Rheumatic Heart Disease (micro)

Question 1

Subcutaneous nodules are a (major/minor) criterion in rheumatic fever diagnosis

Answer 1

major

Question 2

Fever is a (major/minor) criterion in rheumatic fever diagnosis

Answer 2

minor

Question 3

Type ____ hypersensitivity is seen in rheumatic fever

Answer 3

Type 2 hypersensitivity

Question 4

Leukocytosis is a (major/minor) criterion in rheumatic fever diagnosis

Answer 4

minor

Question 4

Carditis is a (major/minor) criterion in rheumatic fever diagnosis.

Answer 4

major

Question 5

Erythema marginatum is a (major/minor) criterion in rheumatic fever diagnosis.

Answer 5

major

Question 6

Sydenham’s chorea is a (major/minor) criterion in rheumatic fever diagnosis.

Answer 6

major

Question 7

The Jones criteria are used to diagnose (disease) ?

Answer 7

acute rheumatic fever

Question 8

A prolonged PR interval on ECG is a (major/minor) criterion in rheumatic fever diagnosis.

Answer 8

minor

Question 9

Polyarthritis is a (major/minor) criterion in rheumatic fever diagnosis.

Answer 9

major

Question 10

The ____ valve is the valve most commonly involved in acute rheumatic fever.

Answer 10

mitral valve

Question 10

Inactive heart disease or previous history of rheumatic fever are (major/minor) criteria in rheumatic fever diagnosis.

Answer 10

minor

Question 11

Raised erythrocyte sedimentation rate and C-reactive protein are (major/minor) criteria in rheumatic fever diagnosis.

Answer 11

minor

Question 12

Arthralgia, is a (major/minor) criterion in rheumatic fever diagnosis.

Joint pain without swelling

Answer 12

minor

Question 13

(medication) is the type of penicillin used for prophylaxis against rheumatic fever and rheumatic heart disease.

Answer 13

Benzathine penicillin G

Question 14

(disorder) is a neurological disorder that appears in acute rheumatic fever; it is characterized by rapid, involuntary movements of the face, hands and feet.

Answer 14

Sydenham chorea

Question 15

(disease) is an autoimmune complication of pharyngitis caused by group A streptococcus.

Answer 15

Acute rheumatic fever

Question 16

(rash) is an annular, non-pruritic rash with erythematous borders seen in acute rheumatic fever; it is typically found at the trunk and limbs.

Answer 16

Erythema marginatum

Question 17

________ is the most common cause of death during the acute phase of rheumatic fever.

Answer 17

Myocarditis

Question 17

The most common cause of mitral stenosis is?

Answer 17

rheumatic fever.

Question 18

“A complication of acute rheumatic fever characterized by swelling and pain in large joints that resolves, and then migrates to other large joints”

Answer 18

Migratory polyarthritis

Question 19

“Foci of chronic inflammation seen histologically in the myocarditis of acute rheumatic fever”

Answer 19

Aschoff bodies

Question 20

“The antibody titers that are characteristically elevated in rheumatic fever”

Answer 20

Anti-streptolysin O

Question 20

A false-positive (blood test) can be seen with rheumatic fever.

Answer 20

VDRL

Question 21

“Reactive histiocytes with wavy, slender, caterpillar-like nuclei seen in Aschoff bodies of acute rheumatic fever”

Answer 21

Anitschkow cells

Question 22

What structure in strep pyogenes causes a cross reaction with myocardial cells?

Answer 22

M protein

Question 23

A patient comes with group A streptococcus, which valves are most likely affected?

Answer 23

Mitral > Aortic