Question

1. Kelly is experiencing a sore throat, fever of 103.5F, and a generalized lymphadenopathy. The results of her blood work are as follows:

CBC: Decreased WBC count with an increase in atypical lymphocytes

MONO test: positive

Increased serum bilirubin

Based on this information, what is the most likely cause of this infection and the mode of transmission?

	a.	EBV; kissing
	b.	EBV; sexual intercourse
	c.	CMV; blood transfusion
	d.	orthomyxovirus A; coughing

2. Mrs. Gregory came into the ED complaining of SOB (shortness of breath), cough, hemoptysis, chest pain, and a fever of 101.2F. Her sputum C&S showed Streptococcus pneumoniae. Based on this information, what would be another test to help diagnose her condition and what would be the best treatment?

	a.	arterial blood gases; anti-fungal drugs
	b.	chest x-ray; penicillin
	c.	PPD; isoniazid
	d.	chest x-ray; anti-viral drugs

3. Mr. Jones is experiencing dyspnea, exhaustion, splenomegaly, and has a temperature of 100.8F. He lives in Kansas and was cleaning out his attic. The doctor draws blood on this patient and sends it to the lab for fungal serology. The results show Histoplasma capsulatum. What is his most likely diagnosis?

	a.	Blastomycosis
	b.	Pontiac fever
	c.	Histoplasmosis
	d.	streptococcal pneumonia

Answer 1