Question

A 7-year-old Indigenous boy from a remote community presents with a new systolic murmur, fatigue, and migratory arthritis 3 weeks after a sore throat. Which preventive measure is most important for primary prevention of rheumatic fever in similar high-risk populations?

Accepted Answer

Timely diagnosis and full-course penicillin treatment for group A streptococcal pharyngitis

Answer

Routine echocardiography screening of all children

Answer

Immediate tonsillectomy after every sore throat

Answer

Prophylactic NSAIDs for all sore throats

Answer

No specific prevention is possible

Practice question

A 7-year-old Indigenous boy from a remote community presents with a new systolic murmur, fatigue, and migratory arthritis 3 weeks after a sore throat. Which preventive measure is most important for primary prevention of rheumatic fever in similar high-risk populations?