Author Question: A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced ... (Read 52 times)

nmorano1 · **on:** Jun 25, 2018

A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered?

A. Mono spot
B. Strep test
C. Throat culture
D. All of the above

Question 2

Hand-foot-and mouth disease often causes vesicular lesions on the palms, soles of the feet, and oral mucosa. The microorganism that causes this disease is:

A. Herpes zoster
B. Herpes simplex I
C. Coxsackie virus
D. Candida

xiazhe · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The physical examination for sore throat should include a comprehensive assessment of the upper and lower respiratory systems, including ears, nose, mouth, throat, and lungs. The neck assessment should include, at a minimum, assessment of the cervical lymph nodes. Strep screens, throat cultures, and mononucleosis screens are common diagnostic studies used to narrow the differential diagnosis of sore throat. A CBC with differential count is helpful in determining the cause of sore throat.

Answer to Question 2

ANS: C
Hand-foot-and-mouth disease is caused by a coxsackie virus. Outbreaks are most common in the summer and fall months. The condition is occasionally associated with meningitis. Painful skin and oral lesions are often preceded by a period of malaise and fever. The patient often presents once the lesions appear on the lips and/or oral mucosa. The lesions erupt as vesicles, which later ulcerate. Multiple lesions are located on the lips and oral mucosa. As the condition's name implies, the lesions often appear on the hands and feet as well as in the mouth.