Rheumatic Heart Disease Flashcards

Q: What is the preferred secondary prophylaxis regimen for RHD? A: Benzathine PCN G 1.2 million units IM every 3-4 weeks Tags: rhd, prophylaxis, high-yield

Q: How long is prophylaxis for ARF with carditis but NO residual disease? A: 10 years or until age 21, whichever is longer Tags: rhd, prophylaxis-duration, high-yield

Q: How long is prophylaxis for ARF with residual heart disease? A: 10 years or until age 40, whichever is longer Tags: rhd, prophylaxis-duration

Q: When is LIFELONG prophylaxis indicated? A: Severe RHD or after valve surgery Tags: rhd, prophylaxis, high-yield

Q: What defines definite RHD on echo (2023 WHF criteria)? A: Pathological MR + morphological MV changes, OR MS with mean gradient ≥4 mmHg Tags: rhd, echo, diagnosis

Q: What are criteria for pathological MR? A: Jet seen in ≥2 views, jet length ≥2 cm, peak velocity >3 m/s, pansystolic Tags: rhd, echo

Q: What alternative for penicillin-allergic patients? A: Erythromycin 250 mg PO BID Tags: rhd, prophylaxis, allergy