A 12 year old boy with excessive fatigue, fever and general malaise is noted to have anterior cervical node enlargement .

Question Number 0320

Question:
A 12 year old boy with excessive fatigue, fever and general malaise is noted to have anterior cervical node enlargement . On examination he is noted to have well defined, red spots at the junction of the soft and hard palates. In this patient these spots are most suggestive of

a) Acute Lymphoblastic Leukemia
b) Juvenile rheumatoid arthritis
c) Infectious mononucleosis
d) Idiopathic thrombocytopenic purpura
e) systemic lupus erythematosus


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