2 Days Of Right-Sided | Lymphadenopathy (Management) — 6yo Boy | Pediatric Infectious | MCCQE1 Q#12355

MCCQE1 Question #12355

Dimension of Care

Acute Care

Activity

Management

Objective

Lymphadenopathy

Section

Pediatrics

Subject

Pediatric Infectious

Last updated: February 2026
A 6-year-old boy presents to a family medicine clinic with 2 days of right-sided neck swelling and pain. One week ago, he had a sore throat and low-grade fever, and his parent reports a recent untreated dental cavity. He is eating and drinking normally, with no drooling, stridor, or voice change. Examination reveals a 3 cm right anterior cervical lymph node that is warm, tender, and erythematous, without fluctuance. Oropharyngeal exam shows mild gingival inflammation, and he appears otherwise well. What is the most appropriate initial management?
Full answer analysis and choices are available inside the practice session.