Knowledge Check: Acute Rheumatic Fever
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Question 1 of 10
1. Question
Hint
Acute Rheumatic Fever can affect the heart, joints, CNS and the skin. However, the initial GAS infection is typically a tonsillopharyngitis.
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Question 2 of 10
2. Question
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Group A streptococcal tonsillopharyngitis most commonly affects young children and adolescents.
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Question 3 of 10
3. Question
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Rheumatic Heart Disease occurs as a result of chronic heart valve damage, from repeated episodes of acute rheumatic fever, which are triggered by repeated untreated Group A Streptococcal infections.
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Question 4 of 10
4. Question
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Rheumatic heart disease most commonly affects the valve located between the left atrium and left ventricle.
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Question 5 of 10
5. Question
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The “major manifestations” of Jones Criteria are arthritis, carditis, subcutaneous nodules, erythema marginatum and Syndeham’s chorea. The “minor manifestations” are fever, arthralgia, prolonged PR interval on EKG, increased CRP and increased ESR.
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Question 6 of 10
6. Question
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To satisfy the Jones Criteria, one must have 2 major criteria and evidence of GAS infection, or 1 major and 2 minor criteria and evidence of GAS infection.
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Question 7 of 10
7. Question
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Evidence of previous group A streptococcal infection is required to confirm the diagnosis of acute rheumatic fever.
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Question 8 of 10
8. Question
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Antibiotics such as penicillin (or erythromycin in case of penicillin allergy) are the preferred treatment for acute rheumatic fever with single IM/IV dose superior to oral treatment.
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Question 9 of 10
9. Question
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Each episode of acute rheumatic fever can further create damage to heart valves.
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Question 10 of 10
10. Question
Hint
Injectable Penicillin has been shown to be the best treatment option for secondary prophylaxis. Erythromycin can be given instead of penicillin as a twice daily oral therapy.
