Strep Throat Dx Criteria

 1. Tonsillar Exudates
 2. Tender anterior cervical lymphadenopathy
 3. Fever (> 100.4 F)
 4. Absence of cough

ITE 2013, Q#77.
A 7-year-old male presents with a 3-day history of sore throat, hoarseness, fever to 100°F (38°C), and cough. Your examination reveals injection of his tonsils, no exudates, shotty lymphadenopathy, and normal breath sounds. Which one of the following would be most appropriate?

A) Symptomatic treatment only
B) Empiric treatment for streptococcal pharyngitis
C) A rapid antigen test for streptococcal pharyngitis
D) A throat culture for streptococcal
E) An office test for mononucleosis