Inflammatory Heart Disease In Pediatric Patients (Msq Drill 86)
- 1.
What is the causative agent for rheumatic fever?
- A.
Strep viridans
- B.
Staph aureus
- C.
Staph epididymis
- D.
Group A streptococcus
Correct Answer
D. Group A streptococcus -
- 2.
What is the number one risk factor for rheumatic fever?
- A.
5-15 years old
- B.
Crowded living conditions
- C.
Season of the year
- D.
Group A strep pharyngitis
Correct Answer
D. Group A strep pharyngitis -
- 3.
The epidemiology of rheumatic fever mirrors that of strep throat. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 4.
What is the specific test that establishes the diagnosis of rheumatic fever?
- A.
ASO titer
- B.
ANA
- C.
There is no specific test
Correct Answer
C. There is no specific test -
- 5.
Which of the following are the major criteria for diagnosing rheumatic fever according to the Jones criteria?
- A.
Polyarthritis
- B.
Fever
- C.
Carditis
- D.
Sydenham's chorea
- E.
Cubcutaneous nodules
Correct Answer(s)
A. Polyarthritis
C. Carditis
D. Sydenham's chorea
E. Cubcutaneous nodulesExplanation
fever is part of the minor criteria, the other pajor criteria is erythema marginatumRate this question:
-
- 6.
What part of the EKG is affected by rheumatic fever?
- A.
P wave
- B.
PR interval
- C.
QRS interval
- D.
ST segment
- E.
T wave
Correct Answer
B. PR intervalExplanation
rheumatic fever prolongs the PR intervalRate this question:
-
- 7.
What is the ONLY manifestation of rheumatic fever that results in chronic changes?
- A.
Vulvular insufficiency
- B.
Pancarditis
- C.
Scarring
Correct Answer
B. Pancarditis -
- 8.
Can valves becone stenotic due to rheumatic fever?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 9.
The patient who presents with rheumatic fever has polyarthritis. Is this form of arthritis symmetric?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 10.
Is the polyarthritis of rheumatic fever found in the same joints every time or it is migratory?
- A.
Found in the same joints everytime
- B.
Migratory
Correct Answer
B. Migratory -
- 11.
Which parts of the body are spared by the polyarthritis of rheumatic fever? Check all that apply.
- A.
Fingers
- B.
Toes
- C.
Spine
- D.
Neck
- E.
Sacrum
Correct Answer(s)
A. Fingers
B. Toes
C. Spine -
- 12.
Clothes and sheets can elicit pain in the patient with polyarthritis due to rheumatic fever. In addition the joints are red, warm and swollen. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 13.
Sydenham chorea is associated with rheumatoid arthritis. It is associated with clumsiness, worsening handwriting and emotional lability. Is it an early or late manifestation of rheumatic fever?
- A.
Early manifestation
- B.
Late manifestation
Correct Answer
B. Late manifestationExplanation
up to several monthsRate this question:
-
- 14.
The erythema marginatum of rheumatic fever is unique. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 15.
Erythema marginatum caused by rheumatic fever is a frequent finding or an infrequent finding?
- A.
Frequent finding
- B.
Infrequent finding
Correct Answer
B. Infrequent finding -
- 16.
The cutaneous manifestation of erythema marginatum is often confused with that of lyme disease. Which of the following is the best dscription of erythema marginatum?
- A.
Blotchy with a central clearing
- B.
Diffuse with clearly marked borders
- C.
Serpiginous (fused) without a central clearing
- D.
Serpiginous (fused) with a central clearing
Correct Answer
D. Serpiginous (fused) with a central clearing -
- 17.
Are the subcutaneous nodules associated with rheumatic fever common or uncommon?
- A.
Common
- B.
Uncommon
Correct Answer
B. Uncommon -
- 18.
Which surfaces of joints, usually knees and elbows usually exhibit the subcutaneous nodules associated with rheumatic fever?
- A.
Flexor surfaces
- B.
Extensor surfaces
Correct Answer
B. Extensor surfaces -
- 19.
Subcutaneous nodules are manifestations of rheumatic fever. They occur on the extensor surfaces of joints, usually knees and elbows and sometimes the spine. They are uncommon, pea sized and nontender. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 20.
Fever, arthralgia and an elevated ESR?CRP are minor components of the Jones criteria for rheumatic fever. What is the effect of rheumatic fever on the PR interval?
- A.
Prolonged
- B.
Shortened
Correct Answer
A. Prolonged -
- 21.
In order to establish a group A streptococcus which of the following tests may be considered? Check all that apply.
- A.
Throat culture
- B.
ASO titer
- C.
Streptozyme
Correct Answer(s)
A. Throat culture
B. ASO titer
C. Streptozyme -
- 22.
Is scarlet fever also caused by Group A strep?
- A.
Yes, this is why a history of scarlet feveris pertinent when working up the patient with rheumatic fever
- B.
No, scarlet fever is not caused by group A strep therefore there is no visible link between the two conditions.
Correct Answer
A. Yes, this is why a history of scarlet feveris pertinent when working up the patient with rheumatic fever -
- 23.
Which of the following are exceptions to the rule in the diagnosis of rheumatic fever?
- A.
Isolated chorea without other cause
- B.
Carditis without other etiology
- C.
History of rheumatic fever with 1 major or 1 minor cirteria plus evidence of strep infection
Correct Answer(s)
A. Isolated chorea without other cause
B. Carditis without other etiology
C. History of rheumatic fever with 1 major or 1 minor cirteria plus evidence of strep infection -
- 24.
Which of the following are are two antibiotics used to treat rheumatic fever?
- A.
Oral augmentin for 10 days
- B.
Oral penicillin for 10 days
- C.
Long acting bactrim DS
- D.
Long acting Bicillin IM
Correct Answer(s)
B. Oral penicillin for 10 days
D. Long acting Bicillin IM -
- 25.
Which of the following are two drugs that can be given to ameliorate the symtpoms of chorea in the patient with rheumatic fever?
- A.
Diazepam
- B.
Ziprasidone
- C.
Haloperidol
- D.
Prozac
Correct Answer(s)
A. Diazepam
C. Haloperidol -
- 26.
Carditis can be treated with steroids for inflammation. True or false?
- A.
True, in addition salicilates can be used for arthritis
- B.
False, actually the steroid will also treat the arthritis
Correct Answer
A. True, in addition salicilates can be used for arthritis -
- 27.
If a patient is diagnosed with Group A strep pharyngitis and undergoes a 10 day treatmetn with oral penicillin. What are the chances that they will develop rheumatic fever?
- A.
0%
- B.
5%
- C.
15%
- D.
30%
Correct Answer
A. 0%Explanation
treatment must begin up to one week after onset of symptoms.Rate this question:
-
- 28.
Long acting bicillin, oral penicillin, erythromycin and sulfamethoxazole can be used to prevent colonization or infection in those patients that have a history of rheumatic fever. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 29.
A strawberry tongue is associated with which of the following? Check all that apply.
- A.
Kawasaki disease
- B.
Scarlet fever
- C.
Toxic shock syndrome
Correct Answer(s)
A. Kawasaki disease
B. Scarlet fever
C. Toxic shock syndrome -
- 30.
Kawasaki disease is basically a vasculitis of known or unknown origin?
- A.
Known
- B.
Unknown
Correct Answer
B. Unknown -
- 31.
The vasculitis of kawasaki disease is characterized by multisystems involvement and inflammation of small to medium sized arteries. What is the end result of this inflammation?
- A.
Arterial dissections
- B.
Arterial aneurysms
- C.
Microvascular blockages
Correct Answer
B. Arterial aneurysms -
- 32.
Kawasaki disease is most common in what country?
- A.
China
- B.
Japan
- C.
Nigeria
- D.
Liberia
- E.
Brazil
Correct Answer
B. JapanExplanation
It is more common in those of asian decent.Rate this question:
-
- 33.
Kawasaki disease is more prevalent in older or younger kids?
- A.
Older kids
- B.
Younger kids
Correct Answer
B. Younger kidsExplanation
peak incidence is 2-3 yearsRate this question:
-
- 34.
What are the three phases of Kawasaki disease?
- A.
Prodromal phase
- B.
Subacute phase
- C.
Convalescent phase
- D.
Acute phase
Correct Answer(s)
B. Subacute phase
C. Convalescent phase
D. Acute phase -
- 35.
What phase of Kawasaki disease is described below?Lasts until appr 4th weekgradual resolution of symptomsdesquamation of fingers and toesthrombosytosiscoronary artery aneurysms
- A.
Acute phase
- B.
Subacute phase
- C.
Convalescent phase
Correct Answer
B. Subacute phase -
- 36.
In which phase of Kawasaki disease will the following occur:high feverconjuctivitsmucosal changes such as dry cracked lips and strawberry tonguecervical lymphadenopathyswollen hands and feetvariable rash
- A.
Acute phase
- B.
Subacute phase
- C.
Convalescent phase
Correct Answer
A. Acute phase -
- 37.
Basically the convalescent phase of Kawasaki disease begins with the dissappearance of symptoms and continue until the ERS is normal. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 38.
Repeat echocardiograms should be done in patients with Kawasaki disease. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 39.
Diagnosis of Kawasaki is made if fever has been present for _____ or more days.
- A.
2
- B.
3
- C.
4
- D.
5
- E.
6
Correct Answer
D. 5 -
- 40.
4 out of 5 criteria must be present in order for the diagnosis of kawasaki disease to be made. Which of the following are the four criteria?
- A.
Bilateral nonexudative conjuctival injection
- B.
Changes inthe lips, tongueor oral mucosa (injection, drying, fissuring red strawberry tongue)
- C.
Changes in ESR and CRP count
- D.
Changes in the peripheral extremities (edema, erythema and desquamation)
- E.
Polymorphous rash and the 5th sign of cervical adenopathy (at leadt one node equal to or more than 1.2cm in diameter.)
Correct Answer(s)
A. Bilateral nonexudative conjuctival injection
B. Changes inthe lips, tongueor oral mucosa (injection, drying, fissuring red strawberry tongue)
D. Changes in the peripheral extremities (edema, erythema and desquamation) -
- 41.
Intravenous immuneglobulin (VIG) is used to treat Kawasaki disease. Is the mechanism known or unknown?
- A.
Known
- B.
Unknown
Correct Answer
B. Unknown -
- 42.
Children with Kawasaki disease can be given aspirin until they are afebrile in addition to an antithrombotic. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 43.
Even the general prognosis of Kawasaki disease is good with IVIG and ASA, what complication of Kawasaki disease can lead to sudden death?
- A.
Aortic aneurysm
- B.
Coronary artery aneurysm
- C.
Desquamation
Correct Answer
B. Coronary artery aneurysm -
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
-
Current Version
-
May 20, 2019Quiz Edited by
ProProfs Editorial Team -
Aug 27, 2010Quiz Created by
- Aura Quizzes
- Axial Skeleton Quizzes
- Body Mechanics Quizzes
- Body Parts Quizzes
- Body System Quizzes
- Chest Quizzes
- Ear Quizzes
- Endocrine Quizzes
- Eye Quizzes
- Feet Quizzes
- Gland Quizzes
- Limb Quizzes
- Musculoskeletal Quizzes
- Pain Quizzes
- Pharmacodynamics Quizzes
- Piercing Quizzes
- Spanish Body Parts Quizzes
- Thorax Quizzes
- Urine Quizzes
Back to top