Cardiology Quiz #37: Rheumatic Fever and Pericarditis

1. A 10-year-old girl presents with fever, migratory polyarthritis, and subcutaneous nodules. Two weeks prior, she had a sore throat that was not treated with antibiotics. On auscultation, a new heart murmur is noted. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 25-year-old male presents with sharp chest pain that worsens with inspiration and lying flat. He recently recovered from a viral upper respiratory tract infection. On physical examination, a friction rub is heard at the left lower sternal border. An ECG shows diffuse ST-segment elevation. Which of the following is the most appropriate initial treatment? 

Question 2 of 5

3. A 15-year-old girl presents with a sore throat, fever, and migratory joint pain that started one week after the sore throat began. On examination, she has a pink rash with a marginated border on her trunk and arms. Which of the following laboratory findings is most likely to confirm the suspected diagnosis? 

Question 3 of 5

4. A patient presents with low-grade fever, joint pain, and a history of a sore throat three weeks ago. On examination, she exhibits Sydenham chorea. Which heart valve is most commonly affected in the condition suspected in this patient?

Question 4 of 5

5. A 20-year-old college student presents with acute chest pain, fever, and malaise. He mentions that the pain improves when he sits up and leans forward. An ECG reveals concave ST-segment elevation in multiple leads. Which of the following additional findings is most characteristic of the patient's condition? 

Question 5 of 5


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