A 19-year-old university student presents with a sore throat, fever and tender anterior cervical lymphadenopathy for 2 days. He has no cough. Accordin...

Question

A 19-year-old university student presents with a sore throat, fever and tender anterior cervical lymphadenopathy for 2 days. He has no cough. According to Canadian recommendations for pharyngitis, what is the most appropriate next step?

Accepted Answer

Perform a rapid antigen detection test or throat culture and treat for group A streptococcus if positive

Answer

Start broad-spectrum antibiotics immediately without testing

Answer

Reassure only; antibiotics are never indicated in pharyngitis

Answer

Order throat swab for viral PCR only

Answer

Start amoxicillin-clavulanate for 10 days empirically

ca-mccqe1 MCQ (SBA): Streptococcal pharyngitis

A 19-year-old university student presents with a sore throat, fever and tender anterior cervical lymphadenopathy for 2 days. He has no cough. According to Canadian recommendations for pharyngitis, what is the most appropriate next step?