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Group A streptococcal pharyngitis — MCCQE Part 1 MCQ

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EasySore ThroatGroup A streptococcal pharyngitisMCCQE Part 1

A 9-year-old has fever, sore throat, tender anterior cervical nodes and tonsillar exudate without cough. Rapid antigen test is positive for group A streptococcus. Which of the following is the most appropriate treatment?

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Correct answer: A — Penicillin V or amoxicillin

Confirmed group A streptococcal pharyngitis should be treated with penicillin or amoxicillin to reduce complications and transmission. Macrolides are reserved for selected penicillin-allergic patients and local resistance matters. Tonsillectomy is not acute treatment for a routine episode.

Reference: Canadian Paediatric Society group A streptococcal pharyngitis guidance