GI - 5 Liver Disease pt 3

Question 1

Ppl with a chronic liver disease like Hep C – will be vaccinated for Hep _ and _.

Answer 1

Hep A and B

Question 2

2 preventions for Hep B, and who gets them:

Answer 2

1. HBIG: Protective or attenuate severity of illness if given in large doses within 7 days if exposure and followed by vaccine
2. Vaccinate: Dialysis workers and patients, transfusion patients, spouses and newborns of HBsAg + patients, IVDU, health care workers
   NOW: Universal vaccination of infants and children
   Post immunization titers checked, lasts 15yrs

Question 3

You get liver disease and decompensate quickly

Answer 3

Acute Hepatic Failure

Question 4

most common cause of Acute hepatic failure

Answer 4

Acetaminophen toxicity - suicide attempts or unintentional overdoses

Question 5

the answer to a viral question I don’t know, or a pediatric question is going to be:

Answer 5

Parvovirus B 19

Question 6

How has the # of cases of Viral Hepatitis changed over the years?

Answer 6

Declined from 70% to 12% because of Hep B vaccine

Question 7

What is chronic Hepatitis?

Answer 7

Chronic necrosis and inflammation of the liver for more than 6 months duration
Abnormal LFTs
Histologic findings

Question 8

Impaired copper metabolism is known as __ disease

Answer 8

Wilson’s disease

Question 9

What’s Wilson’s disease?

Answer 9

impaired copper metabolism

Question 10

What causes liver disease, emphysema in lungs

Answer 10

Alpha 1 antitrypsin disease

Question 11

If someone has chronic Hep B check for Hep _.

Answer 11

Hep E

Question 12

What is a lab feature of Chronic HBV?

Answer 12

ALT > AST

Question 13

What’s the med for Chronic HBV? What’s wrong with it though?

Answer 13

Interferon. Not well tolerated, can lead to depression.

Question 14

inflammation of liver due to fat deposition in the liver

Answer 14

Steatohepatitis

Question 15

3 clinical findings of chronic HCV?

Answer 15

Fatigue is the most common symptom
Jaundice is rare
Similar to chronic Hep B (hbv)

Question 16

2 treatments for chronic hbv

Answer 16

Peg INF (interferon) and Ribavirin

Question 17

Chronic hepatitis of unknown etiology

Answer 17

Autoimmune Hepatitis

Question 18

What is Autoimmune Hepatitis?

Answer 18

Chronic hep of unknown etiology

Question 19

2 Labs for Classic type 1 of Autoimmune Hep

Answer 19

ANA and or Anti Sm Muscle +

Question 20

Treatment for autoimmune hep

Answer 20

Prednisone

Question 21

True or false: alcoholic liver disease is often reversible

Answer 21

TRUE

Question 22

Most common cause of cirrhosis in the US is:

Answer 22

Alcoholic liver disease