Acute Rheumatic Fever Overview
39 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary causal factor for acute rheumatic fever?

  • Viral infections
  • Group A beta hemolytic streptococci (correct)
  • Autoimmune disorders
  • Environmental toxins
  • During which seasons is the incidence of acute rheumatic fever reported to be highest?

  • Fall, winter, and early spring (correct)
  • Late spring and summer
  • All year round
  • Summer and early fall
  • Which age group is most susceptible to developing acute rheumatic fever?

  • Infants under 1 year
  • Children aged 5-15 years (correct)
  • Adults aged 20-30 years
  • Elderly individuals over 65
  • What kind of disease is acute rheumatic fever classified as?

    <p>A systemic disease of childhood</p> Signup and view all the answers

    Which of the following is NOT a direct consequence of an infection with group A beta hemolytic streptococci?

    <p>Chronic obstructive pulmonary disease</p> Signup and view all the answers

    What is the relationship between the skin lipid cholesterol and antigenicity in the context of rheumatic fever?

    <p>It inhibits the antigenicity, preventing rheumatic fever.</p> Signup and view all the answers

    Which of the following is NOT a pathological lesion associated with rheumatic fever?

    <p>Nephritis</p> Signup and view all the answers

    Which anatomical structures are affected by fibrinoid degeneration in rheumatic carditis?

    <p>Connective tissue and heart valves</p> Signup and view all the answers

    What percentage of cases of rheumatic fever typically manifests with carditis?

    <p>40-50%</p> Signup and view all the answers

    Which of the following joints is least commonly involved in the flitting and fleeting migratory polyarthritis associated with rheumatic fever?

    <p>Shoulder</p> Signup and view all the answers

    What chronic changes can occur in heart valves as a result of rheumatic fever?

    <p>Fibrosis and calcification</p> Signup and view all the answers

    Which specific cell formation is indicative of rheumatic fever's autoimmune response?

    <p>Ashcoff nodules</p> Signup and view all the answers

    In which phase of rheumatic fever does valvulitis occur?

    <p>Acute phase</p> Signup and view all the answers

    Which treatment step focuses on preventing recurrent attacks of rheumatic fever?

    <p>Secondary prevention</p> Signup and view all the answers

    What is the recommended initial dose of benzathine penicillin G for patients weighing more than 27 kg?

    <p>1,200,000 U</p> Signup and view all the answers

    Which option represents a common differential diagnosis for rheumatic fever?

    <p>Kawasaki disease</p> Signup and view all the answers

    What is the primary purpose of anti-inflammatory treatment in rheumatic fever management?

    <p>Reduction of inflammation</p> Signup and view all the answers

    In the case of carditis, what is the recommended dosage of prednisolone during the first two weeks?

    <p>2-2.5 mg/kg/day</p> Signup and view all the answers

    Which drug is indicated for patients allergic to penicillin during primary prevention of rheumatic fever?

    <p>Erythromycin</p> Signup and view all the answers

    What dosage of aspirin is appropriate for a patient with arthritis only during treatment?

    <p>75-100 mg/kg/day</p> Signup and view all the answers

    Which of the following represents an exception to the Jones criteria for diagnosing rheumatic fever?

    <p>Chorea on its own</p> Signup and view all the answers

    What is the recommended dosage of Benzathine penicillin G for secondary prevention of rheumatic fever?

    <p>1,200,000 U every 4 weeks</p> Signup and view all the answers

    Which treatment is prescribed for chorea in the supportive management of rheumatic fever?

    <p>Diazepam or Haloperidol</p> Signup and view all the answers

    In what scenarios is more frequent administration of Benzathine penicillin G recommended?

    <p>In high-risk situations</p> Signup and view all the answers

    For individuals allergic to both penicillin and sulfadiazine, which medication is recommended?

    <p>Erythromycin</p> Signup and view all the answers

    What is the minimum duration of prophylaxis for a patient with rheumatic fever who has residual heart disease?

    <p>10 years or until age 40</p> Signup and view all the answers

    What is the prognosis for younger children presenting with rheumatic fever and carditis with valvar lesions?

    <p>Bad prognosis</p> Signup and view all the answers

    Which medication is NOT a supportive treatment for congestive cardiac failure in rheumatic fever management?

    <p>Beta-blockers</p> Signup and view all the answers

    What defines the duration of secondary prophylaxis for an individual with rheumatic fever but without carditis?

    <p>5 years or until age 21, whichever is longer</p> Signup and view all the answers

    Which clinical manifestation is associated with Sydenham Chorea?

    <p>Deterioration of handwriting</p> Signup and view all the answers

    What is the significance of the anti-DNAse B test in relation to rheumatic fever?

    <p>It indicates prior infection with Group A streptococci.</p> Signup and view all the answers

    Which of the following is NOT considered a major manifestation in the modified Jones criteria for rheumatic fever?

    <p>Fever</p> Signup and view all the answers

    What abnormality would likely be seen in an ECG of a patient with rheumatic fever?

    <p>Prolonged PR interval</p> Signup and view all the answers

    What is the peak value for Erythema Marginatum as per the laboratory findings?

    <p>3 weeks</p> Signup and view all the answers

    Which statement is accurate regarding the diagnosis of rheumatic fever?

    <p>It is primarily a clinical diagnosis using modified Jones Criteria.</p> Signup and view all the answers

    Which laboratory finding is commonly associated with rheumatic fever?

    <p>Leukocytosis</p> Signup and view all the answers

    What is the common age range for the occurrence of Sydenham Chorea?

    <p>1-15 years</p> Signup and view all the answers

    Which cardiac feature can be detected through 2D echocardiography in rheumatic fever?

    <p>Valve edema</p> Signup and view all the answers

    What is a common clinical sign indicative of Sydenham Chorea?

    <p>Pronator sign</p> Signup and view all the answers

    More Like This

    Respiratory Tract Infections and Rheumatic Fever
    10 questions
    Fiebre Reumática: Definición y Características
    16 questions
    Infectious Agents and Rheumatic Fever
    37 questions
    Use Quizgecko on...
    Browser
    Browser