05-04-2007, 02:10 PM
A 21-year-old woman comes to the university health clinic complaining of a 2-week history of fatigue, lethargy, and fever. She has also noticed a mild sore throat. Her past medical history is otherwise unremarkable and she takes only oral contraceptive pills for birth control and acne. Her temperature is 39.0 C (100.4 F), blood pressure is 120/75 mm Hg, pulse is 82/min, and respirations are 18/min. She appears somewhat ill, but in no clear distress. Her pharynx appears erythematous and she has mild splenomegaly. Supportive therapy and avoidance of contact sports is the appropriate treatment if laboratory studies show
A. leukopenia with atypical leukocytosis
B. positive culture for group A beta-hemolytic Streptococcus
C. positive Mycoplasma PCR
D. positive RNA p24 antigen PCR
E. positive serum HSV PCR
A. leukopenia with atypical leukocytosis
B. positive culture for group A beta-hemolytic Streptococcus
C. positive Mycoplasma PCR
D. positive RNA p24 antigen PCR
E. positive serum HSV PCR