Epstein-Barr virus (Infectious mononucleosis) Quiz: Ace Your Exams

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A 60-year-old man presents to the office with repeated episodes of epistaxis. He additionally notes recurrent headaches and trouble hearing in the right ear. Past medical history is noncontributory. The patient endorses a 20 pack-year smoking history but does not use alcohol or illicit substances. He moved to the United States from China 10 years ago. Vital signs are within normal limits. Physical examination shows several enlarged and non-tender cervical lymph nodes. Further evaluation of the nasopharynx reveals a mass in the pharyngeal recess. Cardiovascular and pulmonary examinations are noncontributory. Analysis of the mass cells will most likely reveal infection by which of the following viruses? 

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