An 18-Year-Old Male College Student Came to the Student Health

Multiple Choice

An 18-year-old male college student came to the Student Health Services complaining of a sore throat, fatigue, and difficulty in swallowing. A physical examination showed an enlarged spleen; a palpable, tender liver; and swollen cervical lymph nodes. His blood is positive for heterophile antibody. What would you expect to see in a blood smear?

A) Atypical T cells called Downey cells
B) Gram-positive rods
C) Gram-negative rods
D) Mononuclear cells with Cowdry type A inclusions
E) Multinucleated giant cells