Rheumatic Fever and Heart Valve Damage
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Questions and Answers

What is the most common valve affected in rheumatic fever?

  • Pulmonary valve
  • Mitral valve (correct)
  • Aortic valve
  • Tricuspid valve

What type of infection is responsible for initiating or reactivating rheumatic fever?

  • GABHS pneumonia
  • GABHS tonsillitis
  • GABHS pharyngitis (correct)
  • GABHS skin infection

What is the final mechanism of the autoimmune reaction that causes damage to cardiac tissue?

  • Decrease in regulatory T-cells
  • Molecular mimicry
  • Increased production of inflammatory cytokines (correct)
  • Infiltration of the heart by T cells

What is the purpose of the modified Jones criteria?

<p>To provide guidelines for making the diagnosis of rheumatic fever (D)</p> Signup and view all the answers

What is the minimum number of criteria required for the diagnosis of recurrent rheumatic fever?

<p>1 major and 2 minor (B)</p> Signup and view all the answers

What is the characteristic of subcutaneous nodules in rheumatic fever?

<p>Small, painless bumps (B)</p> Signup and view all the answers

What is the normal ESR value during acute illness?

<p>≥60 mm/h (A)</p> Signup and view all the answers

What is the characteristic of erythema marginatum in rheumatic fever?

<p>Flat or slightly raised, painless rash with a ragged edge (B)</p> Signup and view all the answers

What is the primary method of diagnosis for streptococcal pharyngitis?

<p>Throat culture (A)</p> Signup and view all the answers

What is elevated in patients with rheumatic fever?

<p>C-reactive protein and erythrocyte sedimentation rate (B)</p> Signup and view all the answers

What is the primary treatment for rheumatic fever?

<p>Antibiotics (D)</p> Signup and view all the answers

What is the purpose of a throat culture in diagnosing streptococcal pharyngitis?

<p>To isolate the organism and allow typing (B)</p> Signup and view all the answers

What is the role of echocardiography in diagnosing rheumatic fever?

<p>To quantify valve insufficiency and ventricular dysfunction (D)</p> Signup and view all the answers

What is the primary goal of nursing interventions in patients with rheumatic fever?

<p>To reduce pain and discomfort (C)</p> Signup and view all the answers

What is the purpose of rapid antigen detection test in diagnosing streptococcal pharyngitis?

<p>To detect the presence of group A beta-hemolytic streptococcus (B)</p> Signup and view all the answers

What is the restriction in the diet of patients with congestive heart failure (CHF)?

<p>A low-sodium diet (A)</p> Signup and view all the answers

What is measured in a blood test to diagnose myocarditis?

<p>Levels of certain enzymes and antibodies (A)</p> Signup and view all the answers

What is the purpose of cardiac catheterization and endomyocardial biopsy in diagnosing myocarditis?

<p>To remove a sample of heart muscle tissue for analysis (D)</p> Signup and view all the answers

What is recommended for at least three to six months to manage myocarditis?

<p>Avoiding competitive sports (B)</p> Signup and view all the answers

What type of medication helps relax blood vessels in the heart and improve blood flow?

<p>Angiotensin-converting enzyme (ACE) inhibitors (A)</p> Signup and view all the answers

What is a complication of inadequately treated strep throat or scarlet fever?

<p>Acute rheumatic fever (C)</p> Signup and view all the answers

How can you minimize the risk of getting infected with a virus that can cause myocarditis?

<p>Avoiding people who have a viral or flu-like illness (D)</p> Signup and view all the answers

What is recommended to prevent tick-borne illnesses that can cause myocarditis?

<p>Wearing long-sleeved shirts and long pants (C)</p> Signup and view all the answers

What is a potential complication of myocarditis?

<p>Heart attack or stroke (D)</p> Signup and view all the answers

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