Liver Symposium

Question 1

What type of hepatitis cause enteric viruses?

Answer 1

Hepatitis A

Hepatitis E

Question 2

What type of hepatitis cause parenteral viruses?

Answer 2

Hepatitis D
Hepatitis C
Hepatitis D

Question 3

What type of hepatitis cause chronic disease?

Answer 3

Hepatitis B
Hepatitis C
Hepatitis D

Question 4

How is hepatitis A transmitted?

Answer 4

Faecal-oral
Sexual
Blood

Question 5

Who gets immunisation fro Hepatitis A?

Answer 5

Travellers
Occupational exposure
Chronic liver disease patients
Men who have sex with men (MSM)

Question 6

How is hepatitis B transmitted?

Answer 6

Vertical (mother to child)

Sexual

Question 7

What is the make up of the hepatitis B vaccine?

Answer 7

Only contains surface antigens

Question 8

What are the drugs used to treat hepatitis C?

Answer 8

Sofobuvir

Ledipasvir

Question 9

What type of virus is hepatitis D?

Answer 9

RNA

Resistant to treatment and usually coinfects with HBV

Question 10

What is the treatment for hepatitis E?

Answer 10

No specific treatment or effective vaccine and is self limiting

Question 11

What are the different types of fatty liver disease?

Answer 11

Non alcoholic steatosis

Non alcoholic steatohepatitis

Question 12

What are the risk factors for fatty liver disease`?

Answer 12

Diabetes 
Obesity 
Hypertension 
Hpercholesterolaemia 
Age 
Ethnicity (hispanic)

Question 13

How do you diagnose fatty liver disease?

Answer 13

Biochemical tests (AST/ALT ratio) 
Ultrasound 
MRI/CT 
Liver biopsy 
Cytokeratin-18 
Scoring system used

Question 14

How do you treat fatty liver disease?

Answer 14

Diet and weight reduction 
Exercise 
Insulin sensitisers 
Vitamin E 
Weight reduction surgery

Question 15

What is autoimmune hepatitis?

Answer 15

Elevated IgG

Question 16

How is autoimmune hepatitis treated?

Answer 16

Long term azathioprine

Question 17

What are the clinical signs of primary biliary cholangitis?

Answer 17

IgM elevated

Anti-mitochondrial antibody positive

Question 18

What is the treatment for primary biliary cholangitis?

Answer 18

UDCA treatment

Question 19

What are the clinical signs of primary sclerosing cholangitis?

Answer 19

pANCA positive
intra and extra hepatic bile ducts involvement
MRCP test

Question 20

How do you treat primary sclerosing cholangitis?

Answer 20

Biliary stents

Question 21

Who are the appropriate liver transplant candidates?

Answer 21

Hepatocellular carcinoma
Acute liver failure
Genetic diseases
Chronic liver disease with poor predicted survival and associated poor QOL

Question 22

What are the contraindications for liver transplant?

Answer 22

Malignancy
Active and uncontrolled infection
Active substance or alcohol abuse
Severe cardiopulmonary or other comorbid conditions

Question 23

What is the post operative liver transplant treatment?

Answer 23

ICU
Prophylactic antibiotics and anti fungal drugs
Anti rejection drugs (steroids, azathioprine, tacrolimus)

Question 24

What dose CAGE stand for?

Answer 24

Cut down
Annoyed by criticism of your drinking
Guilty about your drinking
Eyeopener

Question 25

What os the presentation of alcoholic hepatitis?

Answer 25

Jaundice Encephalopathy Infection is common Decompensated hepatic function

Question 26

What are the clinical signs of alcoholic hepatitis

Answer 26

Raised bilirubin Raised GGT and AlkP Alcohol history

Question 27

What is the treatment for alcoholic hepatitis?

Answer 27

``` Treat infection and encephalopathy Alcohol withdrawal Protect against GI bleeding Airway protection/ ITU care Review nutrition (frequent feeds) Thiamine ```

Question 28

What is the presentation of spontaneous bacterial peritonitis?

Answer 28

``` Abdominal pain Fever, rigors Renal impairment Sepsis Tachycardia Temp? ```

Question 29

What are the clinical signs of spontaneous bacterial peritonitis?

Answer 29

Neutrophil count >0.25x10(9)/L Protein <25g/L Ascitic tap (cultures, WCC, fluid protein and glucose levels)

Question 30

What is the treatment for spontaneous bacterial peritonitis?

Answer 30

IV antibiotics Ascetic fluid drainage IV albumin infusion

Question 31

What are the causes of hepatic encephalopathy?

Answer 31

Infection Drugs Constipation GI bleed

Question 32

How do you treat hepatic encephalopathy?

Answer 32

Bowel clear out, lactulose, enemas | Antibiotics