HEPA B

Question 1

inflammation of the liver caused by hepatitis B virus.

Answer 1

Hepatitis B

Question 2

Agent?

Answer 2

Hepadnavirus

Question 3

HbsAg appears in the blood _____ after
exposure and persist for variables periods of time.

Answer 3

30 to 60 days

Question 4

Incubation period

Answer 4

50 to 89 days or two to five months with an mean equal to 90 days.

Question 5

MOT

Answer 5

directly transmitted by person-to-person contact via infected body fluids.
•It can be transmitted through contaminated needles ans syringes.
•Transmission can occur through infected blood or body fluids introduced at birth.
•It can also be transmitted through sexual contact.
HBV transmission does not occur:\
•by fecal-oral route
•By food-borne or water-borne transmission. •By arthropod (mosquito) transmission.

Question 6

Prodomal Period CLINICAL MANIFESTATIONS

Answer 6

a. fever, malaise and anorexia.
•b. Nausea, vomoting, abdominal discomfort, fever and chills.
•C. Jaundice, dark urine and pale stool.
•D. Recovery is indicated by a decline of fever and improved appetite.

Question 7

may be fatal and manifested by severe symptoms like ascitis and bleeding.

Answer 7

Fulminant hepatitis

Question 8

Diagnostic Procedure

Answer 8

•Compliment fixation test •Radio-immunoassay-hemaglutinin test. •Liver function test
•Bile examination in blood and urine •Complete blood count
•Serum transaminase- SGOT, SGPT, ALT •HbsAg

Question 9

It detects protein produced and release into the blood.

Answer 9

Hepatitis B antigen (HBeAG)

Question 10

Detects antibody produced by the body in response to the Hepatitis B antigen.

Answer 10

Anti Hepatitis B e antibody (Anti-Hbe)

Question 11

Used to monitor the effectiveness of antiviral therapy. •Detects Hepatitis B viral genetic material in the blood.

Answer 11

Hepatitis B viral DNA

Question 12

Helps to select appropriate treatment, especially in people who have been treated previously or in those who are not responding to treatment.
•Detects mutations in the particular virus causing a persons infection that allows the virus to be resistant to treatment.

Answer 12

Hepatitis B virus resistance mutations

Question 13

MANAGEMENT

Answer 13

Observe standard precautions to prevent disease transmission. •Provide rest periods throughout the day.
•Schedule treatments and test so that the patient can rest between activities.
•To help the patient maintain an adequate diet.
•Administer supplemental vitamins and commercial feeding as ordered.
•Provide adequate fluid intake.
•Observe the patient for desired and adverse effects of medications. •Record the patients eight daily, and keep accurate intake and output record.

Teach the patient about the disease, the signs and symptoms and the treatment.
•Explain the necessary diagnostic tests.
•Explain the importance of continued medical care.