nihadam
Forum Junior
Topics: 12
Posts: 52
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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?[/font]
A ) Monospot test
B ) Throat culture
C ) Intramuscular penicillin therapy
D ) Oral erythromycin therapy
E )Oral penicillin therapy
Edited by Aashi on 05/17/07 - 07:27 AM
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| NE
Forum Guru
Topics: 53
Posts: 504
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IM penicillin, even if the rapid test is negative. She has clinical signs for acute strepto pharyngitis.
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| Justice
Forum Fanatic
Topics: 100
Posts: 1,900
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C ) Intramuscular penicillin therapy
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| abc888
Forum Newbie
Topics: 4
Posts: 17
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SHOULD BE B) THROAT CULTURE
Pts Sx suggest viral infection instead of strep throat (no exudate)
"The throat of the patient is swabbed for culture or for a rapid strep test (5 to 10 min) which can be done in the doctor's office. A rapid test tests for the presence of antibodies against the bacteria. If the rapid test is negative, a follow-up culture (which takes 24 to 48 hours) may be performed. A negative culture suggests a viral infection, in which case antibiotic treatment should be withheld or discontinued."
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| tanmaynator
Forum Senior
Topics: 12
Posts: 153
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agree with you abc888.. it is throat culture..
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Best next step---IM pen therapy
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| Adam
Forum Senior
Topics: 6
Posts: 137
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I also go with B throat culture
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I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
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