f****i
发帖数: 129 | 1 27. 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*******3
发帖数: 39 | | f****i
发帖数: 129 | 3 On MTB2 P15, it says a negative rapid strep test is sufficiently sensitive
to exclude disease and no antibiotics are needed.
On MTB3 p10, it says if the rapid strep test is negative in an adult, no
further testing or tretment with antibiotics is necessary. But how about in
children? have to do a throat culture??? why not go directly antibiotics?
【在 A*******3 的大作中提到】
: B
| D*********t
发帖数: 140 | | h**s
发帖数: 1757 | 5 you can read kaplan note about this part. MTB2 is kinda of confused
here.:>
))
For soar throat: 1st step ---RST,if negative ,still need culture to
rule out
Strep because strep is too dangerous. (kidney disease...lalala...)
sensitive
no
about
in
antibiotics?
【在 f****i 的大作中提到】
: On MTB2 P15, it says a negative rapid strep test is sufficiently sensitive
: to exclude disease and no antibiotics are needed.
: On MTB3 p10, it says if the rapid strep test is negative in an adult, no
: further testing or tretment with antibiotics is necessary. But how about in
: children? have to do a throat culture??? why not go directly antibiotics?
|
|
