CASE #1: A 16-year-old female comes to the primary care office reporting a sudden…

CASE #1: A 16-year-old female comes to the primary care office reporting a sudden onset of sore throat that started 24 hours ago. The patient states that she felt feverish but did not take her temperature. She states that swallowing is very painful and when looking at her throat she noticed some “white spots”. The patient denies having nasal congestion, rhinorrhea, otalgia, cough, or shortness of breath. She denies any sick contacts. The patient reports not taking any daily medications and has no known drug allergies. She is a non-smoker and drinks 2-3 beers about 2-3 times per month. PHYSICAL EXAM: • Vital signs: T 101.1F; pulse 101 beats/min; respirations 17 breaths/min; BP 110/66mm/Hg • General: Appears mildly ill and fatigued • Skin: warm and dry, without exanthem • Head, ears, eyes, nose, throat (HEENT): unremarkable except for moderately erythematous pharynx with small petechiae to soft palate and whitish tonsillar exudate. • Neck: small (<.5cm) tender bilateral anterior cervical lymphadenopathy. • Heart, lungs and abdomen are unremarkable QUESTIONS: 1. What is the most likely diagnosis and pathogen causing this disorder? Provide a rationale for your answer. 2. What is the mode of transmission of this pathogen? 3. What diagnostic testing would the nurse pract