HBV_High_Yield_Flashcards_Part2

1
Q

What is the role of HBsAg in vaccination and immunity?

A

HBsAg is the main target for the HBV vaccine and induces immunity by triggering anti-HBs antibody production.

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2
Q

What is the significance of HBV DNA polymerase?

A

HBV DNA polymerase has reverse transcriptase activity, essential for replication and formation of cccDNA.

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3
Q

How does HBV resist environmental stress (e.g., heat, disinfectants)?

A

HBV resists drying, heat, and disinfectants by being enveloped and stable under various environmental conditions.

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4
Q

What is the mechanism of HBV replication in hepatocytes?

A

HBV enters hepatocytes, forms cccDNA in the nucleus, transcribes mRNA, translates proteins, and assembles virions in the cytoplasm.

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5
Q

What are the clinical stages of HBV infection?

A

Incubation, prodrome (non-specific symptoms), acute hepatitis (jaundice, elevated ALT), convalescence, and chronicity (if applicable).

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6
Q

What are the key characteristics of chronic HBV infection?

A

Chronic HBV infection involves persistence of HBsAg for >6 months, with a risk of cirrhosis and hepatocellular carcinoma.

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7
Q

How does sodium hypochlorite (0.5%) inactivate HBV?

A

Sodium hypochlorite destroys HBV antigenicity within 3 minutes at low protein concentrations.

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8
Q

What is the significance of the anti-HBe antibody?

A

Anti-HBe antibody indicates reduced infectivity and suppressed viral replication in chronic HBV cases.

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9
Q

What are the indications for HBV immunoglobulin (HBIG)?

A

HBIG is indicated for neonates born to HBV-positive mothers and post-exposure prophylaxis in non-immune individuals.

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10
Q

What are the ‘sub-forms’ of HBV observed in infected patients?

A

HBV sub-forms include complete virions (Dane particles) and incomplete particles with HBsAg but no DNA.

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