Re:nbme 1 q.. xplain - dr_whats

[ArchivalUser]

A 7-year-old girl is brought to the physician in September because of fever and sore throat for 1
day. She is in the third week of second grade. Her temperature is 38.6 C (101.5 F). Examination
shows an erythematous pharynx and slightly enlarged tonsils without exudate. There is no
significant cervical lymphadenopathy. A rapid test for group A streptococcus is negative. Which of
the following is the most appropriate next step in management?
A
) Monospot test
B
) Throat culture
C
) Intramuscular penicillin therapy
D
) Oral erythromycin therapy
E
) Oral penicillin therapy

[ArchivalUser]

throat culture.
after that start with oral amoxicillin change the drug depending on the results!!!

[ArchivalUser]

no cervical lyphadenopathy excludes possibility of IM...now if Rapid strep Ag test +ve ---. no thorat culture require, start antibiotics, but if negetive---> thorat culture is done...

[ArchivalUser]

it is a total 10 day course if the and the results take 2days to comeout,so if the results are positive continue for next 8 days if negative for streptococcus, and positive for other organism switch to other drug.