. His Centor score is 4. According to Canadian primary care guidelines, which management is appropriate?