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UWorld > Infectious Disease 2 > Flashcards

Infectious Disease 2 Flashcards

1
Q

2 ABX that should be avoided in neonates?

A

Ceftriaxone, Sulfonamides

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2
Q

Why should Ceftriaxone, Sulfonamides be avoided in neonates?

A

Hyperbilirubinemia

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3
Q

43 yo male presents with fever, HA, joint pain, myalagias; Just returned from trip to India; After BP cuff is applied to arm, petechia develop in that area; PE shows cervical LAD, hepatosplenomegaly; Labs show PL 48, WBC 2.8, ALT 168, AST 232 – diagnosis?

A

Dengue

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4
Q

Complication of Dengue?

A

Cardiovascular collapse

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5
Q

5 aspects of clinical presentation for Dengue?

A

High fever, retroorbital pain, arthralgia, myalgias, petechia

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6
Q

15 mo female presents for 4 days of fever, rhinorrhea, cough, sore throat, bilateral conjunctivitis, facial rash (spares palms/soles); PE shows anterior cervical LAD - diagnosis?

A

Rubeola

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7
Q

Alternate name for Rubeola?

A

Measles

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8
Q

Clinical aspects of presentation for measles?

A

Cough, conjunctivitis, coryza + rash with craniocaudal spread

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9
Q

24 yo male presents for R-sided facial weakness; 2 months ago, went hiking in Appalachian Mountains; At that time, experienced illness with HA, fatigue, annular rash; PE shows R eyebrow that is unable to raise fully, along with inability to fully close R eye - what is next step in management?

A

Lyme serology

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10
Q

24 yo male presents for R-sided facial weakness; 2 months ago, went hiking in Appalachian Mountains; At that time, experienced illness with HA, fatigue, annular rash; PE shows R eyebrow that is unable to raise fully, along with inability to fully close R eye - diagnosis?

A

2nd stage Lyme disease

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11
Q

What is best management of 2nd stage Lyme disease (2 ABX)?

A

Doxycycline, Ceftriaxone

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12
Q

Alternate name for 2nd stage Lyme disease?

A

Early disseminated Lyme disease

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13
Q

34 yo female presents for 24 hours of HA, myalgias, low-grade fever; HX of pyelonephritis; LP is performed, CSF analysis shows large RBCs, no xanthochromia, 100 WBCs, 50 protein, 90 glucose - diagnosis?

A

Traumatic LP

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14
Q

What is the most indicative finding of Traumatic LP on CSF analysis?

A

High RBCs, without xanthochromia

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15
Q

19 yo male presents for dysuria, watery urethral discharge; Sexually active; Gram stain of urethral swab is negative for bacterial, positive for many PMNs - diagnosis?

A

Non-gonoccocal urethritis

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16
Q

Urethral discharge seein in gonoccocal urethritis?

A

Thick, purulent

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17
Q

19 yo male presents for dysuria, watery urethral discharge; Sexually active; Gram stain of urethral swab is negative for bacterial, positive for many PMNs - best management?

A

Azithromycin … OR … Doxycycline

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18
Q

19 yo male presents for dysuria, watery urethral discharge; Sexually active; Gram stain of urethral swab is negative for bacterial, positive for many PMNs; Treated with Azithromycin, but returns to office 2 weeks later for persistent dysuria; NAAT negative for gonorrhea, chlamydia - best next step?

A

Repeat urethral swab and Gram stain

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19
Q

Classic lab finding associated with hookworms?

A

Eosinophilia

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20
Q

Complication of hookworm infection?

A

Iron deficiency anemia

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21
Q

Best initial diagnostic test of hookworm infection?

A

Stool ova and parasite

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22
Q

26 yo male is undergoing CTX for metastatic seminoma; Presents to ED for fever, chills; PE shows T102; Labs show WBC 690 (20% PMNs), pancytopenia - diagnosis?

A

Febrile neutropenia

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23
Q

Definition of Febrile neutropenia?

A

Absolute PMN count < 1500

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24
Q

26 yo male is undergoing CTX for metastatic seminoma; Presents to ED for fever, chills; PE shows T102; Labs show WBC 690 (20% PMNs), pancytopenia - what is initial therapy?

A

Piperacillin-Tazobactam

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25
Q

Most common pathogen responsible for Febrile neutropenia?

A

Pseudomonas

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26
Q

3 ABX of choice for Febrile neutropenia?

A

Piperacillin-Tazobactam, Cefepime, Meropenem

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27
Q

Patients with oral thrush and no history of recent ABX, inhaled corticosteroid, or CTX should be evaluated for …

A

HIV

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28
Q

Best screening test for HIV?

A

HIV Ag, HIV 1-2 Ig

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29
Q

Pathogen responsible for HFM disease?

A

Coxsackie

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30
Q

19 yo female presents for N, abdominal pain, D; Recently returned home from trip to Guatemala; PE shows abdominal distention; Fecal occult is (+); Labs show Hgb 10.4, Eosinophils 13% - diagnosis?

A

Intestinal helminths

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31
Q

Best management of Intestinal helminths?

A

Albendazole

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32
Q

Complication of C.Diff infection?

A

Intestinal perforation

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33
Q

3 hallmark symptoms of C. Diff infection?

A

Profuse watery diarrhea, fever, leukocytosis

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34
Q

What is best management of colonic distension (toxic megacolon) that results from C. Diff infection?

A

Surgical consultation

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35
Q

4 hallmark features of toxic megacolon that results from C. Diff infection?

A

Systemic toxicity (hypotension, tachycardia), abdominal distension, leukocytosis, radiographic evidence of large-bowel dilation

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36
Q

32 yo female presents with cough, SOB; 3 episodes of PNA during past 1 year, along with 1 episode bloody diarrhea; CXR shows RLL infiltrate, LUL fibrosis - what is most likely diagnosis?

A

Humoral immunity defect

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37
Q

What is best initial step of workup for patients with suspected Humoral immunity defect?

A

Quantitative measurement of serum Ig

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38
Q

5 yo male presents for WCC; Hospitalized 1 month ago for asthma exacerbation; Scheduled for have MMR vaccine today, but mother reports fever to 103 during first MMR - should child get MMR today?

A

Yes

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39
Q

Age at which children should get MMR vaccine?

A

1 and 4 yo

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40
Q

CI to MMR vaccine?

A

Anaphylaxis to MMR, gelatin, neomycin; Immunodeficiency (HIV with CD4 < 200), Pregnancy

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41
Q

40 yo male presents with AMS, decreased strength in LUE; HIV (+) with CD4 count 40; CT scan shows well-demarcated small focal lesion in R hemisphere, consistent with primary CNS lymphoma - what is best prognostic indicator for primary CNS lymphoma?

A

Increase in CD4 count after HAART initiation

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42
Q

Primary CNS lymphoma is strongly related to which pathogen?

A

EBV

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43
Q

20 yo male presents with fever, dysphagia, poor coordination, drooling; Symptoms started 1 week ago with fever, sore throat, fatigue; Went on school trip to caves 2 months ago; PE shows drool pooling in mouth - diagnosis?

A

Rabies

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44
Q

Hallmark presentation of Rabies?

A

Hydrophobia, pharyngeal spasms

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45
Q

2 most common animal reservoirs for rabies?

A

Racoons, bats

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46
Q

Prognosis for human Rabies infection once symptomatic?

A

Poor, usually results in death (treatment typically palliative); Post-exposure PPX is effective only in preventing disease prior to manifestation of symptoms

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47
Q

42 yo male presents for fever, chills, HA, myalgias, abdominal pain, NV; Recently returned from African safari ~2.5 weeks ago; Vitals show T 103, HR 114; PE shows mild pharyngeal erythema, splenomegaly; Labs shows pancytopenia - diagnosis?

A

Malaria

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48
Q

Pathogen responsible for Malaria?

A

Plasmodium falciparum

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49
Q

DOC for chlamydia infection in non-pregnant patients?

A

Doxycycline

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50
Q

DOC for chlamydia infection in pregnant patients?

A

Azithromycin

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51
Q

2 complications of untreated chlamydia infection in pregnant patients?

A

PPROM, Postpartum endometritis

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52
Q

Best screening test for Hepatitis C infection?

A

HCV antibody testing

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53
Q

If a patient has a (+) result for HCV antibody testing, how can you determine who has ongoing, active disease?

A

Further testing with HCV RNA

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54
Q

What is the value of NAAT testing for chlamydia and gonorrhea?

A

High sensitivity and specificity

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55
Q

64 yo male presents to ED after developing fever while completing HD via tunneled catheter – diagnosis?

A

Catheter-related bloodstream infection

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56
Q

Best empiric ABX for Catheter-related bloodstream infection?

A

Vancomycin + Cefepime

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57
Q

Additional aspect of workup for Catheter-related bloodstream infection?

A

2 sets of blood cultures

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58
Q

When should you NOT leave a catheter in placed in setting of Catheter-related bloodstream infection?

A

Patient develops sepsis, Patient is HD-unstable, Evidence of metastatic infection, Pus at site of catheter, Continued symptoms after 72 hours of empiric ABX

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59
Q

Diagnostic test of choice for suspected osteomyelitis?

A

MRI spine

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60
Q

Confirmation of osteomyelitis requires …

A

CT-guided biopsy

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61
Q

13 yo male develops poison ivy after camping trip – what is the best recommendation for reducing spread of active lesions?

A

Immediate removal of contaminated apparel and cleansing of exposed areas

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62
Q

6 yo male presents to ED 1 day after dog bite; Dog and patient are UTD on vaccinations; Patient reports worsening pain, worse with making a fist; PE shows minimal serous drainage from laceration; Wound is copiously irrigated with saline – what is best management of wound?

A

Wound should be left open to heal by secondary intention

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63
Q

4 features of wounds that have high risk of infection?

A

Cat or human bite; Bite occurred 24+ hours ago on body; Bite occurred 12+ hours ago on face; Bites on extremity

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64
Q

How should bite wounds on face be managed?

A

Should be closed

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65
Q

Which HPV serotypes cause genital words?

A

6, 11

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66
Q

Which HPV serotypes cause cancer?

A

16, 18

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67
Q

HPV vaccine series should be offered to all patients ages …

A

11-26

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68
Q

Best management of active TB infection in pregnant females?

A

INH + Rifamin + Ethambutol + Vitamin B6 (2 months) … + … INH + Rifamin (7 months)

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69
Q

How should croup be diagnosed?

A

Clinical diagnosis … no XR needed for diagnosis

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70
Q

3 aspects of presentation for croup?

A

Barking cough, inspiratory stridor, hoarseness

71
Q

Best treatment for mild croup?

A

Humidified air + Single-dose steroids (reduce stridor)

72
Q

Best treatment for moderate/severe croup?

A

Corticosteroids + Nebulized epinephrine (relieves upper airway obstruction)

73
Q

Sydenham chorea most commonly occurs ___ after streptococcal infection

A

1-8 months

74
Q

5 aspects of clinical presentation for Acute Rheumatic Fever?

A

JONES – Joint pain, Carditis, Nodules, Erythema marginatum, Sydenham chorea

75
Q

Best management of Sydenham chorea?

A

IM penicillin until adulthood … treat the underlying Acute Rheumatic Fever, and prevent recurrent ARF

76
Q

17 yo female presents with rash; Reports fatigue, myalgias, fever, sore throat for past 10 days; Tried treating symptoms with amoxicillin, but denies relief; Reports that she is sexually active; PE shows T100.4, fatigue, enlarged tonsils with white exudate, tender cervical LAD; Labs show HGB 12, WBC 15 – diagnosis?

A

Infectious mononucleosis

77
Q

Pathogen responsible for Infectious mononucleosis?

A

EBV

78
Q

Best management of Infectious mononucleosis?

A

Supportive care

79
Q

Prognosis for Infectious mononucleosis?

A

Most symptoms resolve spontaneously, but fatigue will persist for many months

80
Q

10 yo male presents with mother, after tick bite, which mother believes occurred yesterday; Patient’s mother was able to remove the tick with tweezers; PE shows 0.5cm erythematous macule in the L popliteal area – what is best counseling for family?

A

Erythema is most likely due to local irritation, which only needs supportive care

81
Q

Pathogen responsible for Lyme disease?

A

Borrelia

82
Q

Borrelia is transmitted by …

A

Ixodes tick

83
Q

Timeframe in which Ixodes tick transmits Borrelia?

A

36-48 hours

84
Q

Prognosis for Tick that is removed at < 36 hours?

A

Unlikely to transmit Lyme disease

85
Q

Physical feature of tick that can suggest whether or not Borrelia transmission has occurred?

A

Engorgement = most likely transmission

86
Q

Timeframe in which erythema migrans develops in the setting of Lyme disease?

A

> 3 days … (but more commonly, 7-14 days)

87
Q

26 yo male presents to clinic after a sexual partner tested (+) for HIV; Patient reports intermittent HA, N, blurry vision, fatigue; PE shows generalized LAD; Screening for HIV immunoassay is (+), HIV viral load is 2 million, CD4 count is 250, RPR is positive; Fluorescent treponemal Ig is (+) … what is best step in management of patient’s syphilis infection?

A

Perform LP and CSF analysis for neurosyphilis … patient’s who present with neurologic symptoms require LP to evaluate for neurosyphilis

88
Q

26 yo male presents to clinic after a sexual partner tested (+) for HIV; Patient reports intermittent HA, N, blurry vision, fatigue; PE shows generalized LAD; Screening for HIV immunoassay is (+), HIV viral load is 2 million, CD4 count is 250, RPR is positive; Fluorescent treponemal Ig is (+) … what is best treatment?

A

3 weeks of Penicillin G (IM)

89
Q

Best management of primary syphilis?

A

Penicillin G (IM), single dose

90
Q

Best management of secondary syphilis?

A

Penicillin G (IM), single dose

91
Q

Best management of tertiary syphilis?

A

Aqueous Penicillin G (IV) for 10-14 days, q4H

92
Q

Best management of congenital syphilis?

A

Aqueous Penicillin G (IV) for 10 days, q8H

93
Q

Best management of latent syphilis, duration <12 months?

A

Penicillin G (IM), single dose

94
Q

Best management of latent syphilis, duration >12 months?

A

Penicillin G (IM), 3-week dose

95
Q

Best management of latent syphilis, duration unknown?

A

Penicillin G (IM), 3-week dose

96
Q

___ refers to acute febrile syndrome that occurs within 24 hours of initial spirochete infection

A

Jarisch-Herxheimer reaction

97
Q

Prognosis for Jarisch-Herxheimer reaction?

A

Self-resolution within 24 hours

98
Q

Best prevention for Jarisch-Herxheimer reaction?

A

None available

99
Q

18 yo female presents with dysuria and urinary frequency; UA is (+) for leukocyte esterase, nitrites; She reports 2 episodes of UTI in past 6 months – what is next best step of management?

A

ABX prophylaxis

100
Q

At what point is ABX prophylaxis necessary for UTI?

A

> 2 UTI in 6 months; >3 UTI in 12 months

101
Q

3 most common ABX for UTI prophylaxis in sexually-active females?

A

Nitrofurantoin, TMP-SMX, Fluoroquinolones

102
Q

Which groups of patients should receive prophylaxis for meningococcal meningitis?

A

> 8 hours in close proximity; Direct exposure to respiratory secretions within 7 days of symptom onset

103
Q

3 options for prophylaxis for meningococcal meningitis?

A

Ceftriaxone (250mg, single dose), Rifampin (600mg BID for 2 days), Ciprofloxacin (500mg, single dose)

104
Q

26 yo daycare worker reports close contact with child who has meningococcal meningitis; she takes OCPs – what is best advice?

A

Ciprofloxacin or ceftriaxone

105
Q

26 yo male presents for dysuria, increased urinary frequency; Reports blood at end of urinary; Originally from Ghana; Finished 7 day course of ABX, but no improvement in UTI symptoms; Labs show HGB 10.4, MCV 76, Eosinophils 8% – diagnosis?

A

Urinary schistosomiasis

106
Q

Epidemiology of Urinary schistosomiasis?

A

Sub-Saharan Africa

107
Q

Diagnostic tool for Urinary schistosomiasis?

A

Urine sediment microscopy … to ID parasite eggs

108
Q

Best management of Urinary schistosomiasis?

A

Praziquantel

109
Q

26 yo male presents after bat scratch; He sustained a similar scratch 1 year ago, completed his anti-rabies vaccination at that time – what is best management?

A

Rabies booster vaccine only

110
Q

Best management for previously rabies-vaccinated patients who are potentially re-exposed to rabies?

A

Rabies booster vaccine only … (2 doses)

111
Q

Best management for NOT previously rabies-vaccinated patients who are potentially re-exposed to rabies?

A

Ig + full vaccination series … (4 doses)

112
Q

70 yo male presents for 2 days of fever, chills, SOB, cough productive of yellow-green sputum; Reports smoking 1PPD; Vitals show T 103, HR 118, RR 28, O2 sat 86% on room air; Labs show WBC 17 with 80% PMNs; CXR shows consolidation in RML and RLL – best management?

A

Hospitalization, ceftriaxone + azithromycin

113
Q

What does CURB-65 stand for?

A

Confusion, Uremia > 20, RR > 30, BP < 90/60, Age 65

114
Q

CURB-65 score that suggests outpatient treatment?

A

Score 0-1

115
Q

CURB-65 score that suggests hospitalization?

A

Score 2

116
Q

CURB-65 score that suggests ICU admission?

A

Score > 3

117
Q

2 treatment options for community-acquired PNA in outpatient setting?

A

b lactam + Macrolide … OR … Fluoroquinolone; Amoxicillin OR doxycycline

118
Q

2 treatment options for community-acquired PNA in inpatient setting?

A

b lactam + Macrolide … OR … Fluoroquinolone

119
Q

2 treatment options for community-acquired PNA in ICU setting?

A

b lactam + Macrolide … OR … b lactam + Fluoroquinolone

120
Q

4 yo male presents after refusing to walk at home; HX of atopic dermatitis, and viral pharyngitis 1 week ago; PE shows T 101.5; Labs show WBC 14, CRP 4.0 – diagnosis?

A

Septic arthritis

121
Q

2 most common joints affected by septic arthritis in children?

A

Hip, knee

122
Q

What is best initial step of workup for septic arthritis?

A

Immediate joint aspiration

123
Q

4 criteria that can differentiate septic arthritis from transient synovitis in children?

A

Septic arthritis will was 3+ of following … non-weight bearing, fever, ESR or CRP elevation, leukocytosis

124
Q

Best management of septic arthritis?

A

Empiric IV ABX

125
Q

3 most common pathogens responsible for septic arthritis in children < 3 mo?

A

Staph aureus, GBS, GNB

126
Q

2 most common pathogens responsible for septic arthritis in children > 3 mo?

A

Staph aureus, group A strep

127
Q

Diagnosis of septic arthritis can be made by which finding on joint aspiration?

A

Synovial WBC > 50,000

128
Q

Best empiric ABX coverage for Staph aureus, strep?

A

Vancomycin

129
Q

Best empiric ABX coverage for GBS, GNB?

A

Vancomycin + cefotaxime

130
Q

66 yo male presents to ED with progressive lower back pain, urinary incontinence, decreased appetite; Patient was recently diagnosed with L4-L5 disc herniation, received epidural injection 2 weeks ago; Vitals show temperature 100.9; PE shows TTP of lumbar spine, absent deep tendon reflexes; Rectal exam shows decreased rectal sphincter tone; Labs show WBC 25, ESR 104 - diagnosis?

A

Spinal epidural abscess

131
Q

Most common pathogen responsible for spinal epidural abscess?

A

Staph aureus

132
Q

Classic triad of symptoms seen in spinal epidural abscess?

A

Fever, back pain, neurologic findings

133
Q

Classic lab value associated with spinal epidural abscess?

A

Elevated ESR

134
Q

Diagnostic test for spinal epidural abscess?

A

MRI

135
Q

Best management of spinal epidural abscess?

A

Broad-spectrum ABX, urgent surgical decompression

136
Q

3 mo female presents for increased fussiness, decreased appetite; PE shows L leg flexed and ER, decreased ROM of L hip; Labs show WBC 16, CRP 8.5 - diagnosis?

A

Septic arthritis

137
Q

Most common age for transient synovitis?

A

Children age 3-8 yo

138
Q

Definition of UTI?

A

Pyuria (LE on UA) + Bacteriuria

139
Q

Best management of all children < 2 yo with febrile UTI?

A

Undergo renal + bladder US

140
Q

28 yo female RN presents after accidental needlestick while drawing bread from HIV+ patient, who is on HAART therapy, has an undetectable viral load; Labs show that RN is negative for HIV antibody and antigen - what is most appropriate next step in management?

A

Treat with combination HAART for 4 weeks

141
Q

82 yo female presents with AMS, fatigue; Recently underwent PCI for NSTEMI; Vitals show T 96.3, BP 90/40, O2 sat 94%; Labs show HGB 10.4, WBC 15, Cr 2.2; UA is negative - what is next best step of workup?

A

NS bolus + broad-spectrum ABX

142
Q

How can you calculate sepsis risk with qSOFA?

A

RR > 22, AMS, SBP < 100 … 2+ points means high sepsis risk

143
Q

Pathogen responsible for erysipelas?

A

Strep pyogenese

144
Q

Best management of erysipelas?

A

Penicillin

145
Q

Pathogen responsible for cellulitis?

A

Strep pyogenese, MSSA

146
Q

Pathogen responsible for abscess?

A

MRSA, MSSA

147
Q

4 yo female presents with fever, fatigue, AMS; Grandpa visiting from South Asia; Family has pet cat; Vitals show T 100.4; PE shows (+) knee flexion with neck flexion, medial deviation of R eye; Fundoscopic exam shows several raised yellow-white nodules near optic discs bilaterally; CSF analysis shows Glucose 8, Protein 300, Lymphocyte predominance - diagnosis?

A

TB meningitis

148
Q

Fundoscopic findings associated with TB meningitis?

A

Choroidal tubercles … yellow-white nodules near the optic disc

149
Q

CSF findings associated with TB meningitis?

A

Elevated protein, low glucose, Lymphocyte predominance

150
Q

Diagnostic tool needed for TB meningitis?

A

Serial LPs with CSF examination for acid-fast bacilli

151
Q

Best treatment of TB meningitis?

A

4-drug therapy (RIPE) for 2 months, then 2-drug therapy (RI) for 9-12 weeks + steroids

152
Q

Role of steroids in treatment of TB meningitis?

A

Significantly reduces morbidity + mortality

153
Q

5 yo male presents with sore throat, fatigue, HA, pain with swallowing; Vitals show T 100.4; PE shows pharyngeal erythma with vesicles on the posterior soft palate, no cervical LAD - diagnosis?

A

Herpangina

154
Q

Clinical presentation of aphthous ulcers?

A

Ulcers on anterior oral mucosa + no systemic symptoms

155
Q

Clinical presentation of herpangina?

A

Ulcers + vesicles on posterior palate + systemic symptoms

156
Q

Pathogen responisble for herpangina?

A

Coxsackie A

157
Q

Best management of herpangina?

A

Supportive care

158
Q

Best strategy for preventing spread of herpangina?

A

Hand washing

159
Q

Clinical presentation of herpes gingivostomatitis?

A

Ulcers + vesicles on anterior oral mucosa + systemic symptoms

160
Q

Clinical presentation of Group A strep pharyngitis?

A

Tonsillar exudate + systemic symptoms

161
Q

Clinical presentation of infectious mononucleosis?

A

Tonsillar exudate + systemic symptoms + Hepatosplenomegaly

162
Q

26 yo female calls after-hours for 2 days of dysuria, frequency with urination; Last UTI was 1 year ago, treted with ABX; Currently has IUD for contraception - best next step?

A

Prescribe TMP-SMX

163
Q

Which patients with suspected UTI require physical exam?

A

Possibility of pregnancy, symptoms of pyelonephritis

164
Q

2 first-line ABX choices for uncomplicated UTI?

A

TMP-SMX for 3 days; Nitrofurantoin for 5 days

165
Q

24-year-old male presents with fatigue, fever, sweats, headache, fatigue, sore throat, myalgia. Sexually active but rarely uses condoms. PE shows erythematous maculopapular rash on face, trunk, palms, soles. Oropharyngeal examination shows shallow, tender ulcer with white exudate on posterior oropharynx. Several enlarged mobile lymph nodes are present in the cervical, axillary, occipital regions. Labs show WBC 1.6, PMN predominant, PL 120 - what is most likely diagnosis?

A

Acute HIV infection

166
Q

When does acute HIV infection typically occur?

A

2-4 weeks after exposure

167
Q

Typical clinical presentation for acute HIV infection?

A

Mononucleosis-like syndrome

168
Q

2 common lab findings seen in cases of acute HIV infection?

A

Leukopenia, thrombocytopenia

169
Q

Best management of rhino orbital mucomycosis?

A

Amphotericin B

170
Q

__ is required for both diagnosis and treatment of Mucormycosis

A

Sinus endoscopy

171
Q

Pathogen responsible for mucormycosis?

A

Rhizopus

172
Q

5 aspects of clinical presentation for infectious mononucleosis?

A

Fever, fatigue, exudative pharyngitis, lymphadenopathy, hepatosplenomegaly

173
Q

Along should patients with infectious mononucleosis avoid contact sports?

A

Minimum of 4 weeks

UWorld (21 decks)

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