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April 20, 2024

27-year-old patient with no PMH presents with complaints of severe progressive fatigue, pharyngitis, fever and “swollen glands.”

27-year-old patient with no PMH presents with complaints of severe progressive fatigue, pharyngitis, fever and “swollen glands.” Physical examination reveals an injected oropharynx without tonsillar exudate, tender anterior and posterior cervical LAD (lymphadenopathy) as splenomegaly. He is allergic to penicillin (rash). Based on this you diagnose him with the following condition and order the following treatment: Question 7Select one: a. Mononucleosis due to Epstein-Barr virus (EBV) infection. Recommend supportive care such as rest, hydration, Tylenol, NSAIDs, and avoidance of contact sports. b. Upper respiratory tract infection and viral pharyngitis. Conservative management with rest, hydration, NSAIDs. c. GABHS pharyngitis. Prescribe cefuroxime 250 mg po bid x 7 days d. Influenza A/B. Prescribe Tamiflu 75 mg po bid x 5 days.

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