USMLE step 2 Mcq 277:A young girl is diagnosed with rheumatic fever

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Question:
A young girl is diagnosed with rheumatic fever. All of the following manifestations are recognised as part of the Jones major criteria for diagnosis of rheumatic fever except

a) migratory polyarthritis of large joints
b) carditis
c) erythema marginatum
d) sydenham's chorea
e) elevated serum titers of antibodies to streptolysin O (ASO)


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