طفل عمره ٩ سنوات أصيب قبل ٣ أسابيع بالتهاب حلق، والآن عنده ألم ينتقل بين المفاصل الكبيرة، وحمى، ونفخة جديدة. أي معلومة تهم الممرض في التعليم؟

A 9-year-old had a sore throat three weeks ago and now has pain moving between large joints, fever and a new murmur. Which teaching point matters?

1. A joint painkiller is enough because the heart is spared in children of this age
2. He must stay off school for a full year because it is contagious
3. He needs years of penicillin prophylaxis to prevent recurrence
4. It is viral and resolves untreated within a week

Answer: C) He needs years of penicillin prophylaxis to prevent recurrence. This is rheumatic fever after streptococcal pharyngitis, which can damage the valves. Secondary penicillin prophylaxis for years prevents recurrences and further valve damage.