Lec 24 Hepatitis Viruses

Question 1

What is hepatitis?

Answer 1

WHen the liver is inflamed

Question 2

What is hepatitis caused by?

Answer 2

infectious/toxic agents, can be inherited or autoimmune

Question 3

What are acute specific symptoms for hepatitis?

Answer 3

jaundice, megaly, bruising, confusion, bleeding, etc.

Question 4

Who is the hep A vaccine rec’d for?

Answer 4

travelling to endemic areas, MSM, homeless, incarcerated, drug users

Question 5

The product of RBC breakdown is

Answer 5

bilirubin

Question 6

Fecal oral transmitted Hepatitis types

Answer 6

A and E

Question 7

Inflammation for how long is considered chronic?

Answer 7

more than 6mo

Question 8

Chronic hep symptoms are

Answer 8

cirrhosis (fibrosis)

Question 9

What are the major outbreak type of hepatitis viruses

Answer 9

fecal orally transmitted

Question 10

Hep A immunity is?

Answer 10

long term immunity

Question 11

Hep A treatment is?

Answer 11

not available

Question 12

The US does not have hep outbreaks T?F?

Answer 12

FALSE- it does happen!! esp in incarcerated/homeless/drug use

Question 13

There is no chronic form of hep E T/F?

Answer 13

TRUE, only acute

Question 14

Who is at risk for death for hep E?

Answer 14

Pregnant women

Question 15

Hep A and E can be administered together T/F?

Answer 15

FALSE there is no Hep E vaccine yet!

Question 16

What are the bloodborne hepatitis types? Which of these 3 is the only RNA virus?

Answer 16

B C and D; B is the only RNA virus

Question 17

Hep B is treated with

Answer 17

antiviral drugs a pill a day

Question 18

What is hep B a primary cause of?

Answer 18

Cirrhosis and then Liver cancer

Question 19

How is hep B transmitted?

Answer 19

Injection, healthcare setting, mom to baby, sex

Question 20

What is the outcome of a newborn affected with hep B?

Answer 20

Chronic carriers

Question 21

What is the outcome of an adult affected with hep B?

Answer 21

acute symptoms

Question 22

You can take a post exposure vaccine if exposed to hep B via needle,T/F?

Answer 22

TRUE wthin 24 hours

Question 23

Describe hep D’s living needs

Answer 23

can only live with hep B (co infection or superinfection with an existing hep B)

Question 24

HBV/HDV combo can accelerate cirrhosis progression by how much?

Answer 24

a decade compared to monoinfection

Question 25

The cancer causing hepatitis viruses are

Answer 25

Hep C and B

Question 26

Which hepatitis integrates into our genome?

Question 27

What is the treatment for hep C?

Answer 27

antivirals but no vaccine

Question 28

What is the issue with detecting hep C?

Answer 28

most don’t have any symptoms at all

Question 29

Hep C, like B can cause

Answer 29

cirrhosis and then liver cancer

Question 30

The most common reason for liver transplants is

Answer 30

hep C

Question 31

We started HIV and Hep C testing since

Answer 31

the 90’s

Question 32

The high risk group for hep c is

Answer 32

hemophiliacs, Injection drug users, HIV

Question 33

Describe the treatment and prevention of hep C

Answer 33

ridiculously expensive pill ($1000/day), and no vaccine