A 30-Year-Old School Teacher Presents with a Three-Day History of Fever

A 30-year-old school teacher presents with a three-day history of fever, chills, and sore throat.  He also complains of difficulty swallowing that started yesterday.  He denies any cough, chest pain, or difficulty breathing.  He is married and denies any new sexual encounters.  His temperature is 39.8° C (102.2° F) , blood pressure is 118/76 mmHg, pulse is 102/min, and respirations are 19/min.  On examination, his voice is muffled.  Enlarged, tender cervical lymph nodes are palpated on the left, and his uvula is deviated to the right.  What is the most appropriate treatment for this patient?

A) Throat swabs and oral antibiotics
B) Monospot test and oral antibiotics
C) Emergency laryngoscopy
D) Cricothyroidotomy
E) Needle peritonsillar aspiration

Correct Answer:

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