Deck 51: Chronic Viral Hepatitis

Question 1

Which of these test results indicate chronic hepatitis B?

A) Hepatitis B surface antibody positive, hepatitis B core antibody negative, hepatitis B surface antigen negative
B) Hepatitis B surface antibody positive, hepatitis B core antibody positive, hepatitis B surface antigen negative
C) Hepatitis B surface antibody negative, hepatitis B core antibody positive, hepatitis B surface antigen positive

Answer 1

C

Question 2

Which of these test results indicate that a person is immune to hepatitis B?

A) Hepatitis B surface antibody positive, hepatitis B core antibody negative, hepatitis B surface antigen negative
B) Hepatitis B surface antibody positive, hepatitis B core antibody positive, hepatitis B surface antigen negative
C) Hepatitis B surface antibody negative, hepatitis B core antibody positive, hepatitis B surface antigen positive
D) a and b
E) All of the above

Answer 2

D

Question 3

Whom should you screen for chronic hepatitis B?

A) Everyone
B) 30-year-old man who was born in China and immigrated here when he was 5 years old
C) 45-year-old man with HIV disease
D) 54-year-old woman with chronic hepatitis C
E) 51-year-old woman who smokes tobacco
F) b, c, d, and e
G) b, c, d
H) b and d

Answer 3

G

Question 4

On which patient populations should you initiate HCC (hepatocellular carcinoma) surveillance?

A) All patients with cirrhosis
B) 25-year-old man from Eritrea with chronic hepatitis B
C) 65-year-old Asian woman with chronic hepatitis B
D) 52-year-old man with hepatitis C who has achieved sustained virological response (SVR)
E) a, b, and c
F) All of the above

Question 5

Which test(s) would you order for HCC surveillance?

A) AFP
B) Ultrasound
C) CT scan
D) MRI
E) a and c
F) a, b, and c
G) None of the above

Question 6

Which hepatitis C genotype is most common in the United States?

A) Genotype 1
B) Genotype 2
C) Genotype 3
D) Genotype 4
E) Genotype 5
F) Genotype 6

Question 7

Whom should you screen for chronic hepatitis C?

A) Everyone
B) 50-year-old who has a history of IV drug use
C) 44-year-old with HIV disease
D) Anyone who is a "baby boomer" (born between 1945 and 1965)
E) 55-year-old with diabetes
F) b, c, and d
G) b, c, d, and e

Question 8

There are now oral treatments for chronic hepatitis C that result in very high cure rates (SVR rates > 90%).

Question 9

If you have chronic hepatitis C, which of these factors will hasten the progression to cirrhosis?

A) Genotype 1
B) HIV coinfection
C) HBV coinfection
D) Current alcohol use
E) Current tobacco use
F) All of the above
G) a, b, c, and d
H) b, c, and d

Question 10

Decompensated liver disease is manifested by which of the following signs?

A) Ascites
B) Abdominal pain
C) Variceal bleeding
D) Palmar erythema
E) a, b, and c
F) f a and c