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Chronic Hepatitis
Clinical Medicine Test 4
11
Medical
Graduate
10/19/2010

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Cards

Term
What are the most common symptoms of chronic viral hepatitis?
Definition
1) fatigue
2) malaise
3) mild abdominal pain
Term
What lab tests are commonly seen with autoimmune hepatitis?
Definition
1) ALT/AST elevation >400 IU/L
2) Bilirubin >3 mg/dl
3) increased gamma globulin levels
Term
Which autoimmune hepatitis is the most common in the US?
Definition
Type 1 autoimmune hepatitis
Term
What is characteristic of Type 1 autoimmune hepatitis?
Definition
1) hypergammaglobulinemia
2) ANA (antinuclear antibody)
3) AMSA (anti-smooth muscle antibody)
Term
What is used as a diagnosis for chronic hepatitis B?
Definition
serological testing HbsAg positive
Term
What is the major determinant of chronicity in chronic hepatitis B?
Definition
Age at time of infection
Term
What risk is 200 times higher in those with HBV carriers?
Definition
development of hepatocellular carcinoma
Term
What are the two first line meds for chronic hepatitis B that inhibit viral DNA synthesis?
Definition
1) entecavir
2) tenofovir
3) interferon
Term
How is chronic hepatitis C diagnosed?
Definition
1) Elevated transaminase levels
2) Anti-HCV in serum
Term
What is the standard treatment for chronic hepatitis C?
Definition
1) Pegulated interferon
2) ribavirin
Term
What is the most common indication for liver transplant?
Definition
chronic hepatitis C
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