Infectious mononucleosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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An 18-year-old woman presents to the urgent care clinic because her friend at school had infectious mononucleosis two weeks ago, and the patient wants to be tested. For the past three days, the patient has had a low-grade fever and a sore throat. She has not had a cough. She is not sexually active and does not use alcohol, tobacco, or other recreational substances. Temperature is 38.3 ºC (101.0 ºF), pulse is 90/min, respiratory rate is 14/min and blood pressure is 112/72 mmHg. On physical exam, there are multiple swollen tender lymph nodes in the anterior cervical chain bilaterally. The tonsils are erythematous, enlarged, and exudative. Serum heterophile antibody and anti-EBV viral capsid IgM are negative. Which of the following is the most likely diagnosis?

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Epstein-Barr virus infection

Infectious mononucleosis

Lemierre syndrome

Streptococcal pharyngitis

Primary cytomegalovirus infection