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Aquifer Family Medicine 23: 5-
year-old female with sore throat
Exam 2026
Based on what you know about the patient so far, write a one-to-
three sentence summary statement to communicate your
understanding of the patient to other providers.
- ............ SOLUTION✔✔✔..........Althea is a generally healthy
five-year-old with a two-day history of subjective fever, sore
throat, headache, dry cough, mild abdominal pain, and decreased
appetite. She has a school friend who is taking antibiotics for strep
throat, no known COVID-19 contacts, and her father smokes. On
exam, she has a temperature of 38.6 °C (101.6 °F), red, enlarged
tonsils with exudates, anterior cervical lymphadenopathy, palatal
petechiae, and a red, fine papular rash involving the neck, face,
and trunk. She had not had dysphagia and she took some Tylenol
before coming to the office today.
The ideal summary statement concisely highlights the most
pertinent features without omitting any significant points. The
summary statement above includes:
Epidemiology and risk factors: Generally healthy 5-year-old girl,
potential strep exposure, no known COVID-19 contacts, and
second-hand smoke exposure.
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Key clinical findings of the present illness using qualifying
adjectives and transformative language:
Two-day history of sore throat with associated headache, dry
cough, mild abdominal pain, and decreased appetite
School friend who is being treated for strep throat with antibiotics
Fever
Red, enlarged tonsils with exudates
Anterior cervical chain lymphadenopathy
Palatal petechiae
Red, fine papular rash involving the neck, face, and trunk.
Lack of dysphagia
"So she has a rash?" says Dr. Medel. "It will be interesting to look
at that together in a moment. What do you think is going on
here?"
Question
Based on your findings from her history and physical exam, select
from the following the two top diagnoses on your differential.
Choose the two best answers. - ............
SOLUTION✔✔✔..........Group A Beta-hemolytic Streptococcus
(GABHS) pharyngitis
Non-specific viral pharyngitis
Aquifer Family Medicine 23: 5-
year-old female with sore throat
Exam 2026
Based on what you know about the patient so far, write a one-to-
three sentence summary statement to communicate your
understanding of the patient to other providers.
- ............ SOLUTION✔✔✔..........Althea is a generally healthy
five-year-old with a two-day history of subjective fever, sore
throat, headache, dry cough, mild abdominal pain, and decreased
appetite. She has a school friend who is taking antibiotics for strep
throat, no known COVID-19 contacts, and her father smokes. On
exam, she has a temperature of 38.6 °C (101.6 °F), red, enlarged
tonsils with exudates, anterior cervical lymphadenopathy, palatal
petechiae, and a red, fine papular rash involving the neck, face,
and trunk. She had not had dysphagia and she took some Tylenol
before coming to the office today.
The ideal summary statement concisely highlights the most
pertinent features without omitting any significant points. The
summary statement above includes:
Epidemiology and risk factors: Generally healthy 5-year-old girl,
potential strep exposure, no known COVID-19 contacts, and
second-hand smoke exposure.
, Page | 2
Key clinical findings of the present illness using qualifying
adjectives and transformative language:
Two-day history of sore throat with associated headache, dry
cough, mild abdominal pain, and decreased appetite
School friend who is being treated for strep throat with antibiotics
Fever
Red, enlarged tonsils with exudates
Anterior cervical chain lymphadenopathy
Palatal petechiae
Red, fine papular rash involving the neck, face, and trunk.
Lack of dysphagia
"So she has a rash?" says Dr. Medel. "It will be interesting to look
at that together in a moment. What do you think is going on
here?"
Question
Based on your findings from her history and physical exam, select
from the following the two top diagnoses on your differential.
Choose the two best answers. - ............
SOLUTION✔✔✔..........Group A Beta-hemolytic Streptococcus
(GABHS) pharyngitis
Non-specific viral pharyngitis
