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

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

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

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