Hepatitis

Question 1

which hep has no vaccine

Answer 1

C

Question 2

what kind of precaution for hep

Answer 2

standard

Question 3

occurs between exposure to the virus and the appearance of jaundice. Flu like symptoms

Answer 3

preicteric or prodromal (1week)

Question 4

begins at the onset of jaundice. High Bili. Acute

Answer 4

icteric phase (4-6 weeks)

Question 5

begins after 2-3 weeks of acute phase. increased sense of well being. stool and urine return to normal color

Answer 5

posticteric or recovery

Question 6

spread primarily by poor hygeine, hand to mouth contact, close contact, or through food and fluids

Answer 6

HepA

Question 7

which transmission is Hep A

Answer 7

fecal oral

Question 8

Igm is?

Answer 8

acute hepatitis A

Question 9

Igg is?

Answer 9

have had exposure/immune

Question 10

Clinical manifestations: Nausea, anorexia, lower grade fever, malaise, abdominal pain, enlargement of liver and spleen. INCREASED ALT

Answer 10

Hep A

Question 11

symptoms clear when _________ is at its peak. LIkely to be non infectious

Answer 11

Hep A

Question 12

administer this within 2 weeks of exposure to Hep A if not previously vaccinated

Answer 12

immune globulin

Question 13

administer for contacts to provide passive immunity

Answer 13

immunoglobulin

Question 14

management of Hep A

Answer 14

high calorie. restrict fat (cause liver metabolizes fat), small frequent meals. bed rest to protect spleen.

Question 15

transmitted through blood, saliva, semen, and vaginal secretions, sexually transmitted, transmitted to infant during birth

Answer 15

Hep B

Question 16

what is a major worldwide cause of cirrosis

Answer 16

Hep B

Question 17

manifestions of Hep B are similar to

Answer 17

A

Question 18

this is given to persons at high risk of Hep B

Answer 18

vaccine

Question 19

this gives passive immunization for those exposed to Hep B

Answer 19

immune globulin

Question 20

Med Management of Hep B

Answer 20

Alpha interferon, lamivudine and edefovir,

Question 21

transmitted by sexual contact and needles

Answer 21

Hep C

Question 22

most common cause for liver transplant

Answer 22

C

Question 23

what test to confirm C

Answer 23

no specific

Question 24

med management of C

Answer 24

antiviral agents. Combination of interferon and ribavirin

Question 25

new meds for Hep C. Expensive

Answer 25

sofosubuvir, simeprevir, ledipasvir-sofosbuvir VIR

Question 26

this requires hepatitis B surface antigen for its replication

Answer 26

D

Question 27

these two cause super infection

Answer 27

B,D

Question 28

fecal/oral route and resembles A. Abrupt onset.

Answer 28

E

Question 29

Usually occurs as a coinfection with C, B.

Answer 29

G

Question 30

hepatoxic medications

Answer 30

acetaminophen, isoniazid (TB), halothane (surgery), methyldopa (antidepressant)

Question 31

most common cause of acute liver failure. chills, fever, joint pain, nausea.

Answer 31

drug induced Hep. Stop Med! it can go away

Question 32

severity depnds on toxin. no effective antidotes

Answer 32

toxic Hep

Question 33

management of toxic Hep

Answer 33

restore F and E, blood replacement,

Question 34

S/S of toxic Hep

Answer 34

anorexia, N/V, jaundice, hepatomegaly, fever, clotting abnormalities, vascular collapse, delirium, coma, seizures, hepatic failure