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Group A streptococcal pharyngitis — ABFM Board MCQ

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EasyInfectious diseaseGroup A streptococcal pharyngitisABFM Board

A 12-year-old boy has fever, sore throat, tonsillar exudates, tender anterior cervical nodes, and no cough. Rapid antigen detection test is positive. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Oral penicillin or amoxicillin

Confirmed group A streptococcal pharyngitis is treated with penicillin or amoxicillin to reduce complications and transmission.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html