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Streptococcal pharyngitis — ABFM Board MCQ

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ModerateInfectious diseaseStreptococcal pharyngitisABFM Board

A 6-year-old girl has fever, sore throat, palatal petechiae, and tender anterior cervical nodes. She has no cough. Rapid antigen test for group A streptococcus 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: CPenicillin or amoxicillin therapy

Confirmed group A streptococcal pharyngitis should be treated with penicillin or amoxicillin unless allergy is present. Therapy reduces rheumatic fever risk and transmission.

Reference: CDC Group A Streptococcal Pharyngitis Guidance