Table 4 Proportion of healthcare workers who answered correctly on rheumatic heart disease and its complications during pre and post-tests

Diagnosis

One of the following values for the ejection fraction (EF) does NOT typically represent systolic heart failure

60%

13(30.95)

8(19.05)

0.208

Physiology

Choose the correct order of blood flow through the right heart

Vena cava, right atrium, tricuspid valve, right ventricle

22(52.38)

21(50)

0.827

Physiology

Choose the correct order of blood flow through the left heart

Left atrium, mitral valve, left ventricle, aortic valve

13(30.95)

31(73.81)

< 0.001

Diagnosis

Which of the following is a cause of a heart failure exacerbation?

Non-adherence to medications, Change in diet, Acute Illness, Anaemia

21(50)

32(76.19)

0.013

Diagnosis

A 32-year-old woman comes to the clinic. She was doing well until 2 months ago, when she started experiencing some difficulty breathing while going up the hill. She can perform her daily activities. She was pregnant and gave birth to her son 3 months ago. You diagnose her with postpartum cardiomyopathy. Her NYHA classification is

Class I/II

32(76.19)

31(73.81)

0.801

Diagnosis

Rheumatic heart disease is caused by which of the following?

Repeated infections with Group A strep leading to immune response and damage to the heart valves, which can be prevented with penicillin.

20(47.62)

36(85.71)

< 0.001

Treatment

Which of the following patients should be treated with penicillin for their pharyngitis for primary prophylaxis to prevent rheumatic fever?

A 14 yo female with exudate of throat on exam, fever, and no cough

13(30.95)

29(69.05)

< 0.001

Treatment

You diagnose a 14-year-old patient with rheumatic heart disease. Which of the following antibiotics and duration is indicated in this patient?

Oral Penicillin V daily or benzathine penicillin G monthly, for at least 10 years

9(21.43)

21(50)

0.006