Podcast
Questions and Answers
What is the typical time frame for acute rheumatic fever to occur following group A streptococcal pharyngitis?
What is the typical time frame for acute rheumatic fever to occur following group A streptococcal pharyngitis?
- 2 to 4 years
- 2 to 4 days
- 2 to 4 weeks (correct)
- 2 to 4 months
Which of the following is NOT a clinical manifestation that can develop in relation to group A streptococcal pharyngitis?
Which of the following is NOT a clinical manifestation that can develop in relation to group A streptococcal pharyngitis?
- Chorea
- Pneumonia (correct)
- Carditis
- Subcutaneous nodules
What is the long-term consequence of rheumatic fever on the heart and its valves?
What is the long-term consequence of rheumatic fever on the heart and its valves?
- Chronic progressive damage to the heart and its valves (correct)
- No impact on the heart and its valves
- Rapid healing and recovery of the heart valves
- Temporary inflammation of the heart
What were the Jones criteria formulated for in 1944?
What were the Jones criteria formulated for in 1944?
What is thought to be the primary reason for the decline in the incidence of rheumatic fever?
What is thought to be the primary reason for the decline in the incidence of rheumatic fever?
At what age does acute rheumatic fever typically occur?
At what age does acute rheumatic fever typically occur?
Which medication may compete with penicillin G for renal tubular secretion, potentially increasing penicillin serum concentrations?
Which medication may compete with penicillin G for renal tubular secretion, potentially increasing penicillin serum concentrations?
What is a potential fetal risk associated with the use of glucocorticoids?
What is a potential fetal risk associated with the use of glucocorticoids?
Which condition is a contraindication for the use of neuroleptic agents?
Which condition is a contraindication for the use of neuroleptic agents?
What is a contraindication for the use of aspirin?
What is a contraindication for the use of aspirin?
What is the recommended approach for the primary prevention of acute rheumatic fever (ARF)?
What is the recommended approach for the primary prevention of acute rheumatic fever (ARF)?
What is the duration of secondary prevention for individuals with ARF and carditis but no residual valve disease?
What is the duration of secondary prevention for individuals with ARF and carditis but no residual valve disease?
What complications are dependent upon the severity of carditis during an acute attack of ARF?
What complications are dependent upon the severity of carditis during an acute attack of ARF?
What surgical intervention should be considered in patients with active carditis, especially those with cases refractory to medical care or requiring high doses of vasodilators and diuretics?
What surgical intervention should be considered in patients with active carditis, especially those with cases refractory to medical care or requiring high doses of vasodilators and diuretics?
Which medication may compete with penicillin G for renal tubular secretion, potentially increasing penicillin serum concentrations?
Which medication may compete with penicillin G for renal tubular secretion, potentially increasing penicillin serum concentrations?
What is a potential fetal risk associated with the use of glucocorticoids?
What is a potential fetal risk associated with the use of glucocorticoids?
Which condition is a contraindication for the use of neuroleptic agents?
Which condition is a contraindication for the use of neuroleptic agents?
What is a contraindication for the use of aspirin?
What is a contraindication for the use of aspirin?
What is the recommended approach for the primary prevention of acute rheumatic fever (ARF)?
What is the recommended approach for the primary prevention of acute rheumatic fever (ARF)?
What is the major cause of long-term morbidity in acute rheumatic fever?
What is the major cause of long-term morbidity in acute rheumatic fever?
What is the most commonly acquired heart disease in hospitalized children, adolescents, and young adults in less developed nations?
What is the most commonly acquired heart disease in hospitalized children, adolescents, and young adults in less developed nations?
What is the estimated percentage of patients with acute rheumatic fever that will develop rheumatic heart disease worldwide?
What is the estimated percentage of patients with acute rheumatic fever that will develop rheumatic heart disease worldwide?
What is the cause of left ventricular dilation and congestive heart failure in acute rheumatic fever?
What is the cause of left ventricular dilation and congestive heart failure in acute rheumatic fever?
What is thought to play a role in the pathogenic mechanisms that cause acute rheumatic fever?
What is thought to play a role in the pathogenic mechanisms that cause acute rheumatic fever?
Which factor has a direct proportional relationship with morbidity from acute rheumatic fever?
Which factor has a direct proportional relationship with morbidity from acute rheumatic fever?
What is the primary cause of death and disability in children and adolescents in developing nations and lower socioeconomic areas?
What is the primary cause of death and disability in children and adolescents in developing nations and lower socioeconomic areas?
Which age group has the highest reported cases of individuals affected by acute rheumatic fever?
Which age group has the highest reported cases of individuals affected by acute rheumatic fever?
What is the characteristic complaint for patients with rheumatic fever?
What is the characteristic complaint for patients with rheumatic fever?
What is the primary diagnostic method used for acute rheumatic fever?
What is the primary diagnostic method used for acute rheumatic fever?
What is associated with an inverse relationship with the risk of developing carditis in acute rheumatic fever?
What is associated with an inverse relationship with the risk of developing carditis in acute rheumatic fever?
Which of the following is a major criterion for the diagnosis of acute rheumatic fever?
Which of the following is a major criterion for the diagnosis of acute rheumatic fever?
What is the most frequent cause of mitral stenosis?
What is the most frequent cause of mitral stenosis?
What is the gold standard for the diagnosis of rheumatic heart disease?
What is the gold standard for the diagnosis of rheumatic heart disease?
What is the recommended treatment for acute rheumatic fever without carditis?
What is the recommended treatment for acute rheumatic fever without carditis?
Which laboratory test should be performed to disclose preceding streptococcal infection in acute rheumatic fever?
Which laboratory test should be performed to disclose preceding streptococcal infection in acute rheumatic fever?
What is the characteristic movement disorder that occurs in a percentage of acute rheumatic fever cases?
What is the characteristic movement disorder that occurs in a percentage of acute rheumatic fever cases?
Which of the following is a treatment strategy for the management of acute rheumatic fever?
Which of the following is a treatment strategy for the management of acute rheumatic fever?
What should be performed in all cases of confirmed and suspected acute rheumatic fever to assess whether carditis is present?
What should be performed in all cases of confirmed and suspected acute rheumatic fever to assess whether carditis is present?
What is the most appropriate antimicrobial treatment for the eradication of streptococcal infection in acute rheumatic fever?
What is the most appropriate antimicrobial treatment for the eradication of streptococcal infection in acute rheumatic fever?
What is a possible symptom that may indicate severe polyarthritis in acute rheumatic fever?
What is a possible symptom that may indicate severe polyarthritis in acute rheumatic fever?
In what proportion of cases does erythema marginatum, a characteristic rash, occur in acute rheumatic fever patients?
In what proportion of cases does erythema marginatum, a characteristic rash, occur in acute rheumatic fever patients?
What is the typical onset for Sydenham chorea, a characteristic movement disorder in acute rheumatic fever?
What is the typical onset for Sydenham chorea, a characteristic movement disorder in acute rheumatic fever?
