Hepatitis Flashcards

1
Q

What is the only type of hepititis that is a DNA virus?

A

Hepatitis B

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2
Q

What type(s) of hepatitis are transmitted through food and water?

A

Hepatitis A

Hepatitis E

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3
Q

What are the chronic strains of hepatitis?

A

B and C

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4
Q

What are the ‘at risk’ groups for Hep A and Hep E?

A

travellers

gay men

animal contact (Hep E)

endemic in countries with poor sanitation

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5
Q

How are Hep B and Hep C passed from person-to-person?

A

blood borne virus

blood transfusion, IV drug use (sharing)

vertical (mother to child)

sexual

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6
Q

What are the clinical features of acute hepatitis?

A

Symptoms - fever, nausea, diarrhoea

Signs - jaundice, tender enlarged liver

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7
Q

What are some complications of chronic viral hepatitis?

A

liver fibrosis/cirrhosis

end stage liver disease

hepatocellular carcinoma

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8
Q

How can Hepatitis C be prevented?

A

safe sex

avoid needle/syringe sharing

screen/viral inactivation of blood products for transfusion

NO HEPATITIS C VACCINE

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9
Q

How can Hepatitis B be prevented?

A

Same as Hepatitis C

Hepatitis B vaccination

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10
Q

Would type of viral hepatitis would wearing gloves be recommended for?

A

B and C

can be spread through blood and bodily fluids (BBV)

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11
Q

What does this serological test result indicate?

A

acutely infected

+ve HBsAg indicated an infection

+ve IgM suggests it is acute

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12
Q

What does this serological test result indicate?

A

the individual is susceptible to hepatitis

not protected by immunisation -ve anti-HBs

not currently infected -ve HBsAg

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13
Q

Does this serological test result indicate?

Anti-HAV IgM

A

indicates recent infection of Hepatitis A

Anti HAV IgG indicates past infection

IgG concentration increases several weeks after infection as IgM decreases

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14
Q

What are the serological test indicators of an acute hepatitis B infection?

A

detection of viral surface antigen (HBsAg)

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15
Q

What are the serological test indicators of a chronic infection?

A

persistent HBsAg

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16
Q

Which age group are most likely to develop a chronic infection?

A

neonates and infants (90%)

<5% in adults

17
Q

Who is the Hepatitis A vaccine recommended for?

A

travellers to endemic areas

sewage workers

patients with chronic liver disease

staff in residential institutions

18
Q

What zone of the hepatic acinus will first be infected with hepatitis?

A

Zone 1

cells in this zone are affected first because they receive sinusoidal blood transport contents first