Review Question - QID 108518

A 22-year-old female college student presents to the student health department with a chief complaint of fatigue. She states that she has been excessively tired since returning from a hiking trip with her sorority to celebrate their victory over a rival college in a rugby tournament. The patient's past medical history includes depression, anxiety, 2 prior suicide attempts, and 3 bouts of an "STD" that were treated with ceftriaxone and doxycycline. She has no known drug allergies and is currently taking fluoxetine daily and ibuprofen as needed. On physical exam, she is a young and fatigued woman in no acute distress. Examination of the oropharynx reveals tonsillar exudates and cervical lymphadenopathy. Her temperature is 101°F (38.3°C), blood pressure is 115/71 mmHg, pulse is 100/min, and respirations are 17/min. She is prescribed antibiotics and sent home. She returns 1 day later stating she feels slightly better after taking a day off from school. On exam you note the findings in Figure A. Her vitals and the remainder of her physical exam are similar to her first visit. Which of the following is the next best step in management?