Match each clinical management strategy for acute rheumatic fever (ARF) to its primary objective:
Strategies:
1. Primary prevention
2. Secondary prevention
3. Anti-inflammatory therapy
Objectives:
A. Suppress active inflammatory manifestations such as carditis and arthritis
B. Treat acute group A streptococcal pharyngitis to prevent an initial ARF attack
C. Administer continuous long-term antibiotic prophylaxis to prevent recurrent ARF attacks
Answer
1-B, 2-C, 3-A
Explanation
These strategies have distinct aims: first-episode prevention, recurrence prevention, and control of inflammation during illness. **Key takeaway:** Antibiotic eradication, prophylaxis, and anti-inflammatory treatment are not interchangeable. **Glossary:** Anti-inflammatory: reducing inflammation.