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Exam questionKROK 2Medicine · 2025

A 23-year-old patient complains of edema and pain in the knee and elbow joints, rapid heart rate, and fever of 38°C. According to the patient's medical history, 2 weeks ago he had acute respiratory viral infection. Objectively, edema of knee and elbow joints is observed. Pulse 94/min, transverse cardiac diameter 14 cm. Auscultation detects weakening of the first heart sound and a systolic murmur at the apex. Complete blood count: leukocytes 9.109/L, ESR 18 mm/hour. Urinalysis: protein 0.033 g/L, leukocytes 6-8 in sight. ECG shows sinus tachycardia, PQ interval 0.24 seconds. What is the most likely diagnosis in this case?

Answer options

  1. Osteoarthritis
  2. Acute rheumatic fever
  3. Rheumatoid arthritis
  4. Gout
  5. Reiter's disease
Correct answer

Acute rheumatic fever

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