viral hepatitis

Question 1

causes

Answer 1

drug/alcohol induced
autoimmune
ischaemic

Question 2

symptoms of acute hepatitis

Answer 2

fever
malaise
fatigue
nausea and vomiting
diarrhoea 
jaundice 
RUQ pain

Question 3

Mallory’s hyaline bodies

Answer 3

alcoholic liver disease (acute hepatitis) and chronic active hepatitis

Question 4

alpha feto protein

Answer 4

heptpcellular carcinoma

Question 5

hepatitis A

Answer 5

RNA virus
faecal-oral spread
incubation 2-4 weeks 
fever, malaise and jaundice 
confirmed with presence of Hep A IgM

Question 6

Hep A treatment

Answer 6

typically self-limiting
supportive
avoid alcohol
immunisation

Question 7

Hepatitis B

Answer 7

DNA virus

BBB- blood, babies, B(sexual intercourse)

Question 8

Hepatitis B complications

Answer 8

chronic hepatitis
hepatocellular carcinoma
fulminant liver failure

Question 9

hep B management

Answer 9

antivirals (interferon alfa)

aim: clear Hep B surface antigen > causes cirrhosis

Question 10

Hep B immunisation

Answer 10

given to children 2,3, and 4 months

Question 11

Hep C

Answer 11

RNA

Question 12

Hep C transmission

Answer 12

sexual intercourse

IVDU

Question 13

Hep C symptoms

Answer 13

fatigue
85%- silent chronic infection
25%- cirrhosis > hepatocellular carcinoma
chronic hepatitis

Question 14

Hep C investigations

Answer 14

anti-HCV= exposure
HCV-PCR test
liver biopsy