Knowledge Check: Rheumatic Heart Disease
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Question 1 of 10
1. Question
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Rheumatic Heart Disease is the result of damage to the valves from repeated episodes of untreated GAS infection.
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Question 2 of 10
2. Question
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Rheumatic Heart Disease is characterized more commonly by mitral valve stenosis and mitral valve regurgitation, and more rarely aortic regurgitation.
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Question 3 of 10
3. Question
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Rheumatic heart disease is the result of repeated episodes of acute rheumatic fever and often presents similarly to patients with congestive heart failure.
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Question 4 of 10
4. Question
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The mitral valve is heard best at the apex. A systolic murmur at the apex is typically indicative or regurgitation.
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Question 5 of 10
5. Question
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The mitral valve is best auscultated at the apex.
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Question 6 of 10
6. Question
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The upper left sternal border allows for auscultation of the aortic valve. A diastolic murmur in this area is concerning for valvular regurgitation.
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Question 7 of 10
7. Question
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The upper left sternal border allows for auscultation of the aortic valve. A systolic murmur in this area is concerning for valve stenosis.
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Question 8 of 10
8. Question
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The decision to proceed with heart surgery depends on the severity of symptoms, significant damage to heart valves (which may indirectly lead to infective endocarditis or chronic embolic events), and left ventricular size and function.
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Question 9 of 10
9. Question
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When achieving anticoagulation for mechanical heart valves with warfarin, ranges between 2-3.5 are often targeted, but may depend on the clinical context.
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Question 10 of 10
10. Question
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Patients with mechanical valves are at lifelong risks of stroke.