Pediatrics Question #29


Which comment(s) made by the parent caring for an adolescent just diagnosed with infectious
mononucleosis indicates the parent needs further teaching? (Select all that apply.)


  1. “I will go to the emergency department if I hear crowing-like breathing noises.”
    • Rationale:
  2. “I will let the soccer coach know my child cannot participate for the next month.”
    • Rationale:
  3. “My child should not go to school and should be on bedrest for the next two weeks.”
    • Rationale:
  4. “My child should take ibuprofen or acetaminophen for any discomfort or fever.”
    • Rationale:
  5. “My child should take the prescribed antibiotic and steroid for the next two weeks.”
    • Rationale:



The correct answer is E. Infectious mononucleosis is a virus and should not be treated with antibiotics (used for bacterial infections) or steroids (can suppress the immune system). Crowing-like breathing is caused by a partial upper airway obstruction usually heard on inspiration and is a medical emergency. Medical treatment should be sought immediately. This symptom is not usually seen in infectious mononucleosis. The virus can cause an enlarged spleen. Contact sports should be avoided for at least a month as to not damage the spleen. Infectious mononucleosis can cause severe fatigue. Early in the infection, it is important to get adequate rest to adequately recover. Acetaminophen and ibuprofen taken as instructed can be used to control any joint/muscle pain and fever.

Learning Outcomes

Test Taking Tip

Video Rationale