Phys Vivas · cardiovascular
Rheumatic Fever AND Rheumatic Heart Disease — Viva Defence
DCE viva defence for Rheumatic Fever AND Rheumatic Heart Disease.
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Target exams
Rheumatic Fever AND Rheumatic Heart Disease Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Rheumatic Fever AND Rheumatic Heart Disease. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Shetty G, Khadka P, Khatri D, Hada RP, et al. Bridging Knowledge Gaps in Rheumatic Heart Disease Prevention: A Narrative Review of Educational Interventions Across Resource-Limited Settings Health Serv Insights, 2026.PMID 42459928
- [2]Chen J, Fan Q, Sang J, Kong S, et al. Inflammatory and hormonal crosstalk linking rheumatic fever to chronic valvular heart disease Mol Biol Rep, 2026.PMID 42417893
- [3]Miller JA, Kim R, Kadiyala M, Marryshow T, et al. A forgotten cause of chest pain in the United States: a case report on acute rheumatic fever J Med Case Rep, 2026.PMID 42337634
- [4]Rusingiza E, Mlambo V, Schulick N, Ntirushwa D, et al. Development of National Anticoagulation Guidelines for Pregnant Women with Mechanical Heart Valves in Rwanda Cardiovasc J Afr, 2026.PMID 42315154
- [5]Paratz E, Zhou X, Tavares CAM, Shah P, et al. Atrial Fibrillation Screening in Those with Rheumatic Heart Disease: A Narrative Policy Content Review Glob Heart, 2026.PMID 42221680
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962