A 16-year-old female has been brought to her primary care physician by her mother due to the girl's persistent sore throat and malaise
Which of the following facts revealed in the girl's history and examination would lead the physician to rule out infectious mononucleosis?
A)
The girl has a temperature of 38.1 °C (100.6 °F) and has enlarged lymph nodes.
B)
Her liver and spleen are both enlarged.
C)
Blood work reveals an increased white blood cell count.
D)
Chest auscultation reveals crackles in her lower lung fields bilaterally.
Ans:
D
Feedback:
While fever, enlarged lymph nodes, splenomegaly, hepatomegaly, and leukocytosis would suggest mononucleosis, adventitious lung sounds are not associated with the disease.
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