Viral Hepititis Flashcards

(52 cards)

1
Q

Symptoms of acute viral hepatitis

A

jaundice, dark urine, acholic stool, prodome

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2
Q

Definition of chronic viral hepatitis

A

hepatitis that doesn’t resolve within 6 months

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3
Q

What does chronic viral hepatitis predispose you to

A

hepatocellular carcinoma

cirrhosis

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4
Q

What can fulminant viral hepatitis cause

A

massive hepatic necrosis
encephalopathy
edema

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5
Q

What are some complications for fulminant viral hepatitis

A
cerebral edema
brainstem compression
GI bleeding
sepsis
organ failure
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6
Q

What is the treatment for fulminant viral hepitis

A

liver transplant

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7
Q

Virus family of hepatitis A

A

picornavirus

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8
Q

Transmission of hepatitis A

A

fecal-oral

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9
Q

Is hepatitis A chronic

A

no

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10
Q

Virus family of hepatitis B

A

hepadnavirus

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11
Q

What is the transmissino of Hepatitis B

A

body fluids

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12
Q

Is hep B chronic

A

yes

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13
Q

VIrus family of hep C

A

flavivirus

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14
Q

What is the transmission of hep C

A

body fluids

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15
Q

Is hep C chronic

A

yes

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16
Q

What is the virus family of hep D

A

deltavirus

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17
Q

What is the tranmission of Hep D

A

body fluids

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18
Q

Is hep D chronic

A

yes

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19
Q

VIrus family of Hep E

A

hepevirus

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20
Q

Transmission of hep E

A

fecal-oral

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21
Q

Is hep E chronic

22
Q

Genome of Hep A

23
Q

How do you diagnose Hep A

A

IgM antibodies against HAV

24
Q

Hep A vax

A

inactivated

IM injection w/ 2 doses

25
What do you see when looking at Hep B under microscope
tubes & spheres | Dana particles
26
tubes and sphere
incomplete, noninfectious particles | surround the dane particles and can be used for detection
27
Dan particles
complete virions | infectious
28
genome of Hep B
dsDNA
29
_______ is part of the life cycle of hep B
reverse transcription
30
What do you see in a pt acutely infected w/ Hep B
+ HBsAG + anti-HBc total + IgM
31
What do you see in a pt chronically infected with hep B
+ HBsAg | + anti-HBc total
32
What do you see if a pt vaccinated against hep B
+ anti-HBsAg
33
What do you see in a pt previously affected w/ hep B
+ anti-HBsAg | + total anti-HBc
34
What is unique about the risk for infection with those with hep B
it's coorelated with age - the younger you are, the more likely you are to be infected
35
How do you treat chronic Hep B
lamivvudine or famcylovir/adeforvir dipivoxil AND interferon-alpha
36
What is in the Hep B vax
purified HBsAg protein. Produced in yeast | IM injection of 3 doses
37
Genome of Hep C
+ssRNA
38
Is hep C enveloped?
yes
39
Common ways hep C is spread
IV drug use | tattoos
40
Screening test for hep C
antibody-based test for anti-HCV antibodies
41
Confirmatory test for Hep C
PCR
42
How do symptoms of Hep C compare to A and B
more mild acute symptoms
43
sofosbuvir
RNA dependent RNA inhibitor that is used to treat chronic Hep C
44
genome of hep D
small circular ssRNA
45
What does Hep D encode
2 proteins (delta short and delta long antigens) that cover the virious
46
Who does Hep D infect
ONLY those who have been previously or concurrently infected with Hep B
47
Relationship between Hep D and fulminant hepatitis
more likely outcome
48
How does Hep D damage the body
directly injures hepatocytes
49
How do you diagnose Hep D
ELISA
50
Genome of Hep E
+ssRNA
51
Hep E is associated with what
travel
52
Why does Hep E have a high risk of death
infection in pregnant women