A 17-year-old girl returns to her family physician 3 days after a walk-in clinic prescribed amoxicillin PO for a sore throat and fever. She now has a non-pruritic, symmetric, red maculopapular rash on the trunk and limbs, and her sore throat and fever persist. She has no known drug allergies, takes no other medications and has no history of asthma or eczema. On examination she has exudative tonsils, tender posterior cervical lymphadenopathy and a palpable spleen tip; there is no urticaria, angioedema, mucosal involvement, blistering, wheeze or hypotension. A monospot test returned positive today and the CBC shows lymphocytosis with atypical lymphocytes.
| Heart rate | 96/min |
| Respiratory rate | 16/min |
| Temperature | 38.3 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 112/68 mm Hg |
Question 1 of 30
Which one of the following is the most appropriate initial management of the rash?
Select 1. (0 / 1 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.