Rheumatic Heart Disease — RACP Paediatrics MCQ

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ModerateCardiologyRheumatic Heart DiseaseRACP Paediatrics

A 5-year-old with ARF has moderate mitral regurgitation. How long should secondary prophylaxis with benzathine penicillin continue?

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Correct answer: C — Until age 21 or 10 years after last episode (whichever is longer)

For ARF with mild-moderate carditis, prophylaxis is for a minimum of 10 years or until age 21 (whichever is longer).

Reference: RHDAustralia – 2024 – Australian Guideline for ARF and RHD