Infectious Mononucleosis

Question 1

What is the causative agent for Infectious Mono

Answer 1

Epstein-Barr virus

Question 2

Incubation Period for Mono

Answer 2

Typically 4-6 weeks

Question 3

Mono
(1) Vaccine Preventable? _____
(2) Reportable? _____
(3) Lethal? _______

Answer 3

(1) Vaccine Preventable: No
(2) Reportable: No
(3) Lethal: No, however, high risk for splenic rupture which can be fatal

Question 4

_____ is one of the most common human viruses found globally. Most people get infected with this at some point in their lives.

Answer 4

EBV

Question 5

What issue?
(1) Presents consistent with erythematous or exudative pharyngitis or
Tonsillitis
(2) Other common findings:
-(a) Malaise
-(b) Fever
-(c) Cervical lymphadenopathy (typically posterior)
-(d) Splenomegaly (typically post infection)
(3) Rash
-(a) Generalized maculopapular rash may occur in patients treated with cillin-class antibiotics for strep pharyngitis.

Answer 5

IM

Question 6

IM - Lab Diagnosis
Dx can be made clinically and confirmed with a ______ test

Answer 6

Monospot

Question 7

Monospot test.
-Patients typically become positive within how many weeks after symptom onset.

Answer 7

4

Question 8

IM - Tx

Answer 8

IM is typically treated symptomatically
-(a) Bed rest, Acetaminophen or NSAIDS
-(b) Saline gargles 3 – 4 times daily.
-(c) Avoid the use of antivirals
-(d) Steroids should only be used in cases where airway obstruction is possible due to tonsillar enlargement

Question 9

Complications of EBV infection can include

Answer 9

(a) Peritonsillar abscesses
(b) Suppurative lymph Nodes
(c) Mastoiditis, Sialadenitis
(d) Blockage of the air passages in the nose and throat

Question 10

IM – Disposition
(1) Patients should be placed _____ until acute symptoms subside.
-(a) Fever resolves within ___ days, but the lymphadenopathy and
splenomegaly may persist upwards of ____ weeks.
-(b) Isolation is not necessary.
(2) Light duty with no physical contact sports for _____ weeks.
-(a) Due to risk of splenomegaly and splenic rupture
(3) ______ may be advised in severe cases where airway issues, or other complications arise.

Answer 10

1) SIQ
-a) 10 days, 3-4 weeks
2) 3 – 4 weeks
3) A MEDEVAC

Question 11

IM DDXs

Answer 11

(a) Toxoplasmosis
(b) Acute HIV infection
(c) Streptococcal pharyngitis

Question 12

True/False
IM patients require isolation

Answer 12

False