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No monospot test either at one of the FP/UC places I work at (per MD's preference). I am just wondering I should be pushing to get the rapid strep test (and monospot) at the clinic, cause I find myself Rx'ing more antibiotics for pharyngitis. I know that rheumatic fever is pretty rare in the US, but I don't know know if it's because we are over-Rxing antibiotics or another reason. What does this mean in terms of liability? Does this mean I can rely on the CENTOR criteria without any need for any sort of assay?