A 5-Year-Old Child Has Enlarged Tonsils and a History of Four

question 11

Multiple Choice

A 5-year-old child has enlarged tonsils and a history of four throat infections in the previous year with fever, cervical lymphadenopathy, and positive Group A Streptococcus pyogenes (GABHS) cultures. The parent reports that the child snores at night and expresses concerns about the child's quality of sleep. What is the next step in managing this child's condition?

• A) continuing to observe the child for two or more Group A Beta-Hemolytic Streptococci (GABHS) infections
• B) prescribing prophylactic antibiotics to prevent recurrent infection
• C) referring to a pulmonologist for polysomnography evaluation
• D) referring to an otolaryngologist for possible tonsillectomy

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