california
Forum Senior
Topics: 56
Posts: 77
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An 18 year old woman visits her physician because of 3 weeks of malaise of fever, and a sore throat. Physical examination shows pharyngeal infection with enlarged tonsils and a patchy, white exudate; enlarged, palpable anterior and posterior cervical, axillary, and inguinal lympy nodes; tenderness in the right upper quadrant; and minimal splenomegaly. Laboratory data show: hemoglobin, 14%g; hematocrit, 42%; platelets, 380,000; WBC, 8500, with 35% segmented neutrophils, 1% eosinophils, and 64% and lymphocytes, of which 36 were atypical .
1. the most likely diagnosis is
a. infectitious hepatitis
b. lymphocytic leukemia
c. infectious mononucleosis
d. hodgkin's disease
e. cat scratch fever
2. the diagnosis is most likely to be proved by
a. lymph node biopsy
b. bone marrow
c. erythrocyte sedimentation rate (ESR)
d. Paul Bunnell heterophil antibody (sheep cell agglunitation)
e. hepatic biopsy
3. the treatment of choise for this disease is
a. gamma globulin
b. adequate rest
c. chlorambucil
d. chloramphenicol
e. radiation therapy
4. which of the following rare complications can be associated wit this disease
a. retinitis
b. esophagitis
c. splenic rupture
d. kaposis sarcoma
e. hemorrhage
5.. the most common virus that can mimic this virus is
a. herpes simplex
b. echovirus
c. CMV
d. coxsackie virus
e. reovirus
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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1. c
2. d
3. b
4. c
5. c
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Sincerity and hard work are the keys to success!
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| frontal
Forum Guru
Topics: 53
Posts: 421
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infectious mono, paul bunnell, CMV.
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