SORE THROAT

Question 1

Infectious mono DDx:

4

Answer 1

1. Hepatitis.
2. Viral or bacterial pharyngitis.
3. Acute HIV infection.
4. Syph.

Question 2

Infectious mono workup:

7

Answer 2

1. CBC with peripheral smear.
2. Monospot test.
3. Throat culture.
4. AST/ALT/Bil/ALP.
5. HIV antibody and viral load.
6. Anti-EBV abs.
7. VDRL/RPR.

Question 3

HIV, acute retroviral syndrome DDx:

5

Answer 3

1. IM.
2. Hep.
3. Viral pharyngitis.
4. Strep tonsillitis/scarlet fever.
5. Syph.

Question 4

HIV, acute retroviral syndrome workup:

7

Answer 4

1. CBC with peripheral smear.
2. HIV antibody.
3. CD4 count.
4. Monospot test.
5. Throat culture.
6. VDRL/RPR.
7. AST/ALT/Bil/ALP.

Question 5

Pharyngitis DDx:

3

Answer 5

1. Mycoplasma pneumonia.
2. Acute HIV infection.
3. IM.

Question 6

Pharyngitis workup:

5

Answer 6

1. Throat swab for culture and rapid streptococcal antigen.
2. Monospot test.
3. CBC.
4. Serologic test (cold agglutinin titer) for Mycoplasma.
5. HIV antibody and viral load.