Paper I — 2024 December (Supplementary) (2019 Scheme) — Qi

Paper I

2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

The probable clinical diagnosis is

• a) Endocarditis
• c) Rheumatic heart disease
• b) Functional mitral regurgitation
• d) Mitral valve prolapse

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Answer

- [x] c) Rheumatic heart disease

Given the missing case stem, the combination of answer options across this MCQ set (etiological agent Streptococcus pyogenes, serological test ASO, and long-term penicillin prophylaxis) is most consistent with a patient presenting with chronic valvular damage following (or during) an episode of acute rheumatic fever — i.e., rheumatic heart disease. Endocarditis, functional mitral regurgitation, and mitral valve prolapse are the other listed options but do not fit this specific combination of a Group A streptococcal aetiology with ASO-based serological diagnosis and long-term penicillin secondary prophylaxis, which is the defining management strategy for rheumatic heart disease specifically (to prevent recurrent streptococcal infection and further valvular damage).

Related Concepts

1. 1Rheumatic Fever

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