Tonsillitis is usually diagnosed by a visual examination of the throat. Red and swollen tonsils with spots or sores can indicate tonsillitis.
A rapid strep test can be conducted in a doctor's office along with a throat culture to determine whether the tonsillitis is caused by streptococcus bacteria. If you have symptoms characteristic of strep throat (sore throat, fever, and swollen lymph nodes), you should be tested for strep.
A test for mononucleosis may be done if the Epstein-Barr virus (which can cause mononucleosis) is suspected as a cause of the infection.

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