A 15-year-old Aboriginal girl from a remote community presents for a health check. There is no known history of rheumatic fever, but overcrowded housi...

Question

A 15-year-old Aboriginal girl from a remote community presents for a health check. There is no known history of rheumatic fever, but overcrowded housing and frequent sore throats are reported. Which preventive strategy is most appropriate at the primary care level?

Accepted Answer

Health education, prompt treatment of sore throats and skin infections, and improved housing advocacy

Answer

No specific action; focus only on immunisation

Answer

Routine secondary prophylaxis with benzathine penicillin

Answer

Routine echocardiographic screening every 6 months

Answer

Immediate long-term macrolide prophylaxis

au-racgp MCQ (SBA): Rheumatic heart disease - prevention

A 15-year-old Aboriginal girl from a remote community presents for a health check. There is no known history of rheumatic fever, but overcrowded housing and frequent sore throats are reported. Which preventive strategy is most appropriate at the primary care level?