<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 19-year-old woman presents to the family medicine clinic for evaluation of a sore throat. The patient states that she does not have a runny nose, cough or itchy throat. The patient has no past medical history but she did have an appendectomy when she was 8 years old. She takes acetaminophen when she gets a headache and does not smoke cigarettes. Her vitals include: blood pressure 11268 mm Hg, heart rate 72min, respiratory rate 10min and temperature 39.2C 102.6F. Physical examination reveals a patient who is uncomfortable but alert and oriented. Upon palpation, the physician notices swollen anterior cervical nodes. Inspection of the pharynx and tonsils does not reveal any erythema or exudate. Which of the following is the most appropriate next step for this patient?? A: Antibiotics, B: Rapid strep test, C: Strep culture, D: Symptomatic treatment, E: Ultrasound of neck,  <response>: This is a clinical case scenario involving a 19-year-old woman with a sore throat but no other upper respiratory symptoms. Key findings include fever of 39.2C, swollen cervical lymph nodes, and no pharyngeal erythema or exudate. The main differential diagnosis is streptococcal pharyngitis vs. viral pharyngitis. A rapid strep test would help determine if it is a streptococcal infection. Antibiotics would be premature before confirming streptococcus. Symptomatic treatment alone is not adequate given the high fever. Neck ultrasound is unnecessary.B: Rapid strep test 