Hep B and C

Question 1

What type of virus is Hep B?

Answer 1

DNA virus

Question 2

How is Hep B transmitted?

Answer 2

B= bodily fluids and blood, vertical

Question 3

What is the presentation of Hep B?

Answer 3

Asymptomatic 
Fatigue 
Itch, jaundice 
Anorexia 
Fever

Question 4

What investigations are done for Hep B?

Answer 4

IgM 
IgG
HBsAg
HBcAg
HBsAb
Hep B virus DNA

Question 5

What is IgM + and -?

Answer 5

+ in acute infection

- in chronic

Question 6

What is IgG +?

Answer 6

Chronic infection

Question 7

When is HBsAG seen?

Answer 7

Infected with Hep B

Question 8

What is HBcAg seen?

Answer 8

Current or past infection

Question 9

When is HBsAb seen?

Answer 9

Past infection or immunisation

Question 10

What does Hep B virus DNA indicate?

Answer 10

Viral load

Question 11

What is the management of Hep B?

Answer 11

Pegylated interferon

Antiviral

Question 12

What is the prognosis for Hep B?

Answer 12

10% become chronic infection

Question 13

What type of hepatitis is most prevalent in the UK?

Answer 13

Hep C

Question 14

What type of virus is Hep C?

Answer 14

RNA virus

Question 15

How is Hep C transmitted?

Answer 15

Circulation

Question 16

What is the presentation of Hep C?

Answer 16

Asymptomatic 
Fatigue
Jaundice, itch 
Anorexia 
Fever

Question 17

What investigations are done for Hep C?

Answer 17

HCV antibody

Hep C RNA= viral load

Question 18

What is the management for Hep C?

Answer 18

Direct acting antivirals

Question 19

What is the prognosis for Hep C?

Answer 19

3/4 become chronic infection

Question 20

What ar the complications of hepatitis?

Answer 20

Cirrhosis

hepatocellular carcinoma