hepatitis

Question 1

How is hepatitis A transmitted?

Answer 1

fecal contamination in water and food

Question 2

Tx hepatitis A?

Answer 2

self limited

eat small snacks, higher calorie oods, avoid irritating liver. no NSAIDS or etoh.

Question 3

signs of hepatitis A?

Answer 3

nausea, fever, malaise, anorexia, abdominal pain, jaundice. clay colored stools, dark colored urine, joint pains

Question 4

labs hepatitis A?

Answer 4

elevated 20 x normal

IgM

Question 5

immunization for hepatitis A consists of what?

Answer 5

2 doses HAV vaccine 6-12 months apart

Question 6

postexposure prophylaxis hep A?

Answer 6

IG ad HAV vaccine

40 IG

IG made from pooled blood and is useful within 2 weeks of exposure.

Question 7

hepatitis B mode of transmission?

Answer 7

blood and body fluids, sexual activity and drugs.

Question 8

hepatitis immunization?

Answer 8

recombinant - no live virus. CI if allergy to bakers yeast.

Question 9

when give hep B booster?

Answer 9

hemodialysis if HB surface antigen

Question 10

serological test for Hep A?

Answer 10

acute: anti-HAV IgM
acute hep A in hep B carrier:
anti- HAV IGgM, HBsAg, anti-HBc total
Chronic: none

Question 11

serological test for Hep B?

Answer 11

Chronic: HBsAg and total anti-HBc
Acute: anti-HBC IgM and total anti-HBc, HBsAg

past infection: anti-HBc

Question 12

serological test for Hep C?

Answer 12

none for acute.

chronic: screening assay EIA or CIA for anti HCV

Question 13

what does HBsAg signal?

Answer 13

currently infected.

Question 14

what does IgM anti-HBc signal?

Answer 14

acute infection

Question 15

what does anti-HBs?

Answer 15

recovery from hep B or vaccination.

Question 16

what does anti-HBc total?

Answer 16

onset of symptoms of acute infection, indicates previous or ongoing infection