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Exam questionKROK 2Medicine · 2019

A woman came to the doctor with complaints of increased body temperature up to 38°C and moderately sore throat for the last 3 days. Objectively: mandibular lymph nodes are enlarged up to 3 cm. Palatine tonsils are hypertrophied and covered with gray coating that spreads to the uvula and anterior pillars of the fauces. What is the most likely diagnosis?

Answer options

  1. Oropharyngeal candidiasis
  2. Oropharyngeal diphtheria
  3. Agranulocytosis
  4. Infectious mononucleosis
  5. Pseudomembranous (Vincent’s) tonsillitis
Correct answer

Oropharyngeal diphtheria

Explanation

A woman came to the doctor with complaints of increased body temperature up to 378°C and moderately sore throat for the last 3 days. Objectively: mandibular lymph nodes are enlarged up to 3 cm. Palatine tonsils are hypertrophied and covered with gray coating that spreads to the uvula and anterior pillars of the fauces. What is the most likely diagnosis?

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