Question

A 27-year-old Aboriginal man presents to a remote primary health clinic with a sore throat, fever and tender cervical lymphadenopathy. There is concern about rheumatic fever risk. Which management approach aligns with acute rheumatic fever prevention recommendations in high-risk groups?

Accepted Answer

Treat empirically with intramuscular benzathine benzylpenicillin G after confirming no penicillin allergy

Answer

No antibiotics are recommended for sore throat

Answer

Provide a delayed prescription only

Answer

Treat with a 3-day course of oral macrolide for all sore throats

Answer

Use non-steroidal anti-inflammatory drugs alone

Practice question

A 27-year-old Aboriginal man presents to a remote primary health clinic with a sore throat, fever and tender cervical lymphadenopathy. There is concern about rheumatic fever risk. Which management approach aligns with acute rheumatic fever prevention recommendations in high-risk groups?