[8] Rheumatic Heart Disease

Question 1

Acute diffuse inflammation of connective tissues of heart, joints, brain, blood vessels and subcutaneous tissues

Answer 1

Rheumatic Fever

Question 2

What is the sequelae of Rheumatic Fever

Answer 2

Chronic Valvar Heart Disease

Question 3

Most common cause of acquired heart disease in children and young adults worldwide

Answer 3

Rheumatic Fever

Question 4

Gold standard for GAS Tonsillopharyngitis

Answer 4

Throat Culture

Question 5

Disadvantage of Antistreptococcal Antibody Titers

Answer 5

No value in diagnosis of acute pharyngitis

Only reflective of past and not present infections

Question 6

Diagnosis of Rheumatic Fever Uses?

Answer 6

Jones Criteria

Question 7

[T/F] Carditis is the most common major manifestation seen in acute RF

Answer 7

False, it is arthritis

Question 8

[T/F] Carditis is the most common major manifestation seen in admitted patients

Answer 8

True

Question 9

Most common valve involved in carditis

Answer 9

Mitral Valve

Question 10

When you have mild carditis, can your valves still go back to normal?

Answer 10

Yes, but when it reaches moderate carditis, it is unlikely

Question 11

Most frequent and benign but least specific sign of RF

Answer 11

Arthritis

Question 12

CBC Result of Rheumatic Fever

Answer 12

Anemia

Leukocytosis

Question 13

Differentiate RF and RHD in terms of ECG

Answer 13

RHD would have heart enlargement, RF is just an acute inflammation

Question 14

Anti-Inflammatory Medication for RF

Answer 14

High Dose Aspirin

Prednisone

Question 15

Penicillin for 2nd Prophylaxis of RF Dosage

Answer 15

Every 3 weeks

Question 16

Most common lesion in RHD

Answer 16

Mitral Regurgitation

Question 17

Classic murmur of Mitral Regurgitation

Answer 17

Apical Holosystolic Murmur to Axilla

Question 18

Major Criteria for the Modified Jones Criteria

Answer 18

Carditis
Polyarthritis
Chorea
Subcutaneous Nodules
Erythema Marginatum

Question 19

High Probability of RF would require how many major manifestations or what combination of major and minor criteria?

Answer 19

2 Major Manifestations

or

1 Major + 2 Minor

+ GAS Infection

Question 20

[Duration of Secondary RF Prophylaxis]

RF with Carditis and Residual Heart Disease

Answer 20

10 years or until 40 years of age (whichever is longer), usually life-long

Question 21

[Duration of Secondary RF Prophylaxis]

RF with Carditis but no Residual Heart Disease

Answer 21

10 years or until 21 years of age (whichever is longer)

Question 22

[Duration of Secondary RF Prophylaxis]

RF without Carditis

Answer 22

5 years or until 21 year of age (whichever is longer)