A 7-year-old child presents with fever, sore throat, and swollen anterior cervical lymph nodes. Examination shows tonsillar exudates but also cough an...

Question

A 7-year-old child presents with fever, sore throat, and swollen anterior cervical lymph nodes. Examination shows tonsillar exudates but also cough and coryza. According to streptococcal pharyngitis management principles, what is the most appropriate approach?

Accepted Answer

Order throat culture or rapid antigen test and treat only if positive, given mixed viral features

Answer

Treat empirically with antibiotics for presumed Group A streptococcal pharyngitis

Answer

Give corticosteroids without antibiotics

Answer

No investigations and no follow-up

Answer

Start broad-spectrum intravenous antibiotics

ca-mccqe1 MCQ (SBA): Streptococcal pharyngitis vs viral sore throat

A 7-year-old child presents with fever, sore throat, and swollen anterior cervical lymph nodes. Examination shows tonsillar exudates but also cough and coryza. According to streptococcal pharyngitis management principles, what is the most appropriate approach?