A 17-year-old boy with acute sore throat, fever, tender anterior cervical nodes, and tonsillar exudates. No cough. Centor score 4. Best management?...

Question

A 17-year-old boy with acute sore throat, fever, tender anterior cervical nodes, and tonsillar exudates. No cough. Centor score 4. Best management?

Accepted Answer

Immediate penicillin V for 10 days

Answer

Immediate co-amoxiclav for 5 days

Answer

No antibiotics; safety-net only

Answer

Macrolide empirically for 3 days

Answer

Throat swab then wait for results

mrcgp akt MCQ (SBA): Acute Tonsillitis