Deck 212: Infectious Mononucleosis

Question 1

An adolescent patient has fever, pharyngitis, and cervical lymphadenopathy and has a negative group A beta-hemolytic throat culture. A complete blood count shows absolute lymphocytosis, but a heterophil antibody test is negative for Epstein-Barr virus (EBV). What will the provider tell the patient about the likelihood of infectious mononucleosis (IM)?

A) It will be necessary to repeat the heterophil antibody test in a few weeks.
B) Liver function tests will help to confirm a diagnosis of EBV-IM.
C) The likelihood of EBV infectious mononucleosis is still high.
D) This IM is most likely caused by a virus other than Epstein-Barr virus.

Answer 1

C

Question 2

A patient diagnosed with Epstein-Barr virus-associated infectious mononucleosis (EBV-IM) also has group A beta-hemolytic streptococcal pharyngitis and is being treated with amoxicillin. On the third day of treatment, the patient develops a rash. A urinalysis is normal. What does this indicate?

A) A reaction to the amoxicillin
B) A streptococcal rash
C) Hematologic complications
D) Hemolytic-uremic syndrome

Answer 2

A

Question 3

An adolescent patient who plays football in high school is diagnosed with Epstein-Barr virus (EBV) infectious mononucleosis and is noted to have splenomegaly. What will the provider recommend to this patient about returning to sports?

A) Abdominal ultrasounds are recommended to determine safety.
B) Corticosteroid therapy may help shorten the course of the disease.
C) He may return to minimal contact practice in 2 to 3 weeks.
D) It will be safe to play football in 3 to 4 weeks.

Answer 3

A