What this deck covers
Infectious Mononucleosis in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Posterior cervical lymphadenopathy, Scarlatiniform sandpaper rash, Isolated submandibular swelling, Less than ten percent, Approximately fifty percent, Nearly ninety-five percent, T-helper lymphocytes, CD four positive, Cytotoxic T-cells, CD eight positive, Natural Killer cells, Ten percent, Two percent, Fifty percent, True penicillin allergy, type one hypersensitivity, Scarlet fever progression, Viral exanthem from Roseola, As soon as the fever resolves, Exactly seven days after diagnosis, Oral Acyclovir, Intravenous Immunoglobulin, Broad-spectrum antibiotics, Systemic Corticosteroids, Herpes Simplex Virus type one, Influenza A, Acute pancreatitis, Left-sided pneumonia, Splenic rupture.
Clinical pearls from this deck
- Posterior cervical lymphadenopathy plus profound fatigue points to EBV — anterior cervical nodes favor group A strep. Tonsillar exudates are actually common in mono (~85%), so their absence is not expected. A scarlatiniform sandpaper rash suggests scarlet fever. Also look for generalized adenopathy, splenomegaly, and mild transaminitis.
- Splenomegaly occurs in ~50% of clinical mono and drives the contact-sport restriction (rupture risk highest in the first 3–4 weeks). Typical frequencies: fever ~95%, pharyngitis/exudates ~85%, lymphadenopathy (posterior cervical) ~90–95%. Palatal petechiae are specific but uncommon. Palpate the spleen gently.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
