[6] Viral Hepatits

Question 1

Route of Transmission of Hepatitis A

Answer 1

Orofecal

Question 2

Route of Transmission of Hepatitis B

Answer 2

Percutaneous

Permucosal

Question 3

Route of Transmission of Hepatitis C

Answer 3

Percutaneous

Permucosal

Question 4

Route of Transmission of Hepatitis E

Answer 4

Orofecal

Question 5

Which types of Hepatitis are classified as acute infections?

Answer 5

Hepatitis A and E

Question 6

Most common case of transmission of Hepatitis B

Answer 6

#1 Mother to Child Transmission (Vertical Transmission)
#2 Blood
#3 Sexual

Question 7

Route of Transmission of Hepatitis D

Answer 7

Percutaneous

Permucosal

Question 8

Which types of Hepatitis have vaccines available

Answer 8

Hepatitis A and B

Question 9

Who are the people who should receive post-exposure immunization

Answer 9

Those who receive needlestick injuries and babies born to mothers with Hepatitis B

Question 10

[Case Analysis]

Mitch, a 43 year old salesman has increasing fatigue x5 days and vague abdominal pain x3 days. He ate at the nearby carinderia (Site of a recent HAV Outbreak) 10 days previously. His liver enzymes are within normal limits.

tldr: Hepatitis A Outbreak
Eating Food
Abdominal Pain

Answer 10

Hepatitis A

Question 11

[Case Analysis]

Mitch, a 43 year old salesman has increasing fatigue x5 days and vague abdominal pain x3 days. He ate at the nearby carinderia (Site of a recent HAV Outbreak) 10 days previously. His liver enzymes are within normal limits.

BUT NOW with IgG negative, what does that mean?

Answer 11

Infection is acute

Question 12

Mean Incubation Period of HAV

Answer 12

30 Days

Question 13

What type of HAV infection is fatal?

Answer 13

Fulminant

Question 14

What does the presence of total Ig without IgM indicate?

Answer 14

Previous infection

Question 15

Immunoglobin vaccination is considered an active or passive immunization?

Answer 15

Passive, it does not provoke the body to produce antibodies

Question 16

In HAV, are you more infectious when you are symptomatic or asymptomatic?

Answer 16

Asymptomatic

Question 17

Highest concentration of HBV is found in?

Answer 17

Blood
Serum
Wound Exudates

Question 18

What do you look at to distinguish acute and chronic Hepatitis B

Answer 18

Anti HBC-IGM

Question 19

[Case Analysis]

James is a 23 year old food service employee. He was diagnosed with HBV Infection one year ago

HBsAG -
Anti-HBc +
Anti-HBc-IgM -
Anti-HBS -
HBe Ag +
Anti-Hbe -

Answer 19

Chronic carrier and infectious

Infectious because of Positive HBe Ag

Question 20

HBV Indications for Treatment

Answer 20

Serum HBV DNA Levels
Serum ALT Levels
Severity of Liver Disease

Question 21

Hepatitis B Vaccination Dose and Schedule

Answer 21

20ug/mL/vial

0-1-6 Months Schedule

Question 22

[Case Analysis]

Claudine is a 46 year old divorced female
New man in her life
Unprotected sex for 3 weeks
Her new "toy" is is HCV Positive
What is her HCV Risk?

Answer 22

HCV Risk is Low

HBV Risk would be High

Question 23

Most characteristic feature of HCV

Answer 23

Fluctuation of ALT levels

Question 24

Rank the different sources of HCV by prevalence

Answer 24

60%: Drug Use
15%: Sexual
10%: Transfusion
10%: Unknown
5%: Other

Question 25

Treatment for Hepatitis C

Answer 25

Interferon + Ribavirin x 6-12 Months

Question 26

Most common way to get HEV

Answer 26

Drinking contaminated water