SORE THROAT

Question 1

26 yo F presents with sore throat, fever,
severe fatigue, and loss of appetite for
the past week. She also reports epigastric
and LUQ discomfort. She has cervical
lymphadenopathy and a rash. Her
boyfriend recently experienced similar
symptoms.

Answer 1

Infectious mononucleosis CBC, peripheral smear
Hepatitis Monospot test
Viral or bacterial Throat culture
pharyngitis AST/ALT/bilirubin/alkaline phosphatase
Acute HIV infection HIV antibody and viral load
Secondary syphilis Anti-EBV antibodies
VDRL/RPR

Question 2

26 yo M presents with sore throat, fever,
rash, and weight loss. He has a history of
IV drug abuse and sharing needles.

Answer 2

HIV, acute retroviral syndrome CBC
Infectious mononucleosis Peripheral smear
Hepatitis HIV antibody and viral load
Viral pharyngitis CD4 count
Streptococcal tonsillitis/ scarlet fever Monospot test
Secondary syphilis Throat culture
VDRL/RPR
AST/ALT/bilirubin/alkaline Phosphatase

Question 3

46 yo F presents with fever and sore

throat.

Answer 3

Pharyngitis (bacterial or viral) Throat swab for culture and rapid
Mycoplasma pneumonia streptococcal antigen
Acute HIV infection Monospot test
Infectious mononucleosis CBC
HIV antibody and viral load