Liver

Question 1

Synonym for viral Hep A

Answer 1

HAV

Question 2

Hepatitis C synonym:

Answer 2

HCV

Question 3

Hepatitis C Pathophys:

Answer 3

RNA virus provokes a cell-mediated response that causes liver injury.

Question 4

Hepatitis virus incubates for how long?

Answer 4

2 months

Question 5

How is Hepatitis C transmitted?

Answer 5

• Transmitted though percutaneous injection by IV drug users

- Exposure to blood products

Question 6

Hepatitis C risk factor:

Answer 6

Exposure to blood products

Question 7

Hepatitis C signs and symptoms:

Answer 7

Moderate in presentation and progresses to chronic hepatitis

Question 8

Hepatitis C prevention:

Answer 8

No known prevention, best to avoid exposure

Question 9

Hepatitis C treatment:

Answer 9

• Therapy with interferon and lamivudine

- Vaccine considered impractical

Question 10

Vaccine for treatment of __________ is considered impractical.

Answer 10

Hepatitis C

Question 11

HDV synonym:

Answer 11

Hepatitis D

Question 12

Which hepatitis has 1-3 month incubation period?

Answer 12

Hepatitis D

Question 13

Hepatitis D pathophys:

Answer 13

• 1-3 month incubation period, which causes acute or insidious-onset liver disease
• Often superimposed over HBV infection - contributes to chronic hepatitis

Question 14

Pathophysio: RNA virus incubates for 1 month and replicates in liver

Answer 14

HAV. Viral HEP A

Question 15

Pathophysio: Causes IgM response that converts to IgG response after 5 months

Answer 15

Viral Hep A/ HAV

Question 16

Pathophysio: Virus incubates for 2-3 months. Small DNA virus replicates in the liver but can live elsewhere in spleen, lymph nodes and pancreas

Answer 16

Hep B/ HBV

Question 17

Associated with liver carcinoma

Answer 17

Hep B/ HBV

Question 18

Transmission: fecal-oral route is primary form of transmission

Answer 18

HAV/ Viral Hep A

Question 19

Transmission: linked to poor hygiene with food prep, areas of overcrowding, contaminated shellfish

Answer 19

Viral Hep A/ HAV

Question 20

May cause jaundice/ mild presentation

Answer 20

Viral hep A/ HAV

Question 21

NO liver destruction, great prognosis

Answer 21

Viral Hep A/HAV

Question 22

Hepatitis E treatment:

Answer 22

• It has good prognosis with no treatment

- No prophylaxis or therapy is done

Question 23

Mostly in babies, children, toddlers and young adults

Answer 23

Hep B/ HBV

Question 24

High risk in hospital workers, spouse of infected, prisoners

Answer 24

Hep B/ HBV

Question 25

Detection: Diagnosed by detection of IgM/ long term IgG

Answer 25

V Hep A

Question 26

Insidious or acute onset

Answer 26

Hep B

Question 27

Can lead to liver cancer

Answer 27

Hep B

Question 28

Hepatic Necrosis (rare)

Answer 28

Hep B

Question 29

Limited therapy (not necessary) used to treat

Answer 29

V. Hep A

Question 30

Improved sanitation to reduce incidence

Answer 30

V Hep A

Question 31

Immunization recommended to daycare workers, tourists in poor sanitation, family members infected, Alaskans

Answer 31

V Hep A

Question 32

DETECTION: serological and virologic markers

Answer 32

Hep B

Question 33

Vaccine recommended for prisoners, hemophiliacs, health care workers, IV drug users, children under 18 and sexually active

Answer 33

Hep B

Question 34

Pathophysio: upper right part of liver

Answer 34

Alcoholic Liver Disease and Cirrhosis

Question 35

Pathophysio: excessive consumption of alcohol

Answer 35

Cirrhosis

Question 36

3 beers a day for 10 years leads to

Answer 36

fatty liver - liver enlargement

Question 37

5 beers a day for 10 years leads to

Answer 37

severe liver disease

Question 38

7 beers a day for 10 years leads to

Answer 38

cirrhosis

Question 39

Chronic injury to the liver, fibrosis of the liver, liver cell necrosis and scarring, distorted vascular supply

Answer 39

Cirrhosis

Question 40

Pathophysio: inhibition of bile flow resulting in jaundice

Answer 40

Gallstone obstruction

Question 41

Concretion of bile that consists of cholesterol, calcium bilirubinate and other salt, protein and fatty acids

Answer 41

Gallstone

Question 42

Obstruction of the cystic duct

Answer 42

Gallstone obstruction

Question 43

Upper right quadrant pain

Answer 43

Gallstone obstruction

Question 44

Hepatitis D risk factors:

Answer 44

Prominent among intravenous drug abusers and certain ethnic populations

Question 45

Hepatitis D is transmitted:

Answer 45

- Spread by close personal contact | - Exposure to blood-borne products

Question 46

Hepatitis D Treatment:

Answer 46

No treatment

Question 47

HDV can be prevented by:

Answer 47

HBV vaccine Therapy with the use of interferon

Question 48

Hepatitis E aka:

Answer 48

HEV

Question 49

HEV pathophys:

Answer 49

- RNA virus with 2 week to 2 month incubation period - Causes an acute liver disease in young adults - Does NOT progress into chronic liver disease

Question 50

Hepatitis ____ does not progress into a chronic disease.

Answer 50

E

Question 51

HEV transmission:

Answer 51

- Fecal-oral transmission - Occurs after major floods due to water contamination - Transmission is rarely person to person

Question 52

Hepatitis E is more prevalent among ______.

Answer 52

Young adults