Gastroenterology Exam 1 Questions with Latest Update
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Course
Gastroenterology
Institution
Gastroenterology
Hepatitis symptomology - Answer-anorexia
fever
N/V
arthralgia
malaise
aversion to smoking
flu like
RUQ pain
Sarah, a 6-year-old, presents with complaints of fatigue, nausea, and dark urine for the past WEEKS. She is in DAYCARE with other children. On further questioning, she reported h...
Gastroenterology Exam 1 Questions
with Latest Update
Hepatitis symptomology - Answer-anorexia
fever
N/V
arthralgia
malaise
aversion to smoking
flu like
RUQ pain
Sarah, a 6-year-old, presents with complaints of fatigue, nausea, and dark urine for the
past WEEKS. She is in DAYCARE with other children. On further questioning, she
reported having lost her appetite and experiencing mild abdominal discomfort.
Physical Examination:
Jaundice: Mild icterus noted in the sclera and skin.
Abdomen: Mild tenderness in the right upper quadrant, hepatomegaly (enlarged
liver).Sarah's blood tests revealed the following abnormalities:
Elevated liver enzymes (ALT and AST)
Elevated bilirubin levels
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Hepatitis A
** spread via fecal oral route (shellfish and common in daycare)
** high incidence in children
** incubation 2-6 weeks
Mr. Smith presents with complaints of fatigue, jaundice, and dark-colored urine for the
past MONTHS.
Liver Function Tests (LFTs):
Elevated levels of serum bilirubin
Elevated levels of alanine aminotransferase (ALT) and aspartate aminotransferase
(AST)
Social History:
Mr. Smith is a heterosexual male in a long-term monogamous relationship.
He admits to engaging in intravenous drug use.
He consumes alcohol occasionally, approximately 2-3 drinks per week.
,A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Hepatitis B
** spread via saliva, semen, vaginal secretions, blood
** high incidence in IVDA, homosexuals, and chronic dialysis
** incubation 6 weeks - 6 months
How do you treat Hepatitis A - Answer-Rest, carbohydrate diet, avoid hepatotoxins
(alcohol)
How do you treat hepatitis B - Answer-Alpha interferon, Lamivudine, Adefovir, dipivoxil,
entecavir
How do you treat chronic hepatitis B
a) Alpha interferon
B) Vemlidy
c) Dipivoxil
d) Entecavir - Answer-Vemlidy
This type of hepatitis can be caused by post transfusion hepatitis, seen in tattooing,
acupuncture or sharing razors
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Hepatitis C
Most common cause of post IVDA hepatitis, or from chronic dialysis and seen in
homosexual males
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Hepatitis B
Most common cause of fecal oral route transmission and seen in day cares or from
shellfish - Answer-Hepatitis A
A 54-year-old male presents to the clinic with complaints of fatigue, abdominal
discomfort, and yellowing of the skin and eyes for the past month. He reports a history
of INTRAVENOUS DRUG USE in his youth but denies any alcohol abuse. On
examination, the patient appears jaundiced with scleral icterus. Abdominal examination
, reveals hepatomegaly and mild tenderness in the right upper quadrant. Laboratory tests
show elevated levels of alanine aminotransferase (ALT) and aspartate
aminotransferase (AST)
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Hepatitis C
How to diagnose hepatitis C - Answer-ELISA test and RIBA
How to treat hepatitis C - Answer-Alpha interferon
IFN therapy with and without ribavirin
Peg-INF monotherapy
Peg-INF with ribavirin
Type of hepatitis can be a result of Hepatitis B and seen with RAPID elevation of
bilirubin - Answer-Fulminant hepatitis
** severe and rapid liver failure
Hepatitis D can only replicate in the presence of acute or chronic hepatitis ___
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis E - Answer-Hepatitis B
** Hepatitis D has a confection with hepatitis B
Type of hepatitis most commonly causes cirrhosis
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D - Answer-Chronic Hepatitis D
Hepatitis most commonly seen in third world nations. High mortality seen in pregnant
women
A) Hepatitis A
b) Hepatitis B
c) Hepatitis C
d) Hepatitis D
e) Hepatitis E - Answer-Hepatitis E
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