Rheumatic Fever Summary

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Questions and Answers

Rheumatic fever is characterized as a:

  • Viral respiratory illness
  • Congenital heart defect
  • Localized bacterial infection
  • Systemic inflammatory disorder (correct)

Rheumatic fever is directly contagious from person to person.

False (B)

Rheumatic fever typically follows an infection caused by which specific type of bacteria?

group A streptococcus

Rheumatic fever is a __________ disorder, indicating it affects multiple organ systems.

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

In which regions is rheumatic fever considered relatively rare?

<p>Developed world (B)</p> Signup and view all the answers

The incidence of rheumatic fever is uniform across all socioeconomic groups globally.

<p>False (B)</p> Signup and view all the answers

What preventative measure has significantly reduced the occurrence of rheumatic fever in developed countries?

<p>antibiotic treatment of streptococcal infections</p> Signup and view all the answers

The inflammatory response in rheumatic fever is triggered by a prior infection with Group A __________.

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

Which of the following is NOT a typical manifestation of acute rheumatic fever?

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

Carditis in acute rheumatic fever exclusively affects the myocardium.

<p>False (B)</p> Signup and view all the answers

What is the term for the characteristic skin rash associated with acute rheumatic fever?

<p>erythema marginatum</p> Signup and view all the answers

__________ is a neurological disorder characterized by involuntary movements, and is a manifestation of acute rheumatic fever.

<p>sydenham chorea</p> Signup and view all the answers

Which of the following Jones criteria is considered a 'major' manifestation in the diagnosis of acute rheumatic fever?

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

The Jones criteria are used for the diagnosis of streptococcal pharyngitis.

<p>False (B)</p> Signup and view all the answers

Besides the major criteria, what other category of diagnostic criteria is used in diagnosing acute rheumatic fever?

<p>minor criteria</p> Signup and view all the answers

Evidence of a preceding Group A streptococcal infection is a crucial requirement beyond the Jones criteria for diagnosing acute __________ __________.

<p>rheumatic fever</p> Signup and view all the answers

The primary goal of treating acute rheumatic fever is to:

<p>Reduce inflammation and prevent cardiac damage (C)</p> Signup and view all the answers

Antibiotics are ineffective in the treatment of acute rheumatic fever.

<p>False (B)</p> Signup and view all the answers

Which class of medications is typically used to reduce inflammation in the acute phase of rheumatic fever?

<p>nsaids or corticosteroids</p> Signup and view all the answers

In cases of carditis, patients may require additional medications, such as __________ inhibitors, to manage heart failure.

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

What is secondary prophylaxis in the context of Rheumatic Fever?

<p>Preventing recurrent attacks of rheumatic fever (C)</p> Signup and view all the answers

Secondary prophylaxis is not necessary after an episode of acute rheumatic fever if there is no evidence of carditis.

<p>False (B)</p> Signup and view all the answers

What is the most commonly used antibiotic for secondary prophylaxis against rheumatic fever?

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

The duration of secondary prophylaxis often depends on whether __________ was present during the acute phase of rheumatic fever.

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

What is the main long-term complication that physicians aim to prevent with treatment and prophylaxis of rheumatic fever?

<p>Rheumatic heart disease (D)</p> Signup and view all the answers

Rheumatic heart disease only affects the mitral valve.

<p>False (B)</p> Signup and view all the answers

What type of heart valve damage is most commonly seen as a long-term consequence of rheumatic fever?

<p>valve stenosis or valve regurgitation</p> Signup and view all the answers

In severe cases of rheumatic heart disease leading to valve damage, patients may require surgical intervention, such as valve __________ or replacement.

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

Which population is at highest risk for developing rheumatic fever and subsequent rheumatic heart disease?

<p>Children in low-income countries (D)</p> Signup and view all the answers

Eradication of poverty and improved access to healthcare have no impact on the incidence of rheumatic fever.

<p>False (B)</p> Signup and view all the answers

What public health intervention can help reduce the incidence of rheumatic fever in at-risk communities?

<p>early diagnosis and treatment of streptococcal infections</p> Signup and view all the answers

Providing accessible and affordable __________ treatment is crucial in reducing the burden of rheumatic fever worldwide.

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

Match each term related to rheumatic fever with its correct definition or description:

<p>Carditis = Inflammation of the heart, a major manifestation of ARF. Sydenham Chorea = A neurological disorder with involuntary movements. Secondary Prophylaxis = Preventing recurrent attacks of rheumatic fever. Erythema Marginatum = A specific skin rash associated with ARF.</p> Signup and view all the answers

For individuals with confirmed Rheumatic Heart Disease (RHD), what preventative measure is most important before dental procedures?

<p>Prophylactic antibiotics (B)</p> Signup and view all the answers

Rheumatic fever can be diagnosed solely based on clinical symptoms, without evidence of a preceding streptococcal infection.

<p>False (B)</p> Signup and view all the answers

After an episode of acute rheumatic fever, what type of ongoing medical follow-up is crucial to monitor?

<p>echocardiography or cardiac monitoring</p> Signup and view all the answers

The Jones criteria help clinicians differentiate between ARF and other conditions that cause similar symptoms, such as __________ arthritis.

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

Which diagnostic test can help confirm a recent streptococcal infection in a patient suspected of having acute rheumatic fever?

<p>Rapid strep test or ASO titer (C)</p> Signup and view all the answers

The presence of erythema marginatum is pathognomonic for rheumatic fever, meaning it confirms the diagnosis on its own.

<p>False (B)</p> Signup and view all the answers

What specific heart valve is most commonly affected in patients with long-term rheumatic heart disease?

<p>mitral valve</p> Signup and view all the answers

Prompt treatment of streptococcal pharyngitis with antibiotics like penicillin helps prevent the inflammatory response that leads to acute __________ __________.

<p>rheumatic fever</p> Signup and view all the answers

Rheumatic fever is characterized by which of the following?

<p>A systemic inflammatory disorder following a group A Streptococcus infection. (C)</p> Signup and view all the answers

Rheumatic fever is a highly contagious disease that spreads through direct contact.

<p>False (B)</p> Signup and view all the answers

What type of bacterial infection typically precedes the onset of rheumatic fever?

<p>Group A Streptococcus</p> Signup and view all the answers

Rheumatic fever is a __________ inflammatory disorder that can affect multiple organs.

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

The incidence of rheumatic fever is uniformly distributed across all regions of the world.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a direct cause of rheumatic fever?

<p>Exposure to unsanitary conditions (C)</p> Signup and view all the answers

Untreated or partially treated __________ infections can lead to rheumatic fever.

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

Name one factor that has contributed to the rarity of rheumatic fever in the developed world.

<p>Improved hygiene</p> Signup and view all the answers

Rheumatic fever primarily affects the respiratory system, leading to chronic lung disease.

<p>False (B)</p> Signup and view all the answers

Flashcards

Rheumatic fever

A systemic inflammatory disorder that can occur after a group A Streptococcus infection.

Is Rheumatic fever contagious?

Rheumatic fever is not contagious itself; it's the preceding strep infection that spreads.

Epidemiology of Rheumatic Fever

Rheumatic fever is rare in the developed world.

Study Notes

  • Rheumatic fever is a systemic inflammatory disorder.
  • It develops after an infection with group A Streptococcus.
  • Rheumatic fever is not contagious.
  • Rheumatic fever is rare in the developed world.

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