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Review Question - QID 8693

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QID 8693 (Type "8693" in App Search)
An 18-year-old lacrosse player is diagnosed with infectious mononucleosis. What is the recommendation for return to play?

Full participation once symptoms resolve

2%

17/878

Full participation once the splenomegaly resolves

16%

142/878

Full participation 4 weeks after the onset of symptoms regardless of the size of the spleen

6%

56/878

Full participation 4 weeks after both the onset of illness and findings of a normal-sized spleen

66%

582/878

No participation for 8 weeks

9%

76/878

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Infectious mononucleosis commonly affects adolescents and young adults. It is a febrile illness accompanied by acute pharyngitis. Splenomegaly may occur and predispose the athlete to splenic rupture. Splenic rupture has been reported in nonathletes as well as in patients with normal-sized spleens. Clinical evidence supports a return to all sports 4 weeks after the onset of symptoms provided that the spleen has returned to normal size.

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