Question

A 15-year-old Aboriginal girl living in a remote community has a history of definite acute rheumatic fever at age 10 and mild rheumatic mitral regurgitation on echocardiography. She has been lost to follow-up for 1 year. According to current Australian ARF/RHD guidelines, what is the most appropriate secondary prophylaxis strategy?

Accepted Answer

Intramuscular benzathine benzylpenicillin G every 21-28 days

Answer

Oral phenoxymethylpenicillin twice daily for 10 days after any sore throat

Answer

Single intramuscular benzylpenicillin dose only when sore throat occurs

Answer

No prophylaxis now that she has reached adolescence

Answer

Oral azithromycin monthly

Practice question