A patient with acute pharyngitis caused by group A Streptococcus (strep throat) is allergic to penicillins (non- immediate type), which of the following is NOT recommended as treatment?
Suggested Answer: B
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Amoxicillin is a penicillin and so should be avoided in patients even with a non-immediate allergy. Acute treatment should be administered with one of the other listed options.
21 comments · newest first
AN
Annmarie
10 months ago
I thought all these options were safe for strep throat?
WH
Whitney
11 months ago
Wait, are we sure about Clarithromycin?
JU
Juan
11 months ago
Clindamycin is a good alternative though.
DE
Devora
11 months ago
Definitely not recommending Cefalexin either!
LU
Lucy
11 months ago
Amoxicillin is a no-go for penicillin allergies.
AN
Annabelle
12 months ago
I feel like amoxicillin is the one we should avoid here, but I might be mixing it up with another antibiotic.
TR
Tricia
12 months ago
I practiced a question like this before, and I think clindamycin and clarithromycin are safe options, but I can't recall if cefalexin is okay.
TH
Thomasena
12 months ago
I think amoxicillin is definitely not recommended for someone with a penicillin allergy, but I'm not completely sure about the others.
MA
Marya
1 year ago
I remember that penicillin is usually the first choice for strep throat, but if the patient is allergic, we need alternatives.
JA
Janella
1 year ago
I've got this! Amoxicillin is a penicillin, so that's the one that's not recommended for this patient. Easy peasy.
SH
Shawnda
1 year ago
Okay, let's think this through. Clindamycin, cefalexin, and clarithromycin are all potential options, but I need to figure out which one is not recommended.
RO
Rolland
1 year ago
Hmm, I'm a bit unsure about this. I know penicillins are off the table, but I'm not sure which of these alternatives would be the best choice.
TA
Tamesha
1 year ago
This one seems straightforward. The patient is allergic to penicillins, so I'll eliminate any penicillin-based options.
NA
Nakita
1 year ago
Hmm, I'm a bit unsure about this one. I'll need to think it through carefully.
SY
Sylvie
1 year ago
I've got a good handle on this. When the metadata is set to Transients, it means the Decoder is using the parser to parse the traffic, but the generated metadata is not stored on disk. That's option A. The other choices don't quite match the description of the Transients setting.
VI
Vivienne
2 years ago
No, amoxicillin is also a penicillin derivative, so it should be avoided in this case.
LU
Luisa
2 years ago
What about amoxicillin? Can we use that instead?
OR
Oren
2 years ago
I agree, clindamycin is often recommended for patients allergic to penicillins.
AS
Ashley
2 years ago
I heard clindamycin is a good alternative in this case.
LU
Luis
2 years ago
Yes, the patient is allergic to penicillins, so we can't use them.
AL
Altha
2 years ago
I think we should consider alternative antibiotics for this patient.