Rheumatic Fever

Question 1

While RHD can involve any

heart valve, ___________is the most common outcome.

Answer 1

mitral stenosis

Question 2

Rheumatic Fever DX

Answer 2

Jones criteria:
positive
for rheumatic fever when either 2 of the major criteria or 1 major criterion
plus 2 minor criteria are present, along with evidence of streptococcal infection
(i.e., elevated or rising antistreptolysin O titer or DNase).

Question 3

Jones Major criteria

Answer 3

• Migratory polyarthritis
• Carditis (myocarditis, pericarditis)
• Erythema marginatum
• Subcutaneous nodules
• Chorea

Question 4

Jones Minor criteria

Answer 4

• Fever
• Antecedent strep infection
• Arthralgias
• Elevated ESR (vsg)
• Prolonged PR internal
• Heart block on ECF

Question 5

Rheumatic Fever Tx

Answer 5

antibiotics to eradicate group A streptococcal
bacteria.
NSAIDs or steroids.

if mitral valve disease: chronic penicillin therapy

Question 6

Ebstein Anomaly Path

Answer 6

maternal lithium use in pregnancy> tricuspid valve is

downwardly displaced into the right ventricle.

Question 7

Ebstein Anomaly Path Cx Ft

Answer 7

Physical examination will show a

holosystolic murmur of tricuspid regurgitation over most of anterior left chest.

Question 8

Ebstein Anomaly Path Dx

Answer 8

EKG will show tall P waves and right axis deviation

+- Wolff-Parkinson-White
syndrome (delta wave and short PR
interval).

Question 9

Vascular Ring Cx Fx

Answer 9

biphasic stridor or dysphagia with spitting up
after meals from compression.

respiratory symptoms that improve with neck extension

parents that their child is a “noisy breather

Question 10

Vascular Ring is frequent in

Answer 10

DiGeorge syndrome or

Down syndrome

Question 11

Vascular Ring Dx

Answer 11

CT or MRI.

Question 12

Vascular Ring Tx

Answer 12

symptomatic vascular
rings should undergo surgical correction. Asymptomatic, incidentally found
rings should be monitored.