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21 Cards in this Set
- Front
- Back
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Which hepatitis is a DNA virus?
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B
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Which hepatitis is especially bad for pregnant women?
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E
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Which hepatitis types are transmitted F-O?
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A
E |
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Which type of hepatitis is esp spread via blood?
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C
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Which types of Hepatitis are only acute and not chronic?
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A
E (maybe) |
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Two ways to Dx hepatitis?
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Hepatic Fxn Panel (LFT's: AST, ALT, Alk Ph, Bili, etc)
Hepatitis Panel (Ab and Ag) |
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What are the hepatitis markers for Hep A?
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HAV-Total
HAV-IgM |
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What are the hep markers for Hep C?
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Anti HCV: usually IgG
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Serology for Acute Hep B
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POSITIVE:
HBsAg HBV Core IgM HBV Core Total NEGATIVE: HBsAb |
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What happens to the serology of a Chronic Hep B Infection
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HBsAg persists
HBsAb never appears |
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So the serology report for Chronic Hep B would =?
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POSITIVE:
HBsAg HBV core total NEGATIVE: HBV Core IgM HBsAb |
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What happens with recovery of Hep B?
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-HBsAg rises and then disappears
HBV Core IgM rises and then disappears HBV Core total persists HBsAb appears |
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Serology of Hep B recovery =?
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POSITIVE:
HB Core total HBsAb NEGATIVE: HBsAg HBV Core IgM |
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What the crap is the Core Window?
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Its when the patient's serology is positive for HBV Core IgM and Core Total
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What will a serology test look like for someone who has been immunized for hep b?
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Just anti-HBs b/c all the person was given was HBsAg
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What is measured in a Hep B acute panel?
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HBsAg
HBV Core IgM Not HBsAb, they don't appear till much later |
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What is a pre-core mutation?
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Its a mutation in the Hep B genome that leads to a high viral load with HBsAg, but no HBeAg. Not all tests can detect pre-core mutant HBsAg
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Who is the type of pt that should be considered a possible pre-core mutant?
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Any pt with chronic HBV that is HBeAg negative
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How many Hep C pts become chronic?
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80%
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What is one marker that may change with Hep C?
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ALT usually waxes and wanes
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What are some non-liver related conditions associated with Hep C?
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Cryoglobulinemia
Kidney disease Porphyria cutanea tarda Sicca Syndrome Thyroid disease |
