A 17-year-old presents with fever, sore throat and hoarseness. Examination shows enlarged tonsils with exudate and tender anterior cervical nodes. No ...

Question

A 17-year-old presents with fever, sore throat and hoarseness. Examination shows enlarged tonsils with exudate and tender anterior cervical nodes. No cough. Centor score is 4. Best antibiotic strategy?

Accepted Answer

Immediate penicillin V for 5-10 days

Answer

No antibiotics

Answer

Co-amoxiclav for 3 days

Answer

Clarithromycin for 10 days (no allergy)

Answer

Azithromycin single dose

mrcgp akt MCQ (SBA): Streptococcal pharyngitis

A 17-year-old presents with fever, sore throat and hoarseness. Examination shows enlarged tonsils with exudate and tender anterior cervical nodes. No cough. Centor score is 4. Best antibiotic strategy?