Rhd

Question 1

rhd is disease of the heart that is initially caused by

Answer 1

strep throat

Question 2

rhd causes blank to the heart tissue

Answer 2

inflammation and scarring

Question 3

rhd can further develop into

Answer 3

cardiac insufficiency
valve damage
stenosis

Question 4

strep throat is bacterial infection caused by

Answer 4

Streptococcus pyogenes

Question 5

complication of rheumatic fever in which heart valves have been permanently damaged

Answer 5

rheumatic heart disease

Question 6

clinical manifestation of rhd

Answer 6

• Swollen, Tender, Red, and Extremely Painful Joints
• Fever
• Nodules
• Red, Raised Rash
• Increased pulse rate
• Heart Murmur (Carey Coombs Murmur)
• Pericardial Friction Rub
• Prolonged Pulse Rate Interval (Myocardial inflammation affecting electrical conduction)
• Cold Skin

Question 7

causative factor of rhd

Answer 7

GABS
Group A Beta-Hemolytic Streptococci

Question 8

complications of rhd

Answer 8

•Valvular heart disease
•Cardiomyopathy
• Heart failure
•Atrial arrhythmias
• Pulmonary and systemic embolism

Question 9

risk factors of rhd

Answer 9

• Poverty
• Reduced access to healthcare
Having repeated strep infections
Contracting scarlet fever
• Skipping antibiotics for strep or scarlet fever treatment
• Not practicing proper hand hygiene

Question 10

Heart will not be able to effectively pump blood to the rest of the body

Answer 10

Severe Fatigue and
Dyspnea

Inadequate Fetal Blood
Supply

Arrythmia

Pulmonary
Edema

Question 11

risk factors of rhd

Answer 11

• Poverty
• Reduced access to healthcare
• Having repeated strep infections
•Contracting scarlet fever
• Skipping antibiotics for strep or scarlet fever treatment
• Not practicing proper hand hygiene

Question 12

Heart will not be able to effectively pump blood to the rest of the body causing..

Answer 12

•Severe Fatigue and
Dyspnea
•Inadequate Fetal Blood
Supply
•Arrythmia
•Pulmonary
Edema

Question 13

most definitive test
ultrasound waves shows heart valve function and heart size

Answer 13

Echocardiogram

Question 14

detect abnormal heart rhythm some damage to the heart

Answer 14

Electrocardiogram

Question 15

imaging test that takes a detailed pictures of the heart, heart muscles and heart valves

Answer 15

Cardiac MRI

Question 17

ASO TEST
to detect antibodies against streptolysin O

Answer 17

antistreptolysin O test

Question 18

same as aso test

Answer 18

Anti streptococcal hyaluronidase test

Question 19

used to reduce pain,fever and inflammation

Answer 19

salicylates or NSAIDS

Question 20

treat strep throat and stop acute rheumatic fever from developing

Answer 20

Penicilin

Question 21

not recommended use during pregnancy
antiseizure

Answer 21

phenobarbital

Question 22

help to relax the veins and arteries, lower blood pressure,
contraindicated during 2nd&3rd tri because increased risk of fetal renal damage

Answer 22

ACE inhibitors

Question 23

to reduce fluid from pulmonary embolism

Answer 23

diuretics

Question 24

sedative drug

Answer 24

diazepam

Question 25

opens a narrowed mitral valve without the need for cardiopulmonary bypass small incision ( left chest) dilator is inserted to separate the fused mitral valve leaflets no need for heart lung machine safer for fetus

Answer 25

closed mitral valvotomy (cmv)

Question 26

to restore the function of the diseased mitral valve without replacing it using annuloplasty ring preserve native valve function avoids lifelong anticoagulation, safe for pregnant lower risk of infection or rehection

Answer 26

mitral valve repair

Question 27

when repair is not possible, the damaged mitral valve os removed with prosthetic valve.

Answer 27

mitral valve replacement

Question 28

mitral valve replacement 3 types

Answer 28

mechanical valve bioprosthetic valve autograft valve (ross procedure)

Question 29

long lasting, can last lifetime requires lifelong warfarin therapy to prevent blood loss risk of fetal bleeding and miscarriage

Answer 29

mechanical valve

Question 31

10-15 yrs, need replacement no long term coagulation need safer for pregnant women

Answer 31

bioprosthetic valve

Question 32

pts own pulmonary valve no risk of rejection/no need for coagulation technically complex/ high surgical expertise

Answer 32

autograft valve (ross procedure)

Question 33

post operative management

Answer 33

1. hemodynamic monitoring 2.anticoagulation therapy 3.pain management 4.fluid management 5. fetal monitoring