Question

a 15-year-old male patient complains of pain in his abdomen that radiates to his back and shoulder. the patient also presents with a fever and swollen lymph nodes. he tells you his stomach feels full, and he has constant hiccups. what is your diagnosis and what test would you run to confirm? (pick two)
monospot
mri
hodgkin lymphoma
manometry
osteoid osteoma
ct
meningitis
ebv
gerd

Explanation:

Hodgkin lymphoma presents with swollen lymph nodes, fever, and abdominal pain (with potential referred pain). A CT scan is used to visualize lymph node involvement and abdominal structures. The monospot test is for mononucleosis (EBV - related, but Hodgkin lymphoma is a lymphoma; CT is better for lymphoma staging/confirmation. Among options, Hodgkin lymphoma (diagnosis) and CT (test) or monospot (if EBV - related, but Hodgkin is associated with EBV). Wait, Hodgkin lymphoma diagnosis and CT (imaging) or monospot (EBV test, as EBV is linked to Hodgkin). So correct picks: Hodgkin lymphoma (diagnosis) and CT (test) or monospot? Wait, Hodgkin lymphoma is a diagnosis, CT is a test to confirm (visualize lymph nodes, organs). So the two are Hodgkin lymphoma (diagnosis) and CT (test), or Hodgkin lymphoma and monospot (since EBV is associated). But from options, Hodgkin lymphoma (diagnosis) and CT (test) are appropriate. Alternatively, Hodgkin lymphoma and monospot (EBV test). But the options: Hodgkin lymphoma (diagnosis) and CT (test) or monospot. Let's check: Hodgkin lymphoma symptoms include swollen lymph nodes, fever, abdominal pain (due to lymph node involvement in abdomen). CT scan is used to detect enlarged lymph nodes, organ involvement. Monospot test detects heterophile antibodies in infectious mononucleosis (EBV), which is associated with Hodgkin lymphoma. So possible two: Hodgkin lymphoma (diagnosis) and CT (test), or Hodgkin lymphoma and monospot. But among the options, Hodgkin lymphoma (diagnosis) and CT (test) are present. So the correct two are: Hodgkin lymphoma (the diagnosis) and CT (the test to confirm), or Hodgkin lymphoma and monospot. But the options given: Hodgkin lymphoma is a diagnosis, CT is a test. So the answer is Hodgkin lymphoma (option) and CT (option), or Hodgkin lymphoma and monospot. Wait, the question says "Pick Two" - one diagnosis, one test. Hodgkin lymphoma is a diagnosis, CT is a test to confirm (imaging of lymph nodes, abdomen). So the two are:
Hodgkin lymphoma (diagnosis) and CT (test), or Hodgkin lymphoma and monospot (EBV test, as EBV is linked to Hodgkin). But from the options, Hodgkin lymphoma (option) and CT (option) are available. So the correct options are:
Hodgkin lymphoma (the diagnosis) and CT (the test), or Hodgkin lymphoma and monospot. But let's confirm symptoms: Hodgkin lymphoma: painless lymphadenopathy (but can be painful), fever, night sweats, weight loss, abdominal pain (if abdominal nodes). The patient has swollen lymph nodes, fever, abdominal pain. So diagnosis: Hodgkin lymphoma. Test: CT (to visualize abdominal lymph nodes, organs) or monospot (EBV test). Among options, Hodgkin lymphoma (option) and CT (option) are present. So the two are:
Hodgkin lymphoma (option) and CT (option).

Answer:

Hodgkin lymphoma (diagnosis) and CT (test) - so the options are:
Hodgkin lymphoma (the diagnosis option) and CT (the test option). So the two correct options are:
Hodgkin lymphoma (the option with text "Hodgkin lymphoma") and CT (the option with text "CT").