2 Days Of Fever in Pediatrics — 8yo Child | Pediatric Infectious | SMLE Q#16640

SMLE Question #16640

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: February 2026
An 8-year-old boy presents to the emergency department with 2 days of fever, sore throat, and headache. He has poor oral intake due to odynophagia. He has no cough, rhinorrhea, or conjunctivitis and is fully immunized. Examination shows enlarged erythematous tonsils with exudates and tender anterior cervical lymphadenopathy; no rash or hepatosplenomegaly is noted. A rapid antigen detection test for group A Streptococcus is negative. What is the most appropriate next step in management?

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