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Exam questionKROK 2Medicine · 2023

A 17-year-old girl complains of a pain in her knee and ankle joints and body temperature up to 39°C. 2 weeks ago, she had a case of acute tonsillitis. Objectively, her joints are swollen, sharply painful, and their mobility is reduced. On the skin of her trunk and limbs there are barely visible circle-shaped pale pink spots. Heart rate is 95/min., blood pressure is 90/60 mm Hg, heart sounds are weakened, there is a soft systolic noise over the apex. Make the provisional diagnosis:

Answer options

  1. Erythema nodosum
  2. Acute rheumatic fever
  3. Rheumatoid arthritis
  4. Systemic scleroderma
  5. Reactive arthritis
Correct answer

Acute rheumatic fever

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