Hepatitis B

Question 1

Etiology:

Answer 1

HBV

Question 2

Genetic material of HBV:

Answer 2

a

Question 3

Transmission:

Answer 3

Body fluids

Question 4

Complications:

Answer 4

Fulminant hepatitis, Cirrhosis and Hepatocellular carcinoma

Question 5

Serum sickness-like synd.:

Answer 5

Prodromal period

Question 6

Low-grade fever, nausea, vomiting, anorexia, right upper quadrant or epigastric pain and myalgia:

Answer 6

Prodromal period

Question 7

Hepatic encephalopathy, Mental confusion, Ascites, Gastrointestinal bleeding and Coagulopathy:

Answer 7

Fulminant Hepatitis

Question 8

Moment that the jaundice appears:

Answer 8

10d after the constitutional period

Question 9

How long the Jaundice lasts:

Answer 9

1-3mo

Question 10

Hepatosplenomegaly, Muscle wasting, Palmar erythema and Spider angiomas:

Answer 10

Chronic Liver Disease

Question 11

Jaundice, Variceal bleeding, Gynecomastia, Ascite, Abdominal collateral veins, Testicular atrophy and Peripheral edema:

Answer 11

Cirrhosis

Question 12

Lab Tests:

Answer 12

TGO, TGP, FA, GGT, Bilirubin, Alb, Coagulogram, VHS and Serologic tests

Question 13

Serologic tests:

Answer 13

HBsAg, HBeAg, anti-HBe, anti-HBc IgM and IgG and HBV-DNA

Question 14

Imaging studies:

Answer 14

Abd US, Abd CT and Abd MRI

Question 15

Standard procedure to assess the severity of disease in patients with chronic liver disease

Answer 15

Liver biopsy

Question 16

First-line meds:

Answer 16

PEG-IFN-a —> Entecavir or Tenofovir

Question 17

Nucleoside reverse transcriptase inhibitor:

Answer 17

Tenofovir

Question 18

Low-sodium diet, High-protein diet and Fluid restriction:

Answer 18

Diet for decompensated cirrhosis

Question 19

Treatment of choice for Fulminant Hepatic Failure and End-stage Liver Disease:

Answer 19

Liver Transplantation

Question 20

Treatment objective:

Answer 20

Sustained negativity of HBeAg and Viral load

Question 21

Sustained negativity of HBeAg and Viral load:

Answer 21

Clinical remission