Rheumatic Heart Disease Overview
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Questions and Answers

What type of virus is HIV?

  • Bacteriophage
  • DNA virus
  • Retrovirus (correct)
  • RNA virus
  • Kaposi's sarcoma is a common type of cancer in people with healthy immune systems.

    False (B)

    What are the two main types of cells that HIV attacks?

    HIV attacks T cells and macrophages.

    The reduction of ______ cells results in a weakened immune system.

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

    Match the following terms with their corresponding descriptions:

    <p>Kaposi's sarcoma = A rare cancer of the blood vessels associated with HIV Opportunistic infections = Infections that do not typically develop in people with healthy immune systems AIDS = A syndrome characterized by a weakened immune system and susceptibility to opportunistic infections HIV = A virus that attacks the immune system, leading to AIDS CD4+ cells = A type of immune cell that HIV primarily targets</p> Signup and view all the answers

    What is the primary cause of Rheumatic Heart Disease (RHD)?

    <p>A bacterial infection (B)</p> Signup and view all the answers

    RHD is a temporary condition that usually resolves on its own.

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

    What are the four primary systems affected by Rheumatic Fever?

    <p>Heart, joints, central nervous system (CNS), skin and subcutaneous tissues</p> Signup and view all the answers

    The inflammatory response in RHD can lead to permanent damage of the ______ in the heart.

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

    Match the following complications of Rheumatic Heart Disease with their descriptions:

    <p>Mitral valve stenosis = Narrowing of the mitral valve, obstructing blood flow from the left atrium to the left ventricle Heart arrhythmia = Irregular heartbeat, which can be caused by damage to the electrical system of the heart Heart failure = The heart is unable to pump blood effectively, leading to fluid buildup in the body Edema = Swelling, typically in the legs and feet, caused by fluid retention Syncope = Fainting, which can occur due to low blood pressure or a decrease in blood flow to the brain Fever associated with infection of damaged heart valves = An indication of potential endocarditis, a serious infection of the heart valves Complications during pregnancy = Women with RHD face increased risks during pregnancy, including heart failure, premature birth, and low birth weight Percutaneous balloon mitral valvuloplasty (PBMV) = A procedure used to widen a narrowed mitral valve by inflating a balloon within the valve</p> Signup and view all the answers

    Which of the following diagnostic tests is commonly used to assess the severity of RHD?

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

    What is the main goal of diabetes management?

    <p>All of the above (D)</p> Signup and view all the answers

    Substance abuse only affects the individual who is using the substance.

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

    Women with RHD should avoid taking any prescribed medications during pregnancy.

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

    What are the main goals of medical management for pregnant women with RHD?

    <p>Close supervision, monitoring for complications, anticoagulation management, continuation of secondary prophylaxis treatment</p> Signup and view all the answers

    What are two common substances abused during pregnancy that can lead to fetal growth retardation?

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

    Cocaine exposure during pregnancy can produce direct ______ effects on the fetus.

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

    Match the substance abused during pregnancy with its potential effect on the fetus.

    <p>Alcohol = Fetal Alcohol Spectrum Disorders (FASD) Cocaine = Premature delivery, placental abruption, cardiac anomalies Methamphetamine = Reduced memory and verbal skills at age 4 years Tobacco = Stillbirth, placental abruption, premature rupture of membranes Heroin = Neurological and developmental problems in the child</p> Signup and view all the answers

    Which of the following is NOT a commonly abused substance during pregnancy?

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

    The placenta protects the fetus from the harmful effects of drugs used by the mother.

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

    What are three potential long-term complications of diabetes?

    <p>Heart disease, stroke, and kidney failure</p> Signup and view all the answers

    A person with HIV can be asymptomatic for up to 10-12 years before symptoms appear.

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

    Which of the following is NOT a common side effect of antiretroviral medications?

    <p>Increased risk of stomach ulcers (B)</p> Signup and view all the answers

    What is the main factor that determines when a person with HIV is at risk for opportunistic infections?

    <p>A CD4 count below 500</p> Signup and view all the answers

    Sharing of ______ and blood transfusions are rare modes of HIV transmission.

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

    Which of the following is NOT a public health strategy to prevent HIV transmission?

    <p>Limit the number of individuals who can donate blood (C)</p> Signup and view all the answers

    Match the following risk factors with their corresponding groups:

    <p>Injection drug users who share needles = People at Risk Infants born to mothers with HIV = People at Risk Individuals with a history of STDs = When should a client be tested? Anyone who has had unprotected sex = People at Risk</p> Signup and view all the answers

    HIV can be transmitted from an infected mother to her infant during ______, delivery, and breastfeeding.

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

    What is the primary reason why breastfeeding should be avoided by HIV-positive mothers?

    <p>To prevent transmission of HIV to the infant through breast milk.</p> Signup and view all the answers

    Which of the following tests is most commonly used to confirm a diagnosis of HIV?

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

    A person with HIV can be contagious even if they are not showing any symptoms.

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

    What is the purpose of a polymerase chain reaction (PCR) test for HIV?

    <p>A PCR test detects the presence of HIV DNA in the white blood cells (WBCs) of a person.</p> Signup and view all the answers

    The reduction of ______ cells results in a weakened immune system in people with HIV.

    <p>CD4</p> Signup and view all the answers

    Match the following tests with their primary purpose in HIV care:

    <p>ELISA = Screen for the presence of HIV antibodies Western Blot = Confirms an HIV diagnosis CD4 cell count = Monitors the health of the immune system HIV RNA level = Measures viral load and effectiveness of treatment</p> Signup and view all the answers

    Which of the following scenarios could increase the risk of Rh incompatibility in a pregnancy?

    <p>The mother is Rh-negative, and the fetus is Rh-positive. (C)</p> Signup and view all the answers

    Rh sensitization can occur after a miscarriage or ectopic pregnancy.

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

    What is the purpose of a PUBS/Cordocentesis test in Rh incompatibility?

    <p>PUBS/Cordocentesis is used to monitor known sensitization problems in the fetus. It involves sampling fetal blood to check for anemia and other complications.</p> Signup and view all the answers

    Which of the following conditions DOES NOT require RhoGAM administration during pregnancy?

    <p>Blood transfusion during pregnancy (B)</p> Signup and view all the answers

    The symptoms and complications of Rh incompatibility affect both the mother and the baby.

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

    What is the primary function of phototherapy treatment for infants?

    <p>To break down bilirubin in the skin.</p> Signup and view all the answers

    A direct Coombs test is used to detect the presence of ______ on the surface of red blood cells.

    <p>cell-destroying antibodies</p> Signup and view all the answers

    Match the following conditions with their corresponding descriptions:

    <p>Iron-deficiency anemia = The body doesn't have enough iron to produce adequate amounts of hemoglobin Anemia = Lack of red blood cells Hydrops fetalis = Fluid buildup and swelling in the baby Kernicterus = Brain damage due to high levels of bilirubin</p> Signup and view all the answers

    Which of the following is NOT a potential complication of Rh incompatibility?

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

    Anemia in pregnant women is always caused by iron deficiency.

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

    What is the main reason why anemia during pregnancy can be problematic for both the mother and the baby?

    <p>Anemia leads to a lack of oxygen-carrying ability in the blood, potentially causing fatigue in the mother and affecting fetal development.</p> Signup and view all the answers

    Flashcards

    Goals of Diabetes Management

    Focus on reducing symptoms, promoting well-being, and preventing complications.

    Intrauterine Growth Retardation

    Condition where a fetus grows slower than normal due to various factors.

    Cocaine Exposure Effects

    Causes neurotoxic effects and complications in newborns such as reduced memory skills.

    Addiction Definition

    Habitual dependence on a substance beyond voluntary control.

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    Commonly Abused Substances

    Includes alcohol, marijuana, cocaine, heroin, and more that are misused.

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    Risks of Drug Use During Pregnancy

    Includes miscarriage, stillbirth, and low birth weight in infants.

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    Tobacco Exposure Risks

    Cigarette smoke contains harmful substances that can affect fetal development.

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    Prenatal Complications from Substance Use

    Includes stillbirth, fetal distress, and premature delivery risks due to drug use.

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    Rheumatic Heart Disease (RHD)

    A condition resulting from rheumatic fever that damages heart valves due to inflammation.

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    Rheumatic Fever

    An acute inflammatory disease triggered by group A streptococcal infection, affecting the heart and other systems.

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    Mitral Valve Stenosis

    Narrowing of the mitral valve opening, often seen in RHD patients.

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    Chest X-ray

    A diagnostic imaging test used to visualize the heart and lungs, helpful in RHD diagnosis.

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    Echocardiogram

    Ultrasound test that shows heart structure and function, used in RHD assessment.

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    Diuretics

    Medications that increase urine production to reduce blood volume and pressure in RHD patients.

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    Beta-blockers

    Medications that help manage heart rate and rhythm in patients with RHD-related arrhythmias.

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    Percutaneous Balloon Mitral Valvuloplasty (PBMV)

    A procedure where a balloon is inflated in the mitral valve to widen it for better blood flow.

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    CD4 Count Below 500

    An HIV-infected person is at risk for opportunistic infections when their CD4 count drops below 500.

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    Opportunistic Infections

    Infections that occur more frequently in individuals with weakened immune systems, such as in HIV patients.

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    Transmission Methods of HIV

    HIV can be transmitted through blood, sexual contact, childbirth, breastfeeding, or sharing needles.

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    Common Side Effects of HIV Treatment

    Patients may experience fat accumulation (buffalo hump), malaise, weakness, headaches, and nausea.

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    Preventing HIV Transmission

    Prevention strategies include avoiding drug use, not sharing needles, safer sex practices, and regular testing.

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    People at Risk for HIV

    Key groups include injection drug users, infants from untreated HIV mothers, and those having unprotected sex.

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    When to Test for HIV

    Clients should be tested if they've had STDs, shared needles, or engaged in high-risk sexual activities.

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    Universal Precautions

    Safety measures taken to prevent the transmission of infections, especially in healthcare settings.

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    Electronic Fetal Heart Monitoring

    A test done in the third trimester to monitor the baby's heart and assess potential risks related to Rh factor.

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    RhoGAM

    Rh immunoglobulin given to Rh(-) mothers with Rh(+) babies to prevent antibody reactions.

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    Symptoms of Rh Incompatibility

    Symptoms in the baby may include swelling, jaundice, anemia, and low muscle tone.

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    Kernicterus

    Brain damage in infants due to high bilirubin levels from Rh incompatibility.

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    Hydrops Fetalis

    Fluid buildup in the baby during pregnancy, indicating serious complications.

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    Iron-Deficiency Anemia (IDA)

    A type of anemia during pregnancy caused by insufficient iron for hemoglobin production.

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    Direct Coombs Test

    A test to detect cell-destroying antibodies on red blood cells in pregnant women.

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    Indirect Coombs Test

    A test that checks for rising levels of Rh(+) antibodies in pregnant women.

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    ELISA Test

    A blood test used for diagnosing infections, including HIV.

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    Western Blot

    Confirmatory test for HIV, most popular for verifying ELISA results.

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    CD4 Cell Count

    Regular blood test to measure the number of CD4 T cells in the blood, monitoring HIV progression.

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    Rh Factor

    A protein on the surface of red blood cells; positive means the protein is present, negative means absent.

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    Rh Sensitization

    When an Rh-negative mother produces antibodies against Rh-positive blood from her fetus.

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    Amniocentesis

    Test to check the fetus's blood type and Rh factor during pregnancy.

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    Polymerase Chain Reaction (PCR)

    Test that detects HIV DNA in blood, providing an early diagnosis.

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    Indirect Immunofluorescence

    Test used to detect both virus and antibodies in the blood.

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    Kaposi’s Sarcoma

    A rare cancer of blood vessels associated with HIV.

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    HIV

    Human Immunodeficiency Virus that weakens the immune system.

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    AIDS

    Acquired Immune Deficiency Syndrome caused by HIV.

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    T-cells

    White blood cells attacked by HIV, crucial for immune function.

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    Symptoms of HIV

    Common signs include fever, chills, rash, and weakness.

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    CD4+ Count

    Normal range is 500-1200; decreases as HIV progresses.

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    Withdrawal Symptoms

    Symptoms like headache and fatigue when drugs are stopped.

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    Study Notes

    Rheumatic Heart Disease (RHD)

    • Inflammatory response from rheumatic fever damages heart valves permanently.
    • Rheumatic fever is an acute, inflammatory disease affecting multiple systems, often triggered by group A streptococcal pharyngitis.
    • Chronic, progressive damage to heart valves remains after acute rheumatic fever.
    • Heart inflammation, valve stretching/scarring, and disrupted blood flow are key issues.
    • Often first diagnosed during or shortly after pregnancy.

    Pathophysiology

    • Rheumatic fever and recurrent streptococcal infections can trigger cross-immune responses.
    • Autoimmunity is implicated in this process.
    • Rheumatic inflammation affecting cardiac tissue, including the valve leaflets, can occur.
    • Fibrous thickening, valve stenosis, and regurgitation can result from this inflammation.

    Assessment and Risk Factors

    • Full history and physical examination are crucial.
    • Risk factors include reduced left ventricle systolic function, severe valve stenosis, history of heart failure, symptomatic previous valve disease, high poverty/limited access to care.
    • Symptoms include chest pain, heart palpitations, shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, edema, and syncope.

    Complications During Pregnancy

    • Mitral valve stenosis, cardiac arrhythmias, and heart failure can be complication of RHD.
    • Special management is recommended during pregnancy, often at a specialized referral center that includes specialized cardiology and intensive care.
    • Pregnant women with RHD need careful monitoring and management by a cardiologist and obstetrician.

    Gestational Diabetes Mellitus (GDM)

    • Characterized by higher-than-expected blood sugars during pregnancy.
    • Glucose intolerance arises, and insulin and blood glucose level regulation struggles initially during pregnancy.
    • Associated with risk factors such as obesity, history of large babies, history of unexplained fetal/perinatal loss, and family history of diabetes.
    • Pregnant women with GDM require close monitoring and tailored management including diet, exercise, monitoring, and medication if necessary.

    Substance Abuse

    • Substance abuse involves using illegal or inappropriate legal drugs to temporarily change mood or avoid reality.
    • This often progresses to behavioral/psychological dependence.
    • Common substances abused include alcohol, illicit drugs (heroin, cocaine, marijuana, hallucinogens, and inhalants), and potentially other controlled medications.
    • Misuse can damage developing fetuses, cause premature birth, low birth weights, and other birth defects.
    • Maternal risks associated with substance use during pregnancy include miscarriage, stillbirth, and increased risk of other complications.

    HIV/AIDS

    • Human Immunodeficiency Virus (HIV) weakens the immune system, increasing risk for infections.
    • Affects T-cells (lymphocytes), leading to a compromised immune system.
    • Acquired Immune Deficiency Syndrome (AIDS) develops from HIV.
    • Characterized by a deficiency of CD4+ cells, leading to increased susceptibility to opportunistic infections.
    • Diagnosed progressively based on medical tests & the extent of immune system damage.
    • Progression to AIDS is indicated by certain diseases.
    • Several opportunistic infections are common with weakened immune systems.
    • Treatment often involves antiretroviral therapy (ART).

    Rh Sensitization

    • Rh incompatibility arises when a pregnant woman is Rh negative and the fetus is Rh positive.
    • Maternal antibodies can attack fetal red blood cells, leading to severe complications for the fetus.
    • Prevention involves administering RhoGAM to prevent antibody formation.
    • Routine prenatal screening and testing to manage pregnancy complications associated with antibodies.

    Anemia in Pregnancy

    • Anemia is low red blood cell count, impacting oxygen delivery.
    • Iron-deficiency anemia (IDA) is common and caused by iron insufficiency.
    • Folate and vitamin B12 deficiencies can also cause anemia.
    • Increased blood volume related to pregnancy and dietary needs necessitates iron and vitamin supplementation for a healthy pregnancy.
    • Anemia in pregnancy can result in serious complications in both mother and baby.

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    Description

    This quiz covers the critical aspects of Rheumatic Heart Disease, including its causes, pathophysiology, and assessment. Understand how rheumatic fever leads to permanent heart valve damage and the autoimmune responses involved. Explore the key risk factors and the importance of careful examination for diagnosis.

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