Viral hepatitis Flashcards

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1
Q

What type of genetic material do hepatitis viruses A, C, D and E all posses?

A

RNA

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2
Q

What type of genetic material does the hep B virus posses?

A

dsDNA

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3
Q

Which group of patients is susceptible to the hep D virus?

A

Hep B patients

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4
Q

What is the route of transmission for Hep A?

A

Faecal-oral

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5
Q

What are the routes of transmission for Hep B?

A

Sexual Vertical Horizontal Blood products

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6
Q

What is the route of transmission for Hep C?

A

Blood products

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7
Q

What is the route of transmission for Hep E?

A

Faecal-oral

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8
Q

Which 2 types of antibody does the body produce in response to hep A? And in what timeframe?

A

IgM - develop soon after exposure and fade away after a couple of months. IgG antibodies develop later and remain present in the body. Also produced in response to vaccination

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9
Q

Hep B has both an acute and chronic phase. How long after exposure does the acute infection present?

A

less than 6 months

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10
Q

What risk does hep B pose to immunocompromised patients?

A

Latent virus can reactivate

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11
Q

What percentage of acute Hep C infections progress to chronic?

A

80%

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12
Q

How is acute Hep A diagnosed and for how long is this possible?

A

Anti-HAV IgM (IgM persists up to 14 weeks)

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13
Q

How is HBV diagnosed?

A

ALT ↑ AST ↑ HBsAg HBeAg HBcAb (Acute IgM, chronic IgG)

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14
Q

How is HCV diagnosed?

A

ALT ↑ Anti-HCV antibodies

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15
Q

How is HAV managed?

A

Supportive management

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16
Q

What is the treatment for HBV?

A

Peginterferon alfa-2a Lamivudine Tenofovir

17
Q

What is the treatment for HCV?

A

Peginterferon alfa-2b Ribavirin

18
Q

What is the incubation period for HAV?

A

2-6 weeks

19
Q

In which patient group is HAV particularly severe?

A

Elderly

20
Q

What is the incubation period for HBV?

A

2-6 months

21
Q

List 3 long term consequences of HBV

A

Fibrosis Cirrhosis HCC

22
Q

Name a long term consequence of HCV

A

Cirrhosis