04-07-2007, 08:13 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
A) Monospot test
B) Throat culture
C) Intramuscular penicillin therapy
D) Oral erythromycin therapy
E) Oral penicillin therapy