Coronary Artery Disease Quiz Coronary Artery Disease Quiz 1. What is the main cause of Coronary Artery Disease (CAD)? a) Bacterial infection b) Viral infection c) Atherosclerosis d) Autoimmune disorder 2. Which of the following is NOT a risk factor for CAD? a) Hypertension b) Obesity c) Regular exercise d) Diabetes 3. What are the typical symptoms of CAD? a) Fever and cough b) Chest pain and discomfort c) Nausea and vomiting d) Dizziness and headache 4. How is CAD diagnosed?
Multiple-choice questions about rheumatic fever along with their answers
Question 1:
Maria, a 10-year-old girl, presents to the clinic with complaints of joint pain and swelling, fever, and a rash on her trunk. She recently recovered from a streptococcal throat infection. On examination, she has tender, swollen joints and a red, raised rash that migrates from one area to another. Which of the following is the most likely diagnosis?
A) Rheumatoid arthritis
B) Juvenile idiopathic arthritis
C) Systemic lupus erythematosus
D) Rheumatic fever
Answer: D) Rheumatic fever
Question 2:
John, a 15-year-old boy, is brought to the emergency department with chest pain, shortness of breath, and a low-grade fever. He has a history of untreated streptococcal throat infection two weeks ago. On examination, he has a pericardial friction rub, a new mitral regurgitation murmur, and evidence of cardiac enlargement on chest X-ray. Which of the following is the most likely complication of his previous infection?
A) Rheumatoid arthritis
B) Infective endocarditis
C) Myocardial infarction
D) Rheumatic heart disease
Answer: D) Rheumatic heart disease
Question 3:
Sara, a 7-year-old girl, is brought to the clinic with complaints of fever, sore throat, and difficulty swallowing. On examination, her throat is erythematous, and she has enlarged tonsils with exudates. Rapid streptococcal antigen test is positive. Which of the following is the most appropriate treatment to prevent the development of rheumatic fever?
A) Intravenous antibiotics
B) Antipyretics for symptom relief
C) Bed rest and increased fluid intake
D) Oral antibiotics for a full course
Answer: D) Oral antibiotics for a full course
Question 4:
Michael, a 12-year-old boy, is admitted to the hospital with a diagnosis of rheumatic fever. He is started on appropriate treatment and shows improvement. However, two weeks later, he develops a new-onset chorea, characterized by involuntary jerky movements. Which of the following is the most likely cause of his new symptoms?
A) Encephalitis
B) Wilson disease
C) Sydenham chorea
D) Neuroleptic side effect
Answer: C) Sydenham chorea
Question 5:
Sophia, a 9-year-old girl, is being evaluated for suspected rheumatic fever. Which of the following diagnostic criteria is required to establish the diagnosis of rheumatic fever?
A) Positive throat culture for group A streptococcus
B) Positive antistreptolysin O (ASO) titer
C) Positive C-reactive protein (CRP) level
D) Positive rheumatoid factor (RF) test
Answer: B) Positive antistreptolysin O (ASO) titer
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