A 10-Year-Old Boy Is Brought to the Office Due to Abrupt

question 49

Multiple Choice

A 10-year-old boy is brought to the office due to abrupt onset fever and sore throat that began a day ago.  He has had similar illnesses in the past, which were treated with oral antibiotics.  The patient has no other medical conditions and has received all recommended vaccinations.  Temperature is 38.3 C (101 F) .  Physical examination shows erythema of the posterior pharyngeal wall and enlarged tonsils, which are covered by white exudate.  There are no enlarged cervical lymph nodes.  Throat swab specimen is obtained.  Which of the following would be most helpful in determining the need for antibiotic treatment in this patient?

• A)Gram staining of the swab for gram-positive cocci in chains
• B)Serum titer assay for anti-M protein antibodies
• C)Serum titer assay for anti-streptolysin O antibodies
• D)Swab culture to demonstrate colonies with incomplete hemolysis
• E)Swab immunoassay for streptococcal group A antigens

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Definitions:

Emancipation Proclamation

Declaration issued by President Abraham Lincoln; the preliminary proclamation on September 22, 1862, freed the slaves in areas under Confederate control as of January 1, 1863, the date of the final proclamation, which also authorized the enrollment of black soldiers into the Union army.

Delayed

Postponed or made later than originally planned or expected.

Battle of Antietam

A pivotal Civil War battle fought on September 17, 1862, known for being the bloodiest single-day conflict in American history.

Enslaved People

Individuals who are forcibly taken into slavery and owned or controlled entirely by another person or group.