The advanced practice registered nurse (APRN) is seeing a 6 year old in the urgent care with complaints of a sore throat. The APRN is concerned for streptococcal tonsilitis. What physical exam findings suggest streptococcal tonsilitis? Select All That Apply.

A. Beefy-red uvula is correct because streptococcal infection causes inflammation of the oropharynx, leading to erythema of the tonsils and uvula. This is a common finding in bacterial pharyngitis and supports the suspicion of strep throat. B. White or yellow exudates on the tonsils is correct because streptococcal tonsillitis often produces purulent exudates, which appear as white or yellow patches on the tonsillar surface. This differentiates bacterial pharyngitis from viral infections, which usually cause less prominent exudate. C. Palatal petechiae is correct because tiny red spots on the soft or hard palate are a classic sign of streptococcal pharyngitis, particularly Group A Streptococcus. These petechiae result from capillary hemorrhage due to inflammation. D. Asymmetric protrusion of one tonsil is incorrect because asymmetry suggests peritonsillar abscess or another localized mass, not uncomplicated streptococcal tonsillitis. Classic strep infections usually produce bilateral, symmetric tonsillar enlargement.