Viral Hepatitis Flashcards

1
Q

how do viruses attach to host cells

A

using receptor binding proteins

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2
Q

what encloses the DNA or RNA of a virus

A

a virus encoded protein coat called a nucleocapsid
and sometimes a host cell membrane derived envelope

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3
Q

symptoms of hepatitis

A

jaundice
dark urine
clay coloured stool
nausea and vomiting
loss of appetite
fever
abdominal pain
weakness

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4
Q

which form of hepatitis has direct acting drugs

A

hep C

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5
Q

are viruses with envelopes more or less sensitive to detergents and antibacterial wipes

A

more

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6
Q

are faecal oral transmitted viruses more or less resistant than perenteral viruses

A

much more

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7
Q

how are hep A-E transmitted

A

A and E - fecal oral
B, C and D - parenteral

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8
Q

which hepatitis viruses cause chronic disease

A

B, C and D - often
A - never
E - only in transplant patients

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9
Q

which hepatitis viruses are oncogenic

A

A - no
E - potentially
B and C - yes
D - unknown

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10
Q

what age group mostly gets hep a

A

children and young adults

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11
Q

how quickly does hep A onset

A

abruptly
commonly with pyrexia

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12
Q

common reason for hep A disease

A

shellfish eaten raw or uncooked that have growth in contaminated water

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13
Q

what % make a complete recovery from hep A

A

98%

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14
Q

come age of hep B infection

A

babies and young adults

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15
Q

transmission modes of hep B

A

mum-baby (vertical)
sexual

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16
Q

how long does hep B virus last in body

A

for life
may reactive under immunosuppresion

17
Q

treatment for chronic hep B infection

A

interferon alpha or antivirals

18
Q

treatment for hep a

A

supportive

19
Q

where in the world is hep b most prevalent

A

south east asia
parts of china
sub-saharan african

20
Q

what % of babies/children infected with hep b go on to have chronic infection and how does this teens/adults

A

80-95% - children
5-10% - adults

21
Q

what age gets hep c

A

adults

22
Q

what is presentation of acute hep c infection

A

usually asymptomatic

23
Q

hep c treatment

A

interferon alpha and ribavirin
or
direct acting antivirals

24
Q

what is required for hep D replication

A

hep B

25
Q

hep e treatment

A

supportive
ribavirin for chronic infection

26
Q

viral causes of hepatitis

A

hep A-E
non-A/E hepatitis
epstein barr virus
cytomegalovirus
herpes simplex virus
rubella virus
enteroviruses
yellow fever virus