Hepatitis Flashcards

(29 cards)

1
Q

hepatitis E association

A

uncooked boar/swine/pig ingestion

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2
Q

HEV outbreaks are linked to

A

water contamination in Asia and Africa

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3
Q

treatment of chronic Hep E

A

ribavirin

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4
Q

treatment of chronic Hep E in pregnant women

A

none, can’t give them ribavirin

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5
Q

diagnosis of Hep E

A

RNA PCR
IgM anti HEV

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6
Q

most common cause of acute hepatitis in US

A

Hep A

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7
Q

fulminant hepatitis with chronic Hep C

A

hep A

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8
Q

when to use IG as post exposure ppx Hep A

A

> 40 years or immunosuppressed

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9
Q

when can you see liver tox from augmentin

A

often after stopping it

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10
Q

what type of genotype in HEV in US

A

Genotype 3

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11
Q

HCV association in which population

A

HIV MSM

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12
Q

blistering lesions in sun exposed areas, exacerbated by alcohol use

A

porphyria cutanea tarda

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13
Q

three skin manifestations of HCV

A

PCT
lichen Plans
cryoglobulin vasculitis

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14
Q

HBV skin manifestation

A

polyarteritis nodosa

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15
Q

HCV screening

A

one AB test aged 18 to 79 years

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16
Q

who needs HCV resistance testing treatment naive

A

Genotype 1a and using elbasvir/grazoprevir
Genotype 3 AND cirrhosis using sofosbuvir/velpatasvir

17
Q

who needs HCV resistance testing treatment experienced

A

1a and using ledipasvir/sofosbuvir
Genotype 3 and using sofosbuvir/velpatasvir

18
Q

Chronic HBV on treatment for HCV
If HBsAg positive

A

treat per HBV guidelines

19
Q

Chronic HBV on treatment for HCV
Anti-HBc positive

20
Q

pangenotypic HCV regimens

A

Glecaprevir/pibrentasvir
Sof/Vel

21
Q

which HCV regimen is approved for ESRD

A

Glec/Pib
Sof/Vel
Sof/Led

22
Q

which HCV regimen to avoid on patient taking darunavir

A

Glec/pib
(double protease inhibitors)

23
Q

indication for treatment in HBsAg positive pregnant women

A

HBV DNA > 200,000 in third trimester

24
Q

treatment HBV GFR <10 no HD

25
Three situations for prophylaxis in CHB
Rituximab high dose prednisone BM transplant
26
Patients who are HBsAg positive undergoing immunosuppression
prophylaxis always needed no matter what immunosuppressive they get
27
If patient is anti-HBc positive but sAg negative when to given prophylaxis
rituximab, high dose prednisone or BM transplant (high risk exposures/IS)
28
isolated HBcore vaccination
give one dose, if titer >10 then stop if titer <10 then give second dose
29
PEP for infants of HBsAg mothers
immediate vaccination and HBIG