#may2020mccqe1
A 19-year-old college student presents to his family physician with a 1-week history of fever, headache, and painful exudative pharyngitis. Physical examination shows significant lymphadenopathy of the cervical nodes and hepatosplenomegaly. Laboratory studies show a WBC count of 15,000/mm3 with 55% lymphocytes. A heterophile antibody test is positive. Which of the following is the most likely cause of this patient’s symptoms?
(A) Cytomegalovirus
(B) Epstein-Barr virus
(C) HIV infection
(D) Streptococcus pneumoniae
(E) Toxoplasma gondii
A 19-year-old college student presents to his family physician with a 1-week history of fever, headache, and painful exudative pharyngitis. Physical examination shows significant lymphadenopathy of the cervical nodes and hepatosplenomegaly. Laboratory studies show a WBC count of 15,000/mm3 with 55% lymphocytes. A heterophile antibody test is positive. Which of the following is the most likely cause of this patient’s symptoms?
(A) Cytomegalovirus
(B) Epstein-Barr virus
(C) HIV infection
(D) Streptococcus pneumoniae
(E) Toxoplasma gondii
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