A 16-year-old female has been brought to her primary care ...

[Mr.Thesaxman]

A 16-year-old female has been brought to her primary care physician by her mother due to the girl's persistent sore throat and malaise.
 
  Which of the following facts revealed in the girl's history and examination would lead the physician to rule out infectious mononucleosis?
  A)
  The girl has a temperature of 38.1 C (100.6 F) and has enlarged lymph nodes.
  B)
  Her liver and spleen are both enlarged.
  C)
  Blood work reveals an increased white blood cell count.
  D)
  Chest auscultation reveals crackles in her lower lung fields bilaterally.

Question 2

A patient asks the health care provider why his lower legs look purple. The health care provider will base her response on which pathophysiological principle?
 
  A)
  Too much trauma breaks capillaries, and they bleed into the tissue.
  B)
  The bruising around the ankles is due to the fact that it is a dependent area where the capillary pressure is higher.
  C)
  There is a problem with his plasminogen levels.
  D)
  Morbid obesity causes veins to enlarge and bleed into tissues due to stress the abdomen is placing on the vascular system.

[Jmfn03]

Answer to Question 1

Ans:
D

Feedback:

While fever, enlarged lymph nodes, splenomegaly, hepatomegaly, and leukocytosis would suggest mononucleosis, adventitious lung sounds are not associated with the disease.

Answer to Question 2

Ans:
B

Feedback:

Cutaneous bleeding is seen as pinpoint hemorrhages and purple areas of bruising in dependent areas where the capillary pressure is higher. There is no indication that the patient has experienced trauma to the area or is morbidly obese. Plasminogen helps with clot dissolution.

[Mr.Thesaxman]

Thank you

[Jmfn03]

No problemo