Rheumatic Fever and Endocardial Disease
- Previous year questions on Rheumatic Fever and Endocardial Disease for NEET PG (National Eligibility cum Entrance Test - Postgraduate), from the Pathology section of the exam.
- Most questions here come from previous-year papers of Indian postgraduate medical entrance and licensing exams; where a paper and year are recorded the question carries them. The image-based questions are original vignettes written around an openly licensed figure, and were never asked in any exam.
- 29 live questions in Rheumatic Fever and Endocardial Disease.
- 6 of 29 questions carry a verified exam year: 2017, 2019, 2020.
- Pathology is worth about 25 of 300 questions on the exam. See every subject’s weightage.
- Question set last updated 6 Sept 2026.
Q1.Characteristic pathological finding in carcinoid of heart
- AFibrous endocardial thickening of right ventricle and tricuspid valve✓ Correct answer
- BCollagen deposition in wall of right ventricle and tricuspid valve
- CInterstitial fibrous thickening of right ventricle and pulmonic valve
- DMononuclear inflammatory infiltrate in the wall of right atrium
Q2.Which wall of the heart is enlarged first in a patient with McCallum patch?
- ALeft atrium✓ Correct answer
- BRight atrium
- CLeft ventricle
- DRight ventricle
Q3.Irregular, bulky and friable vegetation in cardiac valve are a finding of which of the following disorders?
- AInfective endocarditis✓ Correct answer
- BRheumatic endocarditis
- CLibman sack endocarditis
- DNon bacterial endocarditis
Q4.large friable irregular vegetation on the valves
- ARHD
- BInfective Endocarditis✓ Correct answer
- CLSE
- DNBTE
Q5.Large, irregular and friable vegetations are seen in?
- ARheumatic heart disease
- BInfective endocarditis✓ Correct answer
- CLibman-sacks endocarditis
- DNon-bacterial thrombotic endocarditis (NBTE)
Q6.McCallum patches/plaques are usually seen in which chamber of the heart?
- ALeft atrium✓ Correct answer
- BRight atrium
- CLeft ventricle
- DRight ventricle
Q7.In which of the following vegetations are friable and easily detachable from the cardiac valves
- ARheumatic heart
- BRheumatoid disease
- CSLE
- DInfective endocarditis✓ Correct answer
Q8.Fish mouth stenosis in rheumatic heart disease is due to which of the following mechanisms?
- ACalcification and fibrosis bridging across valvular commissures✓ Correct answer
- BFibrinoid necrosis
- CAcute inflammation leading to valvular damage
- DMyxomatous degeneration of the valve
Q9.The pathognomonic feature of rheumatic heart disease is
- AAschoff nodule✓ Correct answer
- BCaterpillar cell
- CMcCallum plaques
- DFibrinous pericarditis
Q10.Site of lesion in endocarditis of RHD is:
- AAlong line of closure of valves✓ Correct answer
- BBoth side of valves
- CValve cusps
- DFree margins of valves
Answer key
Q1: A. Fibrous endocardial thickening of right ventricle and tricuspid valve; Q2: A. Left atrium; Q3: A. Infective endocarditis; Q4: B. Infective Endocarditis; Q5: B. Infective endocarditis; Q6: A. Left atrium; Q7: D. Infective endocarditis; Q8: A. Calcification and fibrosis bridging across valvular commissures; Q9: A. Aschoff nodule; Q10: A. Along line of closure of valves.
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