A 7-year-old has migratory polyarthritis, a new murmur and fever three weeks after a sore throat. What is the diagnosis?
Answer and explanation
Correct answer: A. Acute rheumatic fever
- Step 1: Acute rheumatic fever follows group A streptococcal infection. Answer: Acute rheumatic fever. Why not the others: Juvenile idiopathic arthritis, Infective endocarditis and Henoch-Schonlein purpura don't fit.
Practise more Paediatrics.
Free questions with an explanation for every one, and full timed ENAM Practice (Peru National Medical Examination) mock tests.
More Paediatrics questions
- A 3-month-old infant has fever, rapid breathing, wheeze and intercostal retractions during the rainy season. What is the most likely diagnos…
- A 2-year-old has a barking cough, inspiratory stridor and hoarseness after a cold. What is the first-line treatment?
- A 4-year-old child has high fever, drooling, muffled voice and sits leaning forward. What is the priority?
- A 6-month-old has watery diarrhoea and mild dehydration, with no vomiting. What is the best treatment?
- A 9-month-old has sudden colicky abdominal pain with drawing up of the legs, vomiting and currant jelly stools. What is the diagnosis?
- A 5-week-old boy has projectile non-bilious vomiting after every feed and a palpable olive-shaped mass. Which metabolic abnormality is expec…