Hepatitis

Question 1

Which 3 hepatitis types are transmitted through blood rather than faecel-oral?

Answer 1

B, C and D

Faecal - oral = A and E

Question 2

Which hepatitis variant can cause liver cancer or chronic infection?

Answer 2

B

Question 3

Can Hepatitis be fully cured in a patient?

Answer 3

Yes

Question 4

The hepatitis vaccine is for which variant?

Answer 4

B and A

A = mostly for travellers

Question 5

The treatment is very expensive. How is this justified

Answer 5

Because the cost of treatment for complications (like cirrhosis or liver cancer) is more

Question 6

Which hepatitis is usually self limiting and requires only supportive Tx?

Answer 6

A
And B if it is acute not chronic

Question 7

Choice of treatment for hepatitis?

Answer 7

Based on which genotype is present, co-morbidities, liver cirrhosis, etc

Question 8

Epclusa, a pan-genotyping antiviral regimen, contains sofobuvir and velpatasvir. Needs 12 weeks of Tx. What drugs should be avoided while using this?

Answer 8

PPIs and St John’s Wort

Question 9

Treatment for chronic hep B and C is important because of the mortality associated. What drug class is used

Answer 9

Antivirals

Question 10

Advice for missed dose?

Answer 10

Take as soon as possible, do not double.
Tx failure often due to non-adherence