A 16-year-old high school athlete is returning for follow-up for a severe sore throat. The test result reveals a positive throat culture for Group A beta hemolytic strep and a posi- tive Monospot test (heterophile antibody test). What is the best initial clinical manage- ment of this patient?
A) Initiate a prescription of amoxicillin 500 mg PO TID × 10 days.
B) Initiate a prescription of penicillin VK 250 mg PO QID × 10 days.
C) Order an Epstein-Barr virus (EBV) titer to determine whether the patient has an acute or a reactivated mononucleosis infection.
D) Write a prescription for an abdominal ultrasound to determine the size of the patient's liver and spleen.
Answer: B) Initiate a prescription of penicillin VK 250 mg PO QID × 10 days.
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