viral serology (hepatitis) Flashcards

1
Q

resulta and interpretation

  • HBsAg (+)
  • Total anti-HBc (+)
  • IgM anti-HBc (+)
  • Anti-HBs (–)
A

acute hepa B

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2
Q

Serum Hepatitis is caused by the – HEPADNAVIRIDAE formerly known as the Australia or Hepatitis-associated Antigen

A

hepa B

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3
Q
  • current infection
  • used for viral load testing, blood/organ donor screening
  • HCV phenotyping to determine optimal treatment
A

HCV RNA

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4
Q
  • acute or chronic infection
  • a defective virus that can only occur in presence of HBV
A

hepa D

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5
Q
  • Appears during the recovery period of Acute Hepatitis B, weeks to months after HBsAg disappear.
  • Provide Protective Immunity: ≥ 10 mIU/mL of Serum
A

anti-Hbs

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6
Q
  • current infection
  • marker of active viral replication
  • used to monitor therapy
A

HDV RNA

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7
Q

results and interpretation

  • HBs Ag (–)
  • Total anti-HBc (+)
  • Anti-HBs (+)
A

recovery from hepa B

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8
Q
  • Result of Natural Infection or Immunization.
  • Competitive Inhibition ELISA Test
A

IgG anti-Hav

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9
Q
  • Present during active replication of the virus.
  • Indicates high degree of infectivity.
A

HBeAg

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10
Q
  • Marker of Acute Hepatitis A
  • Peak: During First Mons. of Illness
  • Declined: 6 to 12 Mons.
  • Solid-Phase Antibody Capture ELISA
A

IgM anti-HAV

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11
Q
  • transmission: sexual contact, blood
  • incubation period: 60-90 days
  • disease course: May be acute, chronic, or fulminant, or the patient may be a chronic asymptomatic carrier. Symptoms are similar to those seen in HAV infections
A

hepa B

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12
Q

Persists for the lifetime of the individual.

A

IgG anti-HBc

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13
Q
  • transmission: fecal oral route
  • incubation: 28 days
  • disease course: acute and self limiting; no carrier state
  • laboratory diagnosis: liver function test (ALT), total bilirubin, antibodies can be detected by EIA and RIA methods
A

hepa A

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14
Q

infectious hepatitis is caused by the HAV - PICORNAVIRIDAE

A

hepa A

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15
Q

1st Generation Test

A

ouchterlony

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16
Q

2nd Generation Tests

A
  • CIE
  • rheophoresis
  • complement fixation
17
Q

Marker of Convalescence.

A

anti-HBe

18
Q

results and interpretation

  • HBsAg (+)
  • Total anti-HBc (+)
  • IgM anti-HBc (–)
  • Anti-HBs (–)
A

chronic hepa B/carrier

19
Q

results and interpretation

  • HBsAg (–)
  • Anti-HBc (–)
  • Anti-HBs (+)
A

hepa B immunization

20
Q

resulta and interpretation

IgM anti-HAV (+)

A

acute hepa A

21
Q
  • Australian Antigen.
  • First Marker to appear.
  • Indicator of active infection
  • Important marker in screening blood donor.
A

HBsAg

22
Q
  • Indicator of current or recent infection.
  • Detects the “Core Window Period”
A

IgM anti-HBc

23
Q

3rd Generation Tests (Most Sensitive)

A
  • reverse passive latex agglutination
  • reverse passive hemeagglutination
  • ELISA
  • RIA
24
Q
  • Not detected in serum.
  • Detected through Liver Biopsy.
A

HBcAg

25
Q
  • acute, chronic, or previous infection
  • Pos should be confirmed by recombinant immunoblot assay (RIBA) or molecular method
A

hepa C

26
Q

resulta and interpretation

Total anti-HAV (+)

A

recovery from hepa A