Valvular Heart Disease Quiz
72 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which age group is most commonly affected by Rheumatic Heart Disease?

  • Adults above 30 years
  • Children between 5 and 15 years (correct)
  • Children between 1 and 5 years
  • Teenagers between 15 and 18 years

What triggers the development of Acute Rheumatic Fever?

  • Infection with group C streptococci
  • Infection with group B streptococci
  • Infection with group A streptococci (correct)
  • Infection with group D streptococci

Which of the following is NOT a major manifestation of Rheumatic Heart Disease?

  • Development of cardiac enlargement
  • Cardiac arrhythmias
  • Appearance of a pericardial effusion
  • Joint pain (correct)

Which of the following is a characteristic symptom of rheumatic fever?

<p>Painless nodules beneath the skin (A)</p> Signup and view all the answers

What investigation can confirm the presence of a preceding streptococcal infection in a patient with rheumatic fever?

<p>Antistreptolysin O antibodies (ASO) titres (C)</p> Signup and view all the answers

Which of the following is a recommended treatment for the acute attack of rheumatic fever?

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

What is the main pathological process in chronic rheumatic heart disease?

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

Which of the following is a common cause of aortic regurgitation?

<p>Chordal or papillary muscle rupture (D)</p> Signup and view all the answers

Which of the following is a sign of mild to moderate aortic regurgitation?

<p>Low diastolic and increased pulse pressure (B)</p> Signup and view all the answers

What is the management approach for symptomatic severe aortic stenosis in older patients?

<p>Aortic valve replacement (B)</p> Signup and view all the answers

What is the most common cause of tricuspid regurgitation?

<p>Ebstein's congenital anomaly (A)</p> Signup and view all the answers

Which of the following is a symptom of cor pulmonale?

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

What is the definitive investigation for pulmonary stenosis?

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

Which condition is pulmonary regurgitation usually associated with?

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

Which valve is affected infrequently in rheumatic valvular lesions?

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

What is the principal cause of mitral regurgitation?

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

What is a common symptom of mitral stenosis?

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

What is the management strategy for mitral regurgitation?

<p>Mitral balloon valvuloplasty (D)</p> Signup and view all the answers

Which of the following is a major manifestation of Rheumatic Heart Disease?

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

What triggers the development of Acute Rheumatic Fever?

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

What is the definitive diagnostic criteria for Rheumatic Heart Disease?

<p>Evidence of preceding streptococcal infection (A)</p> Signup and view all the answers

Which of the following is a sign of cor pulmonale?

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

What is the management approach for mild to moderate isolated pulmonary stenosis?

<p>No treatment required (C)</p> Signup and view all the answers

Which condition is pulmonary regurgitation usually associated with?

<p>Pulmonary artery dilatation due to pulmonary hypertension (B)</p> Signup and view all the answers

Which valve is affected most frequently in rheumatic valvular lesions?

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

Which of the following is a common symptom of mitral regurgitation?

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

What is the most common cause of aortic regurgitation?

<p>Calcification of the aortic valve (C)</p> Signup and view all the answers

Which of the following is NOT a major manifestation of Rheumatic Heart Disease?

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

Which of the following is the most common cause of valve disease worldwide?

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

Which of the following is the main pathological process in chronic rheumatic heart disease?

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

Which valve is predominantly affected in rheumatic heart disease, leading to mitral stenosis?

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

Which of the following is a common cause of aortic regurgitation?

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

Which of the following is a common cause of aortic stenosis?

<p>Calcification and fibrosis of congenitally bicuspid aortic valve (B)</p> Signup and view all the answers

Which of the following is a characteristic sign of aortic regurgitation?

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

Which of the following is a recommended management approach for asymptomatic aortic stenosis?

<p>Annual follow-up with echocardiography (D)</p> Signup and view all the answers

Which of the following is a common cause of tricuspid regurgitation?

<p>Ebstein's congenital anomaly (C)</p> Signup and view all the answers

Which of the following is the most common cause of valve disease worldwide?

<p>Rheumatic Heart Disease (B)</p> Signup and view all the answers

What is the main pathological process in chronic rheumatic heart disease?

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

Which valve is predominantly affected in rheumatic heart disease, leading to mitral stenosis?

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

What is the principal cause of mitral regurgitation?

<p>Restricted leaflet motion (D)</p> Signup and view all the answers

Which valve is affected most frequently in rheumatic valvular lesions?

<p>Mitral valve stenosis (B)</p> Signup and view all the answers

What is the main pathological process in chronic rheumatic heart disease?

<p>Dilatation of the left ventricle and mitral valve ring (C)</p> Signup and view all the answers

Which of the following is a common symptom of mitral stenosis?

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

What is the management approach for symptomatic severe aortic stenosis in older patients?

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

Which of the following is a symptom of cor pulmonale?

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

What is the management approach for severe pulmonary stenosis?

<p>Percutaneous pulmonary balloon valvuloplasty (A)</p> Signup and view all the answers

Which condition is pulmonary regurgitation usually associated with?

<p>Pulmonary artery dilatation due to pulmonary hypertension (A)</p> Signup and view all the answers

Which of the following is a common cause of aortic regurgitation?

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

Which of the following is a characteristic sign of aortic regurgitation?

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

Which of the following is a common symptom of mitral stenosis?

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

Which of the following is a common cause of tricuspid regurgitation?

<p>Right ventricular dilatation (A)</p> Signup and view all the answers

Which of the following is a major manifestation of Rheumatic Heart Disease?

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

What is the main pathological process in chronic rheumatic heart disease?

<p>Inflammation in the endocardium (D)</p> Signup and view all the answers

What triggers the development of Acute Rheumatic Fever?

<p>Infection with specific strains of group A streptococci (C)</p> Signup and view all the answers

Which age group is most commonly affected by Rheumatic Heart Disease?

<p>Children between 5 and 15 years (A)</p> Signup and view all the answers

What triggers the development of Acute Rheumatic Fever?

<p>Infection with specific strains of group A streptococci (D)</p> Signup and view all the answers

What is the definitive diagnostic criteria for Rheumatic Heart Disease?

<p>Two or more major manifestations, or one major and two or more minor manifestations, along with evidence of preceding streptococcal infection (A)</p> Signup and view all the answers

Which valve is most commonly affected in rheumatic valvular lesions?

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

What is the most common cause of mitral stenosis?

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

What is the principal cause of mitral regurgitation?

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

What is the management approach for severe mitral regurgitation?

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

Which of the following is the most common cause of valve disease worldwide?

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

Which of the following is NOT a major manifestation of Rheumatic Heart Disease?

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

What is the main pathological process in chronic rheumatic heart disease?

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

Which valve is predominantly affected in rheumatic heart disease, leading to mitral stenosis?

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

Which of the following is a common cause of aortic regurgitation?

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

Which of the following is a sign of aortic regurgitation?

<p>High diastolic and low pulse pressure (D)</p> Signup and view all the answers

What is the management approach for asymptomatic aortic stenosis?

<p>Doppler echocardiography every 1-2 years (C)</p> Signup and view all the answers

What is the most common cause of tricuspid regurgitation?

<p>Chronic left heart failure (D)</p> Signup and view all the answers

Which of the following is a common symptom of cor pulmonale?

<p>Shortness of breath (D)</p> Signup and view all the answers

Which of the following is NOT a sign of pulmonary stenosis?

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

Which of the following is a common cause of pulmonary regurgitation?

<p>Pulmonary artery dilatation (D)</p> Signup and view all the answers

Flashcards

Rheumatic Heart Disease Age Group

Most commonly affects children aged 5 to 15.

Trigger for Acute Rheumatic Fever

Caused by infection with group A streptococci.

Non-manifestation of Rheumatic Heart Disease

Joint pain is NOT a major manifestation.

Characteristic Symptom of Rheumatic Fever

Painless nodules beneath the skin are a defining symptom.

Signup and view all the flashcards

Confirm Streptococcal Infection

Antistreptolysin O antibodies (ASO) titres can confirm infection.

Signup and view all the flashcards

Treatment for Acute Rheumatic Fever

Oral phenoxymethylpenicillin is recommended for treatment.

Signup and view all the flashcards

Pathological Process in Chronic Rheumatic Heart Disease

Progressive fibrosis is the main pathological issue.

Signup and view all the flashcards

Common Cause of Aortic Regurgitation

Chordal or papillary muscle rupture is a frequent cause.

Signup and view all the flashcards

Signs of Mild to Moderate Aortic Regurgitation

Signs include low diastolic and increased pulse pressure.

Signup and view all the flashcards

Management of Severe Aortic Stenosis

Aortic valve replacement is the treatment approach.

Signup and view all the flashcards

Most Common Cause of Tricuspid Regurgitation

Ebstein's congenital anomaly is the primary cause.

Signup and view all the flashcards

Symptom of Cor Pulmonale

Hepatic enlargement can be a symptom indicating this condition.

Signup and view all the flashcards

Definitive Investigation for Pulmonary Stenosis

Doppler echocardiography is the key diagnostic tool.

Signup and view all the flashcards

Pulmonary Regurgitation Association

Usually associated with pulmonary hypertension.

Signup and view all the flashcards

Infrequent Valve Affected in Rheumatic Lesions

Tricuspid valve is affected less often in rheumatic disease.

Signup and view all the flashcards

Principal Cause of Mitral Regurgitation

Rheumatic disease is the main cause.

Signup and view all the flashcards

Common Symptom of Mitral Stenosis

Haemoptysis, or coughing up blood, is a key symptom.

Signup and view all the flashcards

Management for Mitral Regurgitation

Mitral balloon valvuloplasty is a recommended management.

Signup and view all the flashcards

Major Manifestation of Rheumatic Heart Disease

Arthritis is one of the major manifestations.

Signup and view all the flashcards

Diagnostic Criteria for Rheumatic Heart Disease

Evidence of previous streptococcal infection is definitive.

Signup and view all the flashcards

Sign of Cor Pulmonale

Raised JVP (Jugular Venous Pressure) is a typical sign.

Signup and view all the flashcards

Management for Mild Isolated Pulmonary Stenosis

No treatment required for mild cases.

Signup and view all the flashcards

Pulmonary Regurgitation and Arterial Dilation

Associated with pulmonary artery dilation from hypertension.

Signup and view all the flashcards

Frequently Affected Valve in Rheumatic Lesions

Mitral valve is most commonly affected by rheumatic disease.

Signup and view all the flashcards

Common Cause of Aortic Regurgitation

Calcification of the aortic valve is common.

Signup and view all the flashcards

Not a Major Manifestation of Rheumatic Heart Disease

Tricuspid regurgitation is NOT considered major.

Signup and view all the flashcards

Common Cause of Valve Disease Worldwide

Rheumatic heart disease is the leading cause globally.

Signup and view all the flashcards

Main Pathological Process in Chronic Rheumatic Heart Disease

Dilatation of the left ventricle and mitral valve ring is crucial.

Signup and view all the flashcards

Characteristic Sign of Aortic Regurgitation

Collapsing pulse is a notable sign of this condition.

Signup and view all the flashcards

Common Symptom of Mitral Stenosis

Exertional dyspnoea, or shortness of breath while active, is common.

Signup and view all the flashcards

More Like This

Rheumatic Heart Disease and Pregnancy
16 questions
Rheumatic Heart Disease Overview
22 questions
Rheumatic Heart Disease Overview
40 questions
Use Quizgecko on...
Browser
Browser