Rheumatic Heart Disease

Question 1

Rheumatic fever affects connective tissue of ……. And ……..

Answer 1

Heart and joints

Question 2

Rheumatic fever is initiated by ……

Answer 2

Throat infection (Group A beta haemolytic streptococci)streptococcal pharyngitis

Question 3

Rheumatic fever is a non communicable disease but results from a communicable disease called

Answer 3

Streptococcal pharyngitis

Question 4

Causative agent and conditioning agent of RHD

Answer 4

Coxsackie virus B4
Group A beta haemolytic streptococci (serotype M type 5)

Question 5

Host factors of RHD

Answer 5

Age 5 to 15 years
Sex both sexes
Immunity:streptococcal toxic products and host tissue react antigenically setting in an attack of RF

Question 6

Environmental factors of RHD

Answer 6

Overcrowding
Poverty
Poor housing conditions
Inadequate health services

Question 7

Major criteria in jones criteria

Answer 7

Joints(poyarthritis,monoarthritis)
O-heart(carditis)
N-subcutaneous nodules
E-erythema marginatum
S-Sydenham’s chorea

Question 8

Minor criteria in jones criteria

Answer 8

Poly/monoarthalgia
Fever>38 or 38.5degree Celsius
ESR >60mm /hour or >30mm/hr
CRP>3mg/dl
Prolonged PR interval

Question 9

How many major and minor criteria for RHD

Answer 9

2 major
1 major and 2 minor criteria
For recurrent RHD 3 minor criteria also enough

Question 10

Rx for RHD

Answer 10

Benzathine benzyl penicillin

Question 11

Primary prevention of RHD

Answer 11

Adults:12 lakh units
Children :6lakh units of benzathine benzyl penicillin

Question 12

Secondary prevention to prevent reoccurrence

Answer 12

1 IM nenzathine benzyl penicillin every 3weeks for
5/10/10 years ….RHD/carditis/valvular disease

Question 13

ICMR has initiated which mission for prevention of RHD

Answer 13

Jay vigyan mission