Pédiatrie Preparation (Pr. Khun Leang Chhun)

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1) Which of the following symptoms would be indicative for juvenile idiopathic arthritis?

a. .A two weeks history of joint pain

b. . Joint pain, increasing with activity

c. . All of the above

d. . Monoarthritis

e. . Morning stiffness

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2) Acute rheumatic fever is an example of which of the following?

a. .A disease dependent upon antibody

b. . Molecular mimicry with induction of the disease dependent upon an immune response to a streptococcal cell wall antigen cross reacting with a myocardial antigen.

c. . Breaking of tolerance to self

d. . All of the above

e. . An autoimmune disease

3 / 16

3) Acute Rheumatic Fever may cause which of the following disorders?

a. . Isolated pericarditis

b. . Aortic or mitral valvulitis

c. . Pulmonary valve insufficiency

d. . Prolonged low- grade fever

e. . Chronic joint disease

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4) Of the following, which is not a Criteria of Juvenile Idiopathic Arthritis?

a. . Polyarticular

b. . Oligoarticular

c. . Arthritis < 6 weeks

d. . Enthesitis

e. . Uveitis

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5) Drug of choice for Rheumatic fever prophylaxis in penicillin-allergic patient

a. . Gentamycin

b. . Ceftriaxon

c. . Clindamycin

d. . Erythromycin

e. . Vancomycin

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6) Of the following, which is not a major manifestation of Rheumatic fever?

a. . Erythema marginatum

b. . Subcutaneous nodules

c. . Arthritis

d. . Fever

e. . Chorea

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7) Which of the following is a minor manifestation of acute rheumatic fever?

a. . Arthralgia

b. . Polyarthritis

c. . Subcutaneous nodules

d. . Carditis

e. . Erythema marginatum

8 / 16

8) During a physical examination, your doctor tells you that you may have had rheumatic fever during childhood.Your doctor probably detected

a. .An arrhythmia

b. . Tachycardia

c. .A heart murmur

d. . Evidence of heart wall damage

e. .A minor weakness in the left ventricle

9 / 16

9) All of the following findings may occur in juvenile idiopathic arthritis- Except:

a. . Erythema marginatum

b. . Uveitis

c. . High spiking fever

d. . lymphadenopathy

e. . Enlargements of the spleen

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10) What was the previous name of juvenile Idiopathic Arthris?

a. . Juvenile rheumatoid arthritis

b. . Junior idiopathic arthritis

c. . Junior Rheumatoid arthritis

d. . Rheumatic Fever

e. . None of the above

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11) How are the types of Juvenile Idiopathic Arthritis classified?

a. . All of the above

b. . The type and number of joints involved

c. . The results of blood tests

d. . The age of starting disease

e. . Signs and symptoms

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12) All are features of acute rheumatic fever- except:

a. . Chorea

b. . Pancarditis

c. . Always causes residual joint damage

d. . Subcutaneous nodules

e. . Mitral insufficiency

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13) All are features of juvenile idiopathic arthritis- Except:

a. . Lymphadenopathy

b. . Polyarticular

c. . Uveitis

d. . Oligoarticular

e. . It is post streptococcal infection of the throat

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14) The bacteria responsible for rheumatic fever tend to attack the

a. . Muscular walls of the heart

b. . Coronary arteries

c. . Aortic artery

d. . Pulmonary artery

e. . Heart valve

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15) Which type is associated with swollen lymph nodes, rashes, fever, and inflammation of internal organs?

a. . Polyarticular

b. . Enthesitis

c. . Systemic

d. . Psoriatic arthritis

e. . Oligoarticular

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16) Of the following, which is a common type of Juvenile Idiopathic Arthritis?

a. . Enthesitis related arthritis

b. . Oligiarticular

c. . Psoriatic arthritis

d. . Systemic

e. . Polyarticular

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Pédiatrie Preparation (Pr. Khun Leang Chhun)

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និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត