A 21-year-old College student came to the clinic complaining of tiredness, daytime sleepiness, and difficulty swallowing for the past six months. Last semester she had difficulty passing her exam due to a lack of energy for studying during the day and frequently getting in an argument with her roommate for loud snoring. Her past medical history indicates recurrent upper respiratory tract infections. She denies painful swallowing, and her temperature is 37.2 C.  Her physical examination revealed halitosis, noisy respirations with an open mouth, and tonsillar swelling, as shown in the picture. No cervical lymphadenopathy, pharyngeal erythema, or neck pain. Based on given history and physical examination,

Which one of the following is the most likely diagnosis?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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