Answer
(d) Coughing and nasal discharge are common hallmarks of strep throat.
Work Step by Step
Strep throat is caused by group A β-hemolytic Streptococcus pyogenes and can be acquired through droplet nuclei inhalation from active cases, healthy carriers, and family pets, as well as from contaminated food, milk, and water. Active cases can have inflamed and sore throat, swollen adenoids and lymph nodes in neck, pus-filled tonsillar lesions, fever, chills, headache, nausea, and vomiting. Patient with strep throat must be immediately treated with antibiotic to avoid risk of rheumatic fever.