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Prep4USMLE Forum » USMLE Step 2 CK Forum » Pediatrics Forum

Kaplan Test Prep and Admissions (Kaptest.com)

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4 Posts

sandra
Forum Guru

Topics: 173
Posts: 408

02/21/08 - 07:56 PM

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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cuadrado_g
Forum Senior

Topics: 16
Posts: 153

02/23/08 - 10:47 AM

B

RST has 50-90% senditivity so it might miss some Dx (fase negative 10-40%). If negative and still suspicious, go to 2. Throat culture and 3. Penicillin V PO until results of culture comes.

I culture negative, 4. Stop Penicillin and do Monospot

Do everybody agree?

Edited by cuadrado_g on 02/23/08 - 03:56 PM

Nooran
Forum Newbie

Topics: 8
Posts: 25

03/28/08 - 07:24 PM

i think throat culture is the best choice answer

ganesha123
Forum Junior
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Topics: 6
Posts: 102

03/30/08 - 12:01 PM

throat culture

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