Hepatitis

Question 1

Hepatitis A transmission

Answer 1

Fecal- oral and ingestion of contaminated food (RNA virus)
sweat, breast milk, highly contagatious

Question 2

Hep B Transmission

Answer 2

• Blood
• sexual contact
  (DNA virus)
• usually asymptomatic

Question 3

More common among adolescents and young adults and is spread by sexual contact and intravenous drug use. found in blood, tears, cerebrospinal fluid, breast milk, saliva, vaginal secretions, and seminal fluid

Answer 3

Hepatitis B

Question 4

Hepatitis C transmission

Answer 4

IV drug users
blood transfusion
- not as much seen in fluid

Question 5

Active Hepatitis A

Answer 5

IgM- anti-HAV

Question 6

This viral hepatitis is a significant cause of cirrhosis, hepatocellular carcinoma (HCC), and liver
transplantations

Answer 6

Hepatitis C

Question 7

antigen testing

Answer 7

testing the virus

Question 8

cells producing the virus

Answer 8

antibodies

Question 9

Hep A testing

Answer 9

antibody testing
IGM- you have it right now
anti-HAV

Question 10

Hepatitis virus is gone but you still have antibodies …..

Answer 10

IgG
anti-HAV

Question 11

Hep C we are only testing

Answer 11

antibodies

Question 12

Hep B has how many tests

Answer 12

4 tests

Question 13

HBsAg

Answer 13

Hep B surface antigen
+ = positive result on virus

Question 14

anti-HBc

Answer 14

Hep B core (came in the cell and infected it)

Question 15

Hep B….everything negative means:

Answer 15

never been exposed and should be vaccinated

Question 16

Positive: anti-HBs + anti-HBc
Negative HBsAg….. means….

Answer 16

exposed to Hep B but no active Virus

Question 17

just having positive anti-HBs means

Answer 17

you have been vaccinated against the virus

Question 18

Hepatitis presentation

Answer 18

• icterus, jaundice, ascites, edema, pruritic, encephalopathy, GI bleed

Question 19

Diagnostic

Answer 19

Elevated AST/ALT
elevated bilirubin
ALT more liver specific

Imaging- Ultrasound

Question 20

Hep A treatment

Answer 20

Supportive symptomatic treatment.

Question 21

Hep B treatment

Answer 21

Current practices recommend entecavir, tenofovir, and interferon.

Question 22

Hep C treatment

Answer 22

Ribavirin + Direct-acting antivirals (DAAs) such as glecaprevir, asunaprevir, grazoprevir, voxilaprevir, and paritaprevir.