A patient presented to you in your clinic with low-grade fever, fatigue, and flu-like symptoms, he has a history of a complication of rheumatic fever that damaged his heart valves, after doing a blood culture, the results indicate a gram-positive coccus in chains. Which of the following is the most common cause?

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Question 1 of 5

A patient presented to you in your clinic with low-grade fever, fatigue, and flu-like symptoms, he has a history of a complication of rheumatic fever that damaged his heart valves, after doing a blood culture, the results indicate a gram-positive coccus in chains. Which of the following is the most common cause?

Correct Answer: C

Rationale: Viridans streptococci are the most common cause of subacute endocarditis on damaged valves.

Question 2 of 5

Which of the following is the drug of choice in patient with heart failure with a main symptom of rapid fatigue?

Correct Answer: A

Rationale: Enalapril, an ACE inhibitor, improves heart failure symptoms like fatigue.

Question 3 of 5

Which of the following drugs is always used in acute attacks of angina?

Correct Answer: C

Rationale: Sublingual nitroglycerin is the standard for acute angina relief.

Question 4 of 5

Atrial repolarization occurs during this period of time, seen on an ECG

Correct Answer: B

Rationale: Atrial repolarization coincides with the QRS complex, which represents ventricular depolarization.

Question 5 of 5

Vegetations on heart valves can be formed in all of these conditions except:

Correct Answer: D

Rationale: Crohn disease, an inflammatory bowel disease, does not cause valvular vegetations, unlike the others which involve endocarditis or immune-mediated valve damage.

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