A 5­year­old Child Has Enlarged Tonsils and a History of Four

A 5­year­old child has enlarged tonsils and a history of four throat infections in the
previous year with fever, cervical lymphadenopathy, and positive Group AStreptococcus pyogenes (GABHS) cultures. The parent reports that the child snores at night and expresses concerns about the child's quality of sleep. The next step in managing this child's condition is to

A) continue to observe the child for two or more GABHS infections.
B) prescribe prophylactic antibiotics to prevent recurrent infection.
C) refer to a pulmonologist for polysomnography evaluation.
D) refer to an otolaryngologist for possible tonsillectomy.