Rheumatic heart disease Quiz: Ace Your Exams

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A 10-year-old boy is brought to his primary pediatrician's office for evaluation of sore throat and fever for 3 days. He has received all childhood vaccinations. His medical history is unremarkable. He and his family immigrated from Vietnam 2 years ago. Temperature is 38.0°C (100.4°F), pulse is 90/min, and blood pressure is 125/85 mmHg. Examination of the patient’s throat is shown below. This patient is at risk for developing which of the following clinical manifestations?

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Parotitis and orchitis

Myocarditis, mucositis, and conjunctivitis

Myocarditis, membranous pharyngitis, and anterior neck lymphadenopathy

Carditis, arthritis, and subcutaneous nodules

Encephalopathy and myoclonic jerks