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USMLE · Question #562

A 14-year-old boy is brought to the physician because of a 2-day history of a sore throat and fever that peaks in the late afternoon. He also has a 1-week history of progressive fatigue. He recently b

The correct answer is C. Infectious mononucleosis. See the full explanation below for the reasoning.

Question

A 14-year-old boy is brought to the physician because of a 2-day history of a sore throat and fever that peaks in the late afternoon. He also has a 1-week history of progressive fatigue. He recently began having unprotected sexual intercourse with one partner. He appears ill. His temperature is 39°C (102.2°F). Physical examination shows cervical lymphadenopathy and pharyngeal erythema with a creamy exudate. Which of the following is the most likely diagnosis?

Options

  • ACandidiasis
  • BHerpahgina
  • CInfectious mononucleosis
  • DMumps
  • ESyphilis

How the community answered

(62 responses)
  • A
    2% (1)
  • B
    5% (3)
  • C
    76% (47)
  • D
    15% (9)
  • E
    3% (2)

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