Rheumatic Fever Valvular Heart Disease

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Questions and Answers

What is the most common cardiac finding on chest radiography in patients with acute rheumatic heart disease?

  • First-degree atrioventricular block
  • Sinus tachycardia
  • Cardiomegaly (correct)
  • Pulmonary congestion

Which ECG abnormality is frequently associated with acute rheumatic heart disease?

  • Sinus tachycardia (correct)
  • Ventricular fibrillation
  • Atrial flutter
  • Second-degree heart block

What is the recommended initial antibiotic therapy for eradicating Group A Beta-hemolytic streptococcus (GABHS) in acute rheumatic heart disease?

  • Intravenous ceftriaxone for 3 days
  • IV administration of erythromycin
  • 10 days of orally administered penicillin (correct)
  • Single intramuscular injection of vancomycin

What is the appropriate treatment for patients with typical migratory polyarthritis and carditis without cardiomegaly or congestive heart failure?

<p>Oral salicylates (C)</p> Signup and view all the answers

In patients with carditis and cardiomegaly or congestive heart failure in acute rheumatic heart disease, what is the preferred treatment approach?

<p>Corticosteroids (C)</p> Signup and view all the answers

How long should patients with rheumatic fever without carditis receive antibiotic prophylaxis?

<p>At least 5 years (B)</p> Signup and view all the answers

For how long should patients with rheumatic fever and carditis but without residual heart disease continue antibiotic prophylaxis?

<p>At least 10 years (C)</p> Signup and view all the answers

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