NUR 622 (Adult_Gero Acute) MOD #11, Hepatitis Questions with CORRECT Answers (Grade A+)
Question 1:
fecal oral liver virus (contaminated water/food/shellfish) -self limiting, supportive management
-parenteral transmission is rare, sexual transmission is possible -mortality rate is low, liver failure is
uncommon -seen more in homeless, areas poor sanitation -lifetime immunity following virus
Answer:
Hep A
Question 2:
s/s Hep A
Answer:
early - NV, anorexia, malaise, fever, ABD pain late - dark urine, gray stools, jaundice *symptoms
more common on adults, rare in children
Question 3:
diagnostics for Hep A
Answer:
-IgM anti HAV - confirms acute infection, disappears 3-6 months -IgG anti-HAV - confirms prior
disease, infers lifelong immunity. rises after one month is persists for years - short lived ALT rise
greater than 1000 -short lived rise of bilirubin up to 10 (normal < 1.2)
Question 4:
tx Hep A
Answer:
-patient doesn't need to isolate, but string hand hygiene -supportive care, self limiting within
weeks -avoid alcohol and hepatoxic drugs -hep A vaccines
Question 5:
any patient with acute GI symptoms with suspicion for hep A, draw a
Answer:
IgM and IgG anti-HAV
, Question 6:
liver virus spread via blood, saliva, sex contact, dialysis, IV drug use, mother to baby during birth
-major cause of cirrhosis and HCC -incubation can be 6 weeks-6 months -acute infection less than 6
months
Answer:
hep B
Question 7:
hep B pearls for infants and children
Answer:
-90% of infants who are infected will develop chronic disease -20-50% of children 1-5 years will get
chronically infected
Question 8:
patients who immunocompromised or on immunosuppressants are risk for
Answer:
reactivation of Hep B
Question 9:
s/s hep B
Answer:
new infection - asymptomatic 3 months later - fatigue, poor appetite, N/V, ABD pain, jaundice
Question 10:
less than 1% of patients get acute liver failure for Hep B, but for those who do, the mortality rate is
very
Answer:
high
Question 11:
who should get screen for Hep B
Answer:
pregnancy, immunosuppressed, blood/organ donors
Question 1:
fecal oral liver virus (contaminated water/food/shellfish) -self limiting, supportive management
-parenteral transmission is rare, sexual transmission is possible -mortality rate is low, liver failure is
uncommon -seen more in homeless, areas poor sanitation -lifetime immunity following virus
Answer:
Hep A
Question 2:
s/s Hep A
Answer:
early - NV, anorexia, malaise, fever, ABD pain late - dark urine, gray stools, jaundice *symptoms
more common on adults, rare in children
Question 3:
diagnostics for Hep A
Answer:
-IgM anti HAV - confirms acute infection, disappears 3-6 months -IgG anti-HAV - confirms prior
disease, infers lifelong immunity. rises after one month is persists for years - short lived ALT rise
greater than 1000 -short lived rise of bilirubin up to 10 (normal < 1.2)
Question 4:
tx Hep A
Answer:
-patient doesn't need to isolate, but string hand hygiene -supportive care, self limiting within
weeks -avoid alcohol and hepatoxic drugs -hep A vaccines
Question 5:
any patient with acute GI symptoms with suspicion for hep A, draw a
Answer:
IgM and IgG anti-HAV
, Question 6:
liver virus spread via blood, saliva, sex contact, dialysis, IV drug use, mother to baby during birth
-major cause of cirrhosis and HCC -incubation can be 6 weeks-6 months -acute infection less than 6
months
Answer:
hep B
Question 7:
hep B pearls for infants and children
Answer:
-90% of infants who are infected will develop chronic disease -20-50% of children 1-5 years will get
chronically infected
Question 8:
patients who immunocompromised or on immunosuppressants are risk for
Answer:
reactivation of Hep B
Question 9:
s/s hep B
Answer:
new infection - asymptomatic 3 months later - fatigue, poor appetite, N/V, ABD pain, jaundice
Question 10:
less than 1% of patients get acute liver failure for Hep B, but for those who do, the mortality rate is
very
Answer:
high
Question 11:
who should get screen for Hep B
Answer:
pregnancy, immunosuppressed, blood/organ donors
