Valvular Heart Disease Quiz
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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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

    What is the most common cause of tricuspid regurgitation?

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

    Which of the following is a symptom of cor pulmonale?

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

    What is the definitive investigation for pulmonary stenosis?

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

    Which condition is pulmonary regurgitation usually associated with?

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

    Which valve is affected infrequently in rheumatic valvular lesions?

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

    What is the principal cause of mitral regurgitation?

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

    What is a common symptom of mitral stenosis?

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

    What is the management strategy for mitral regurgitation?

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

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

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

    What triggers the development of Acute Rheumatic Fever?

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

    What is the definitive diagnostic criteria for Rheumatic Heart Disease?

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

    Which of the following is a sign of cor pulmonale?

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

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

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

    Which condition is pulmonary regurgitation usually associated with?

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

    Which valve is affected most frequently in rheumatic valvular lesions?

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

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

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

    What is the most common cause of aortic regurgitation?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    What is the principal cause of mitral regurgitation?

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

    Which valve is affected most frequently in rheumatic valvular lesions?

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

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

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

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

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

    Which of the following is a symptom of cor pulmonale?

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

    What is the management approach for severe pulmonary stenosis?

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

    Which condition is pulmonary regurgitation usually associated with?

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

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

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

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

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

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

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

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

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

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

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

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

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

    What triggers the development of Acute Rheumatic Fever?

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

    What triggers the development of Acute Rheumatic Fever?

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

    Which valve is most commonly affected in rheumatic valvular lesions?

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

    What is the most common cause of mitral stenosis?

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

    What is the principal cause of mitral regurgitation?

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

    What is the management approach for severe mitral regurgitation?

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

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

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

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

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

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

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

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

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

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

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

    Which of the following is a sign of aortic regurgitation?

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

    What is the management approach for asymptomatic aortic stenosis?

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

    What is the most common cause of tricuspid regurgitation?

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

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

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

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

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

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

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

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