Which of the following is a major clinical manifestation of rheumatic fever (RF)?

Janeway spots

Polyarthritis 5 + joints

Vomiting

Oster nodes

Answer and Explanation

The Correct Answer is B

a) Janeway spots: Janeway lesions are painless, small, erythematous or hemorrhagic macules found on the palms or soles, characteristic of infective endocarditis, not typically associated with rheumatic fever.

b) Polyarthritis 5 + joints: Polyarthritis involving multiple joints, often migrating, is a major manifestation of acute rheumatic fever.

c) Vomiting: While nausea and vomiting can occur, they are not specific to rheumatic fever.

d) Oster nodes: Osler nodes are tender nodules found in infective endocarditis, not typically seen in rheumatic fever.

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Correct Answer is C

Explanation

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

A. Attending late-night parties and dances B. Sunbathing at the community pool C. Receiving a manicure and pedicure D. Daily hair shampoos

Correct Answer is B

Explanation

a) Attending late-night parties and dances might not be directly related to SLE unless it interferes with sleep and rest, which are important for managing the condition.

b) Sun exposure can trigger lupus flares, so activities involving prolonged sun exposure should be avoided or practiced with precautions like sunscreen and protective clothing.

c) Manicures and pedicures typically do not exacerbate SLE unless they involve harsh chemicals that might trigger skin reactions.

d) Daily hair shampoos, unless they contain harsh chemicals or irritants, may not directly exacerbate SLE symptoms.

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Which of the following is a major clinical manifestation of rheumatic fever (RF)?

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