PACKRATPediatrics ExamQuestions with Correct Answers/Already Grade A+/ latest 2024/2025

A 10 year-old female experiences fever and polyarthralgia. On examination you note a new early diastolic murmur. Laboratory results are positive for antistreptolysin O. The patient has no known drug allergies. Which of the following is the recommended prophylaxis for this condition? A. Doxycycline B. Erythromycin C. Benzathine penicillin G D. Trimethoprim/sulfamethoxazole - Answer (u) A. Doxycycline and Bactrim are not indicated for the prophylaxis of recurrent rheumatic fever. (u) B. Erythromycin is considered second line for prophylaxis of recurrent rheumatic fever in a patient with a penicillin allergy. (c) C. Recurrences of rheumatic fever are most common in patients who have had carditis during their initial episode and in children. The preferred method of prophylaxis is Benzathine penicillin G every four weeks.