GI

Question 1

Hepatitis B: Immunized

Answer 1

Anti-HBs

Question 2

Hepatitis B: Acute Infection

Answer 2

+HBsAg
+ Anti-HBc IgM
+ HBeAg

Question 3

Hepatitis B: Resolved Infection

Answer 3

Anti-HBs
+ Anti-HBc IgG
+/- Anti-HBe

Question 4

Hepatitis B Treatment

Answer 4

Entecavir or tenofovir

Question 5

Hepatitis B Phases

Answer 5

Immune tolerant
immune active
immune control/carrier
Reactivation

Question 6

Hepatitis C Treatment Cure (lab)

Answer 6

no HCV RNA in blood 12 weeks after completion of treatment

Question 7

Autoimmune Hepatitis Antibodies

Answer 7

Type 1 - Antismooth muscle, ANA, elevated IgG

Type 2 - Anti-LKM and ALC

Question 8

Alpha 1 AntiTrpysin Genotype

Answer 8

ZZ = severe disease

MZ or SZ = disease only in setting of other liver disease

Question 9

Initial Testing for Hereditary Hemochromatosis

Answer 9

Elevated transferrin saturation

Question 10

Wilson Disease Screening

Answer 10

low ceruloplasmin, high urinary copper

Question 11

Wilson Disease, typical age for presentation

Answer 11

5-40

Question 12

Treatment of Wilson Disease

Answer 12

Trientine > pencillamine

Zinc supplementation

Question 13

Primary Biliary Cholangitis Labs

Answer 13

elevated ALP

+ antimitochondrial Ab

Question 14

Primary Biliary Cholangitis Screening

Answer 14

yearly TSH for AI thyroid disease

Question 15

Diagnosis of Primary Sclerosing Cholangitis

Answer 15

MRCP w/ colonoscopy at diagnosis

beading seen on ERCP

Question 16

Diuretic Ratio for Cirrhosis/Ascites

Answer 16

Furosemide 20 : Spironolactone 50

Question 17

Ascites Studies consistent with Cirrhosis

Answer 17

SAAG >1.1

Low ascetic protein (<2.5)

Question 18

SBP Diagnosis

Answer 18

PMN >250

Question 19

When to consider albumin co-administration for SBP

Answer 19

Renal Dysfunction, Cr >1, BUN >30

TB >4

Question 20

Gallbladder polyps - when to intervene

Answer 20

size >1cm, symptoms, increasing in size

Question 21

Cholangitis - Tetrad and Pentad

Answer 21

Charcot: Fever, jaundice RUQ Pain
Reynolds: hypotension, AMS

Question 22

Hep A pre exposure prophylaxis

Answer 22

most - Hep A Vaccine
consider IG if immunocompromised OR endemic region in 2 weeks + unvaccinated
liver disease + traveling + unvaccinated: vaccine + IG w/in 2 weeks

Question 23

Hep B Extrahepatic manifestations

Answer 23

arthritis
polyarteritis nodose
MN
cyroglobulienmias

Question 24

Hepatitis C Extrahepatic manifestations

Answer 24

cryoglobulienic vasculitis, MPGN, porphyea cutanea tardia

Question 25

alcoholic hepatitis DF score for treatment

Answer 25

32! –> prednisolone

avoid if active infection, GI bleed, pancreatitis