WorksheetsCVS Respi Case 3
Total questions: 15
Worksheet time: 8mins
Under Modified Duke Criteria, documentation of the following confirms a definite endocarditis?
One major criteria
Five minor criteria
Two major criterion and Three minor criteria
One major criterion and Two minor criteria
Two of the options
A patient with endocarditis will require a surgical intervention immediately on the same date of admission in which of the following conditions?
Progressive paravalvular prosthetic regurgitation
Septal perforation
Valve dysfunction with pulmonary edema
Acute aortic regurgitation with heart failure
Fungal endocarditis
These conditions would require endocarditis prophylaxis before a dental procedure to continue due to a higher risk of cardiac lesions EXCEPT:
Prior endocarditis
Prosthetic heart valves
Mitral valve prolapse
Unpaired cyanotic congenital heart disease
Mr. Hiroshima is diagnosed with subacute endocarditis. Which of the following is/are the most likely cause of the infection?
Viridans streptococci
Enterococci
Pneumococci
Only 2 of the options
All of the above
A 45 year-old female patient was confirmed to have infective endocarditis, her laboratory results would include
Elevated C-reactive protein
Elevated ESR
Anemia
Leukocytosis
All of the above
These surface adhesin molecules are required in order for S. aureus to invade the endothelium:
Ebp pili
Clumping factor
Fibronectin-binding proteins
Only 2 of the options
All of the above
The clinical manifestations of endocarditis arise from the following events EXCEPT:
Tissue injury
Hematogenous infection
Embolization of vegetation fragments
Inadequate venous return
All of the above
A 75 year-old man was admitted to the hospital due to fever, chills,and sweats. He has a previous diagnosis of aortic regurgitation. His blood culture confirms Enterococcus faecalis as the causative agent of his disease. What will be the appropriate treatment for this patient?
Vancomycin + Rifampicin
Penicillin G + Gentamicin
Ampicillin + Ceftriaxone
Doxycycline + Gentamicin
Transesophageal echocardiography is preferred than transthoracic echocardiography because it detects the following EXCEPT:
Myocardial abscesses
Valve perforations
Intracardiac fistulae
Only 2 of the options
None of the above
Rheumatic heart disease is characterized by deforming valvular disease particularly involving the mitral valve. Which anatomic changes of the mitral valve in chronic RHD will occur?
Fusion of tendinous cords
Thickening of the leaflets
Shortening of valve commissures
All of the above
None of the above
The following are true regarding acute rheumatic fever EXCEPT:
Occurs mostly in children 5-15 years old
Appears 3 days after a streptococcal infection
Initial attacks can occur in the middle to later life
Antistreptolysin O antibodies can be detected in ASO titer test
A 10-year- old boy presented with dyspnea and knee pain. He revealed a history of sore throat 5 weeks prior to the onset of symptoms. His ASO titer is high. On PE, he has a systolic murmur at the apex. He eventually died. An autopsy of the heart shows Aschoff bodies in the epicardium, myocardium, and endocardium layers. Which of the following is the underlying cause of death?
Bacterial endocarditis
Scarlet fever
Acute rheumatic fever
Chronic rheumatic fever
A 10-year- old boy presented with dyspnea and knee pain. He revealed a history of sore throat 5 weeks prior to the onset of symptoms. His ASO titer is high. On PE, he has a systolic murmur at the apex. He survived but presented with high-grade fever as well. His blood culture is positive for Streptococcus viridans. Despite appropriate treatment, he died. An autopsy of the heart shows large, irregular masses on the valve cusps that may extend to the chordae. Which of the following is the underlying cause of death?
Acute infective endocarditis
Subacute infective endocarditis
Acute rheumatic fever
Chronic rheumatic fever
Scarlet fever
hat type of cardiac murmur starts after S1 and ends before S2 heard at 2nd left ICS?
Aortic stenosis
Aortic regurgitation
Mitral stenosis
Mitral regurgitation
Both A & D
Which of the following is TRUE regarding acute infective endocarditis?
Gradually damages cardiac structures
Seeds extracardiac sites
Progresses to deaths within weeks
Only 2 of the options
All of the above
