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....

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

ca-mccqe1 MCQ (SBA): Rheumatic fever prevention in high-risk populations

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?