Hepatitis Flashcards
Define viral hepatitis
Esp must know A and B
Inflammation of the liver parenchyma
* Can be caused by hepatotropic viruses, autoimmune disorders,
reactions to drugs and toxins, other infectious disorders
* Viral hepatitis – usually applied to diseases caused by hepatitis A, B, C, D and E
* Difficult to differentiate between the different types without the serologic tests; cannot rely on patient’s presenting symptoms only to
differentiate which type
Christopher Fernandes, 30 years old, came to the Polyclinic complaining of a 4-day history of nausea, vomiting, diffuse
abdominal pain, myalgia and fever of 39 degrees Celsius. He also reported decreased appetite for the last four days despite previously enjoying food at the Hawker Centre. He has no other symptoms. Upon further history taking, Christopher revealed having multiple sexual partners in his lifetime. He does not use recreational or illicit drugs, but he occasionally drinks alcohol.
He appears icteric and liver is slightly enlarged, smooth and slightly tender. The clinician suspects Acute Hepatitis.
Based on Christopher’s history, what are his MOST LIKELY risk factors for Viral Hepatitis?
A. Age, gender
B. Age, alcohol use
C. Eating out, multiple sexual partners
D. Alcohol use, decreased appetite
C
Almo Johnson is a 26-year-old male student who enjoys camping onweekends. He is an occasional smoker. After camping in one remotemountainside village about two weeks ago, Almo developed fever withtemperatures ranging from 37.9 to 38.5 degrees Celsius. He also notedyellowing of his sclerae and had abdominal discomfort, nausea, and lossof appetite. He was diagnosed with Acute Hepatitis A.
What question should the nurse ask Almo if she suspects that he has Hepatitis A?
A. “What did you eat while camping?”
B. “How many sticks of cigarettes did you smoke while camping?
C. “Did you receive any vaccinations or injections recently?”
D. “Did you develop sore throat during the time you were camping?
A
Almo Johnson is a 26-year-old male student who enjoys camping onweekends. He is an occasional smoker. After camping in one remote mountainside village about two weeks ago, Almo developed fever with temperatures ranging from 37.9 to 38.5 degrees Celsius. He also noted yellowing of his sclerae and had abdominal discomfort, nausea, and loss of appetite. He was diagnosed with Acute Hepatitis A.
Which of the following is FALSE about Hepatitis A? Hepatitis A:
A. can be spread through contaminated food and water.
B. can be prevented by pre-exposure prophylaxis (PrEP).
C. can be prevented by vaccination.
D. can resolve on its own
B
Almo Johnson is a 26-year-old male student who enjoys camping on weekends. He is an occasional smoker. After camping in one remote mountainside village about two weeks ago, Almo developed fever with temperatures ranging from 37.9 to 38.5 degrees Celsius. He also noted yellowing of his sclerae and had abdominal discomfort, nausea, and lossof appetite. He was diagnosed with Acute Hepatitis A.
What BEST adviceshould the nurse give Almo to prevent complicationsof his condition?
A. Increase dairy food intake
B. Avoid paracetamol
C. Stop smoking
D. Avoid coffee
B
Almo Johnson is a 26-year-old male student who enjoys camping on weekends. He is an occasional smoker. After camping in one remote mountainside village about two weeks ago, Almo developed fever with temperatures ranging from 37.9 to 38.5 degrees Celsius. He also noted yellowing of his sclerae and had abdominal discomfort, nausea, and lossof appetite. He was diagnosed with Acute Hepatitis A.
The nurse is developing self-care goals for Almo to handle his Hepatitis A.Which of the following is the MOST APPROPRIATE action for Almo?
A .Verbalise the importance of reporting bleeding gums or tarry stools
B. Limit use of alcohol to one to two drinks per week
C. Demonstrate a decrease in fluid retention related to his ascites
D. Restrict activities to within the home to prevent disease transmission
A
