A 34-year-old man presents with severe sore throat, fever and tender anterior cervical lymphadenopathy. He has no cough. Centor score is 4. According ...

Question

A 34-year-old man presents with severe sore throat, fever and tender anterior cervical lymphadenopathy. He has no cough. Centor score is 4. According to Canadian recommendations, what is the best management?

Accepted Answer

Perform throat swab and treat empirically for group A Streptococcus while awaiting results

Answer

No testing or antibiotics

Answer

Give broad-spectrum macrolide without testing

Answer

Order CT neck to rule out abscess in all cases

Answer

Use analgesia only and review in 1 month

ca-mccqe1 MCQ (SBA): Streptococcal pharyngitis

A 34-year-old man presents with severe sore throat, fever and tender anterior cervical lymphadenopathy. He has no cough. Centor score is 4. According to Canadian recommendations, what is the best management?