UNIVERSIDADE FEDERAL DO CEAR

NOTA:
CASA DE CULTURA BRITNICA
PROVA DE PROFICINCIA - REA: SADE PBLICA / PATOLOGIA
ALUNO (A): ___________________________________________ DATA: ____________

RHEUMATIC FEVER
10What is Rheumatic Fever?

A rare but potentially life-threatening disease, rheumatic fever is a complication of untreated

strep throat, caused by bacteria called Group A Streptococcus. The main symptoms fever,
muscle aches, swollen and painful joints, and in some cases, a red, lattice-like rash typically
15begin one to six weeks after about a strep, although in some cases the infection may have been
too mild to have been recognised. Rheumatic fever can also cause a temporary nervous system
disorder once known as St. Vitus dance. Today it is called chorea. People with mild cases of
chorea may find it difficult to concentrate or write. More severe cases can cause the muscles of the
arms, legs, or face to twitch uncontrollably.
20
The joints most likely to become swollen from rheumatic fever are the knees, ankles,
elbows, and wrists. The pain often migrates from one joint to another. However, the greatest
danger from the disease is the damage it can do to the heart. In more than half of all cases,
rheumatic fever scars the valves of the heart, forcing this vital organ to work harder to pump blood.
Over a period of months or even years particularly if the disease strikes again this damage to
25the heart can lead to a serious condition known as rheumatic heart disease, which can eventually
cause the heart to fail.
Because of antibiotics, rheumatic fever is now rare in developed countries. In recent years,
though, it has begun to make a comeback in the United States, particularly among children living in
poor, inner-city neighborhoods. The disease tends to strike most often in cool, damp weather
30during the winter and early spring. In the United States, it is most common in the northern states.
What Causes It?

Rheumatic fever results from an inflammatory reaction to certain Group A Streptococcus

bacteria. The body produces antibodies to fight the bacteria, but instead the antibodies attack a
35different target: the bodys own tissues. The antibodies begin with the joints and often move on to
the heart and surrounding tissues. Because only a small fraction (fewer than 0.3%) of people with
strep ever contract rheumatic fever, medical experts believe that other factors, such as a
weakened immune system, must also be involved in the development of the disease.
40

CAUTION! Monitor That Sore Throat

Pay attention to sore throats, especially in children. If your child has a severe sore throat
without other cold symptoms, accompanied by a fever higher than 101 F, or milder sore throat
that persists for more than two or three days, see a doctor. It may be strep throat, which should be
treated with antibiotics.

45

What Are The Symptoms?

Fever. A red, raised, lattice-like rash, usually on the chest, back, and abdomen. Swollen,
tender, red, and extremely painful joints particularly the knees or ankles. Nodules, or small bony
protuberances, over the swollen joints. Sometimes, weakness and shortness of breath.
50
Sometimes, uncontrolled movements of arms, legs, or facial muscles. These symptoms
often begin one to six weeks after a strep throat infection has appeared to clear up. Sometimes,
however, people with rheumatic fever do not recall having had a sore throat.

55

Call Your Doctor If:

You are experiencing the symptoms listed in the description section, particularly if you
remember having recently had a sore throat. You may have rheumatic fever and should receive
medical attention.
You have a sore throat without other cold symptoms, accompanied by a fever higher than
101F. You may have strep throat and should receive medical attention.

60

You experience sudden and unexplained joint pain after recovering from strep throat. The
strep infection may have spread and should be medically treated.

65I. Leia o texto e responda as seguintes perguntas em portugus: (50 pontos

10 cada)
1. De modo geral, como podemos definir a febre reumtica?
_____________________________________________________________________________________

70

________
_____________________________________________________________________________________
________
_____________________________________________________________________________________
_____________________________________________________________________________________

75

_____________________________________________________________________________________
________________________

80

2. Qual o dano mais srio que a febre reumtica pode causar ao ser humano?
Descreva como isto ocorre.
_____________________________________________________________________________________
________
_____________________________________________________________________________________
________
_____________________________________________________________________________________

85

_____________________________________________________________________________________
_____________________________________________________________________________________
________________________

90

3. Com o retorno da febre reumtica nos Estados Unidos que grupo tem sido afetado
e quais as condies ambientais e climticas observadas?
_____________________________________________________________________________________
________
_____________________________________________________________________________________
________

95

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________

100

4. O que causa a febre reumtica? Explique como isto ocorre.

_____________________________________________________________________________________
________
_____________________________________________________________________________________
________

105

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________

110

5. Quais so os sintomas da febre reumtica?

_____________________________________________________________________________________
________
_____________________________________________________________________________________
_______

115

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________

120

125II. Coloque verdadeiro (V) ou falso (F). Justifique as afirmaes falsas. (15
pontos 5 cada)

130

6. ( ) Os sintomas da febre reumtica somente tm incio seis semanas aps uma

gripe severa acompanhada de dor muscular e inflamao da garganta.
_____________________________________________________________________________________
________
_____________________________________________________________________________________
________
7. (
) Especialistas da rea mdica acreditam que um sistema imunolgico
debilitado um dos fatores no desenvolvimento da febre reumtica.
_____________________________________________________________________________________

135

________
_____________________________________________________________________________________
________

140

8. (
) Em casos de suspeita de febre reumtica, s h necessidade de consulta
mdica quando a inflamao da garganta persistir por mais de seis dias.
_____________________________________________________________________________________
________
_____________________________________________________________________________________

145

________
III. Responda com base no texto. ( 10 pontos 2,5 cada)
Os pronomes sublinhados no texto referem-se a qu?
9. which ___________________________________________________________

150

10. it ______________________________________________________________
11. that ____________________________________________________________
12. it ______________________________________________________________
IV. Qual a idia expressa pelos conectivos sublinhados no texto? ( 10 pontos

1552,5 cada)

13. although _____________________________________________________________________

14. also ________________________________________________________________________
15. however _____________________________________________________________________

160

16. such as _____________________________________________________________________

V. Traduza o trecho sublinhado que vai da linha 11 The joints most... at a
linha 17... the heart to fail.(15 pontos)

16517.____________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

170________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
__________________________________________________________________________

Boa Sorte !

175

180
ANSWER KEY
1.
2.
1853.
4.
5.
6.
7.
1908.
9.
10.
11.
12.
19513.
14.
10

linhas 1 a 6
linhas 26 a 31
linhas 38 a 44
linhas 49 a 57
linhas 75 a 83
(F) linhas 83 a 85
(V)
(F) linhas 66 a 71
heart disease
the disease
sore throat
sore throats
contraste
complementao de idias (acrscimo)

15.
16.

200

contraste
exemplificao