Health And Medicine- Viral Hepatitis Knowledge Test
(199).jpg "Health And Medicine- Viral Hepatitis Knowledge Test")
Viral Hepatitis is an inflammation of the liver due to viral infection. Hepatotropic viruses such as hepatitis A, B, C, D, and E are common causes. If you are studying medicine, you might know about this inflammation. Let's see how much knowledge do you have about this.
- 1.Which of the following statements about hepatitis A treatment is true?
- A.
There is no treatment specific for hepatitis A
- B.
Treatment should begin before symptom onset
- C.
IV antiviral therapy should be administered
- D.
Treatment can be discontinued once a patient has (+) IgG
- 2.If a patient is positive for _____ Anti-HAV, this signifies that the patient currently has acute hepatitis A infection. (Answer is 3 letters)
- 3.Which of the following confers PASSIVE immunity?
- A.
Hepatitis A vaccine
- B.
IgG
- C.
Hepatitis B vaccine
- D.
Hepatitis C vaccine
- 4.A patient is flying to Peru next week, but he is not sure if he has ever received a vaccine for hepatitis A. Which of the following should he receive (choose all that apply)?
- A.
Hepatitis A vaccine
- B.
IgG
- C.
IgM
- 5.Which of the following patients would have positive IgG Anti-HBc? (Choose all that apply)
- A.
A 23-year old recovered from hepatitis A infection
- B.
A 54 year old who has recovered from hepatitis B infection
- C.
A 67 year old in phase 4 of hepatitis B infection
- D.
A 78 year old in acute hepatitis B infection
- 6.In which TWO phases of hepatitis B is liver damage occurring?
- A.
Phase 1, 2
- B.
Phase 3, 5
- C.
Phase 2, 4
- D.
Phase 2, 3
- 7.For the following labs, which would be POSITIVE or ELEVATED in Phase 1 hepatitis B infection? (Choose all that apply)
- A.
HBeAg
- B.
HBsAg
- C.
IgG Anti-HBV
- D.
IgM Anti-HBV
- E.
Anti-HBe
- F.
Anti-HBs
- G.
HBV DNA
- H.
ALT
- 8.For the following labs, which would be POSITIVE or ELEVATED in Phase 2 hepatitis B infection? (Choose all that apply)
- A.
HBeAg
- B.
HBsAg
- C.
IgG Anti-HBV
- D.
IgM Anti-HBV
- E.
Anti-HBe
- F.
Anti-HBs
- G.
HBV DNA
- H.
ALT
- 9.For the following labs, which would be POSITIVE or ELEVATED in Phase 3 hepatitis B infection? (Choose all that apply)
- A.
HBeAg
- B.
HBsAg
- C.
IgG Anti-HBV
- D.
IgM Anti-HBV
- E.
Anti-HBe
- F.
Anti-HBs
- G.
HBV DNA
- H.
ALT
- 10.For the following labs, which would be POSITIVE or ELEVATED in Phase 4 hepatitis B infection? (Choose all that apply)
- A.
HBeAg
- B.
HBsAg
- C.
IgG Anti-HBV
- D.
IgM Anti-HBV
- E.
Anti-HBe
- F.
Anti-HBs
- G.
HBV DNA
- H.
ALT
- 11.For the following labs, which would be POSITIVE or ELEVATED in Phase 5 hepatitis B infection? (Choose all that apply)
- A.
HBeAg
- B.
HBsAg
- C.
IgG Anti-HBV
- D.
IgM Anti-HBV
- E.
Anti-HBe
- F.
HBV DNA
- G.
ALT
- 12.Phase 1 Hepatitis B patients do not need to be treated, UNLESS _______________.
- A.
They are younger than 30
- B.
They are older than 30
- C.
They have elevated ALTs
- D.
They have extremely high levels of HBV DNA
- 13.Phase 3 and Phase 5 hepatitis B patients do NOT need to continue treatment, UNLESS ______________.
- A.
They are still HBsAg positive
- B.
They have had hepatitis B infection for more than 10 years
- C.
They are tolerating treatment very well
- D.
They already have cirrhosis with any detectable virus
- 14.Which of the following are considered first line for hepatitis B treatment? (Choose all that apply)
- A.
Pegylated Interferon
- B.
Lamivudine
- C.
Entecavir
- D.
Adefovir
- E.
Tenofovir
- F.
Telbivudine
- 15.With which of the following drugs can you see an ALT flare?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 16.Which of the following drugs is more well tolerated?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 17.Which of the following drugs is susceptible to resistance?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 18.Which of the following drugs is quicker at reducing HBV DNA and ALT?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 19.Which of the following is dosed as an injection once a week?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 20.Which of the following has the least risk for relapse?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 21.Which of the following is the most expensive?
- A.
Peg-interferon
- B.
Nucleoside analogues
- 22.A 54 year old male patient would like to start hepatitis B treatment. The hepatologist wants your help in choosing the most appropriate drug. The patient has a PMH of CAD, DM, CKD, HTN, HL, and sleep apnea. He was diagnosed with hepatitis B when he was in the hospital 2 weeks ago for a myocardial infarction. His CrCl is 35 ml/min. He states he is open to both interferon and nucleoside analogs after hearing about the pros and cons of each. Which of the following is the most appropriate choice for him?
- A.
Peg-interferon
- B.
Entecavir
- C.
Telbivudine
- D.
Lamivudine
- 23.The definition of sustained virologic response is to have undetectable HCV RNA _______ weeks after the end of treatment (enter a number)
- 24.Which of the following medications is indicated in ALL six genotypes of hepatitis C infection? (Choose all that apply)
- A.
Ledipasvir and sofosbuvir
- B.
Elbasvir and Grazoprevir
- C.
Glecaprevir/Pibrentasvir
- D.
Velpatasvir and Sofosbuvir
- E.
Sofosbuvir/Velpatasvir/Voxilaprevir
- 25.Which genotypes are covered by ALL first line agents for hepatitis C infection? (Choose all that apply)
- A.
Genotype 1
- B.
Genotype 2
- C.
Genotype 3
- D.
Genotype 4
- E.
Genotype 5
- F.
Genotype 6
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