All are minor Jones criteria except -
Arthralgia
Fever
Prolonge PR interval
Chorea
Ans. is 'd' i.e., Chorea Guidelines for the Diagnosis of Initial Attack of Rheumatic Fever (Jones Criteria, Updated 1992) Major Manifestations Minor Manifestations Supporting evidence of antecedent group A streptococcal infection Carditis Clinical features: Positive throat culture or rapid streptococcal antigen test Polyarthritis Arthralgia Fever Elevated or increasing streptococcal antibody titer Erythema marginatum Laboratory features: Subcutaneous nodules Elevated acute phase reactants: Erythrocyte sedimentation rate C-reactive protein Prolonged PR interval Chorea o From Jones criteria. updated 1992. JAMA 1992:268:2069-2073. Copyright American Medical Association. * The presence of 2 major or of I major and 2 minor manifestations indicates a high probability of acute rheumatic fever if supported by evidence of preceding group A streptococcal infection.