A 19-Year-Old Man Comes to the Office with a 2-Week

A 19-year-old man comes to the office with a 2-week history of fever, fatigue, and sore throat.  He has no diarrhea or rash.  The patient has no significant medical history.  He occasionally uses tobacco and alcohol; he has smoked marijuana several times but has never used injectable drugs.  The patient is sexually active with one partner and uses condoms occasionally.  Temperature is 39 C (102.2 F) , blood pressure is 110/70 mm Hg, pulse is 88/min, and respirations are 16/min.  Physical examination shows enlarged tonsils with white exudates.  Enlarged, tender, mobile nodes are palpable along the cervical, axillary, and inguinal chains bilaterally.  The examination is otherwise unremarkable.  Which of the following tests is most likely to yield the diagnosis in this patient?

A) Cytomegalovirus antibody assay
B) Heterophile antibody test
C) HIV antibody assay
D) Lymph node biopsy
E) Neisseria gonorrhoeae culture
F) Rapid streptococcal antigen assay

Correct Answer:

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