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154379 Medicine

An 18-year-old woman presents to the clinic complaining of malaise for the past 3 weeks, fever for 2 weeks, and a sore throat. Physical examination shows pharyngeal infection with enlarged tonsils and a patchy, white exudate; enlarged, palpable anterior and posterior cervical, axillary, and inguinal lymph nodes; tenderness in the right upper quadrant; and minimal splenomegaly. Laboratory data show hemoglobin 14 g/dL; hematocrit 42%; platelets 380,000/mL; WBC 8500/mL, with 35% segmented neutrophils, 1% eosinophils, and 64% lymphocytes, of which 36% were atypical. Which of the following is the most likely diagnosis?

Ainfectious hepatitis
Blymphocytic leukemia
Cinfectious mononucleosis
DHodgkin disease
Medicine
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