MCQ – 89235

Question

A 9-year-old girl develops breathlessness for 3 weeks, which was only on exertion, to begin with, but now she experiences it on rest as well. she was treated for acute pharyngotonsillitis a few weeks before the onset of this illness. Along with these complaints, she also gives a history of left knee swelling last week which subsided, but now she has pain and difficulty bearing weight on the right ankle joint.O/E there is a loud pansystolic murmur of grade 4-5 in the mitral area. What are the most likely diagnosis and the next best step in management:

A. Mitral valve replacement + steroids

B. Aspirin + benzathine penicillin

C.

Amoxicillin + clavulanate  and steroids

D.

IVIG + benzathine penicillin

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