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Acute rheumatic fever — RACP Written MCQ

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HardEthics, Aboriginal health, public healthAcute rheumatic feverRACP Written

A 19-year-old woman recently migrated from Samoa and has fever, migratory polyarthritis and a new apical pansystolic murmur. ASO titre is elevated and ECG shows PR prolongation. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Commence secondary benzathine penicillin prophylaxis after acute treatment

Acute rheumatic fever with carditis requires acute therapy and secondary penicillin prophylaxis to prevent recurrent group A streptococcal-triggered damage.

Reference: Therapeutic Guidelines: Antibiotic; Australian infectious diseases practice principles