A 29-year-old with sore throat, fever to 102.2°F, tender anterior cervical nodes, and tonsillar exudates has a Centor score of 4. No cough. Best initi...

Question

A 29-year-old with sore throat, fever to 102.2°F, tender anterior cervical nodes, and tonsillar exudates has a Centor score of 4. No cough. Best initial management?

Accepted Answer

No antibiotics regardless of testing

Answer

Empiric amoxicillin-clavulanate for 10 days

Answer

Throat culture only; delay treatment

Answer

Immediate IM benzathine penicillin G 1.2 million units

Answer

Oral azithromycin first-line for all

us-abfm MCQ (SBA): Streptococcal Pharyngitis

A 29-year-old with sore throat, fever to 102.2°F, tender anterior cervical nodes, and tonsillar exudates has a Centor score of 4. No cough. Best initial management?