madhurima AIPPG Experienced Senior Member
Joined: 06 Nov 2008 Posts: 1711
54948 Credits
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Posted: Mon Nov 02, 2009 2:09 pm Post subject: A 7-year-old girl is brought to the physician in September b |
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A 7-year-old girl is brought to the physician in September because of fever and sore throat for 1 day. She is in the third week of second grade. Her temperature is 38.6 C (101.5 F). Examination shows an erythematous pharynx and slightly enlarged tonsils without exudate. There is no significant cervical lymphadenopathy. A rapid test for group A streptococcus is negative. Which of the following is the most appropriate next step in management?
A ) Monospot test
B ) Throat culture
C ) Intramuscular penicillin therapy
D ) Oral erythromycin therapy
E ) Oral penicillin therapy
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