A client has been diagnosed with infectious mononucleosis (IM) caused by the Epstein-Barr virus (EBV) Which of the following statements is accurate regarding the incidence of classic IM?
Classic IM is more common in older adults aged 50 and above.
Classic IM has a seasonal variation, with peaks in summer.
Classic IM has a low risk of malignancy associated with EBV infection.
Classic IM has a higher incidence in developing countries than in developed countries.
The Correct Answer is B
Choice A rationale:
Classic IM is not more common in older adults aged 50 and above. It primarily affects adolescents and young adults.
Choice B rationale:
Classic IM does exhibit a seasonal variation, with higher incidence rates during the summer. This is believed to be related to increased social interactions and close contact during warm months.
Choice C rationale:
Classic IM does not have a low risk of malignancy associated with EBV infection. EBV is linked to certain malignancies, such as Burkitt's lymphoma and nasopharyngeal carcinoma.
Choice D rationale:
Classic IM does not have a higher incidence in developing countries. It is a widespread infection seen across various regions, including developed and developing countries.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Using condoms consistently and correctly is a valid statement. Condoms provide a barrier that can significantly reduce the risk of STI transmission by preventing direct genital contact.
Choice B rationale:
Getting regular STI testing is crucial for early detection and treatment, even if no symptoms are present. Many STIs can remain asymptomatic, and delaying testing could lead to complications and further spread.
Choice C rationale:
Avoiding sexual contact with multiple partners can indeed lower the risk of STIs, as it reduces exposure to potential carriers. However, this choice does not require further education.
Choice D rationale:
Practicing abstinence is an effective method to prevent STIs, but it may not be feasible for everyone. It is not the "most effective" method, as condoms and regular testing are also vital strategies.
Correct Answer is B
Explanation
Choice A rationale:
Brain abscess formation is not a typical complication of IM caused by CMV infection. Encephalitis and meningitis are more relevant neurological concerns.
Choice B rationale:
Enlarged spleen (splenomegaly) is a common complication of IM caused by CMV infection. It can lead to splenic rupture, which is a serious medical emergency.
Choice C rationale:
Burkitt's lymphoma development is not a direct complication of IM caused by CMV infection. Burkitt's lymphoma is associated with EBV infection, not CMV.
Choice D rationale:
Congenital abnormalities during pregnancy are not typically associated with IM caused by CMV infection. Congenital CMV infection can cause fetal abnormalities, but this is not directly related to IM.
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