Infection - infections causing jaundice Flashcards

1
Q

which types of hepatitis have faecal oral transmission

a.A and E
b.B,C,D
c.A and B
d. B and D

A

a.A and E

food borne/ person to person

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2
Q

which hepatitis is a worldwide endemic

a. A
b.B
c.C
d.D

A

a. A

has a vaccine

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3
Q

which hep virus is water borne and associated with asia

a. A
b.B
c.C
d.D
e. E

A

e. E

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4
Q

How are Hep A ns E diagnosed

a.serology
b.blood test
c. urien test

A

a.serology

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5
Q

which form of hepatitis often water borne and associated with asia can be found in a carrier state

a. A
b.B
c.C
d.D
e. E

A

e. E

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6
Q

How is hep c spread

a.faecal oral
b.blood/ blood contaminated equipment
c. sexual contact

A

b.blood/ blood contaminated equipment

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7
Q

liver failure, cirrhosis and cancer are associated with which type of hep infection

a. A
b.B
c.C
d.D
e. E

A

c.C

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8
Q

how is hep c diagnosed
a.serology
b.blood test
c. urien test

A

a.serology
and RNA PCR

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9
Q

which of these hepatitis infection has antivirals as a treatment

a. A
b.B
c.C
d.D
e. E

A

c.C

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10
Q

which of these hep viruses is a DNA virus with reverse polymerase

a. A
b.B
c.C
d.D
e. E

A

b.B

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11
Q

how is hep B spread

a.faecal oral
b.blood and blood contaminated equpment
c. mother to baby in childbirth, blood and sex

A

c. mother to baby in childbirth, blood and sex

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12
Q

which hepatitis infection is most often seen as an acute infection with jaundice and a 90% recovery rate

a. A
b.B
c.C
d.D
e. E

A

b.B

chronic infection more likely when aquired young

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13
Q

which hepatitis infection is tested for by serology testing for the surface core and e antigens and antibodies

a. A
b.B
c.C
d.D
e. E

A

b.B

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14
Q

in order for hepatitis d to be present which other hepatitis virus must be present and has to have left the hepatocytes

a. A
b.B
c.C
d.D
e. E

A

b.B

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15
Q

cholecystitis

A

inflammed gall bladder

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16
Q

cholangitis

A

inflammation of bile duct system

17
Q

cholecystitis, cholangitis, pain, tenderness, jaundice and signs of sepsis indicate infection of what

a.billiary tract
b.liver
c.kidney
d.upper GI tract

A

a.billiary tract

18
Q

pain, tenderness and jaundice indicate which condition

A

billiary tract infection

19
Q

prior to giving antibitoics for billiary tract infection samples are taken by which method

a.ERCP
b.blood tests
c.serology
d.urine sample

A

a.ERCP

20
Q

what does the ercp do in billiary tract infection

A

dilate ampulla
allow for removal of gallstones
increase flow of bile (stagnant bile good for bacterial growth)

21
Q

which antibiotics are given in billiary tract infection

a. beta lactam
b. penicillin
c.macrolide
d.beta lactam and beta lactamase inhibitor

A

d.beta lactam and beta lactamase inhibitor

22
Q

how do bacteria in liver abcesses enter the liver?

a.lymphatic system
b.systemic system
c.portal system

A

c.portal system

23
Q

which of these causes dystentry and amoebic abcess

a.entamoeba histolytica
b. echinococcus granulosus

A

a.entamoeba histolytica

24
Q

which of these is a dog tapeworm causing hydatid cysts in the liver

a.entamoeba histolytica
b. echinococcus granulosus

A

b. echinococcus granulosus

hyatid cysts difficult to treat and hazardous to puncture

25
Q

management of liver abscesses

A

consider cause
source control
drainage
polymicrobial withour drainage = long course of high dose broad spectrum

26
Q

is entamoeba histolytica treated with

a.long course high dose broad spectrum antibitoics
b.metronidazole

A

b.metronidazole

27
Q

leptosirosis is a zoonotic infection it is associated with …

a.mosquitoes
b.tics
c.rat urine

A

c.rat urine

common in sewage workers and open water swimmers

28
Q

leptospirosis is associated with a bisphasic flu like symtoms followed by a trias of..

A

jaundice
renal failure
thrombocytopenia (reduced platelets)