NR602 Midterm Exam with Answers
What is rheumatic fever? ✔️✔️Inflammatory dz that develops in 1-3% of kids who have
untreated group A strep.
What all can rheumatic fever affect? ✔️✔️Heart
Blood vessels
Joints
Skin
CNS
Connective tissues
What are s/s of rheumatic fever? ✔️✔️h/o pharyngitis 2-4 prior to symptom onset
Modified Jones criteria to dx:
J: joints (polyarthritis)
O: carditis
N: nodules
E: erythema marginatum
S: sydenham's chorea
Minor criteria: fever, esr, arthralgia, long PR interval
What are some tests for rheumatic fever? ✔️✔️Throat cultures
,Negative antigen test
ESR
CRP
ASO titers
EKG
CXR
CBC
What is treatment for rheumatic fever? ✔️✔️First line: PCN
If allergic to PCN: azithro
Prednisone
ASA
No prophylaxis for endocarditis in rheumatic fever
What is milia? ✔️✔️Superficial cysts filled with keratin: white papules found on forehead,
face, chin, cheeks
Usually in infants (disappear few wks after birth, may appear on palate)
1-2mm
What is a port-wine stain? ✔️✔️AKA nevus flammeus
, Permanent defect that grows w/child
If forehead and eyelids are involved, potential for multiple symptoms (Sturge-Weber, Klippel-
Trenaunay-Weber and Parkes Weber)
What is a salmon patch? ✔️✔️AKA stork bite at base of neck, angel kiss between eyes
Simple nests of blood vessels that fade after a few weeks or months.
Occasionally stork bites don't fade
No treatment needed
What are cafe au lait spots? ✔️✔️Smooth, regular borders of darkened patch
If a child has >5 cafe au lait spots that are >1.5cm, what should be suspected? ✔️✔️Possible
Von Recklinghausen's dz (90-100%)
LEOPARD syndrome:
-Lentigines
-Electrographic abnormalities
-Ocular hypertelorism
-Pulmonary stenosis
-Abnormalities of genitalia
What is rheumatic fever? ✔️✔️Inflammatory dz that develops in 1-3% of kids who have
untreated group A strep.
What all can rheumatic fever affect? ✔️✔️Heart
Blood vessels
Joints
Skin
CNS
Connective tissues
What are s/s of rheumatic fever? ✔️✔️h/o pharyngitis 2-4 prior to symptom onset
Modified Jones criteria to dx:
J: joints (polyarthritis)
O: carditis
N: nodules
E: erythema marginatum
S: sydenham's chorea
Minor criteria: fever, esr, arthralgia, long PR interval
What are some tests for rheumatic fever? ✔️✔️Throat cultures
,Negative antigen test
ESR
CRP
ASO titers
EKG
CXR
CBC
What is treatment for rheumatic fever? ✔️✔️First line: PCN
If allergic to PCN: azithro
Prednisone
ASA
No prophylaxis for endocarditis in rheumatic fever
What is milia? ✔️✔️Superficial cysts filled with keratin: white papules found on forehead,
face, chin, cheeks
Usually in infants (disappear few wks after birth, may appear on palate)
1-2mm
What is a port-wine stain? ✔️✔️AKA nevus flammeus
, Permanent defect that grows w/child
If forehead and eyelids are involved, potential for multiple symptoms (Sturge-Weber, Klippel-
Trenaunay-Weber and Parkes Weber)
What is a salmon patch? ✔️✔️AKA stork bite at base of neck, angel kiss between eyes
Simple nests of blood vessels that fade after a few weeks or months.
Occasionally stork bites don't fade
No treatment needed
What are cafe au lait spots? ✔️✔️Smooth, regular borders of darkened patch
If a child has >5 cafe au lait spots that are >1.5cm, what should be suspected? ✔️✔️Possible
Von Recklinghausen's dz (90-100%)
LEOPARD syndrome:
-Lentigines
-Electrographic abnormalities
-Ocular hypertelorism
-Pulmonary stenosis
-Abnormalities of genitalia
