Hepatoma Screening in Hepatitis C Cirrhosis
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Questions and Answers

Which of the following is the most appropriate test for surveillance of hepatoma in a patient with Hepatitis C-related cirrhosis?

  • Alpha-fetoprotein (correct)
  • Alkaline phosphatase
  • Beta hCG
  • Carcinoembryonic antigen
  • CD4 count

Why is regular surveillance for hepatoma recommended in patients with Hepatitis C-related cirrhosis?

  • Hepatitis C infection is a known risk factor for breast cancer.
  • Patients with cirrhosis often have a weakened immune system.
  • Hepatitis C virus can directly cause hepatocellular carcinoma. (correct)
  • Cirrhosis alone is a sufficient risk factor for developing hepatoma. (correct)
  • All of the above.

What is the primary function of alpha-fetoprotein (AFP)?

  • To serve as a tumor marker for hepatocellular carcinoma. (correct)
  • To protect the liver from damage caused by alcohol consumption.
  • To promote the development of new blood vessels in the liver.
  • To suppress the immune system in patients with Hepatitis C.
  • To stimulate the growth of hepatocytes in patients with cirrhosis.

Which of the following factors would NOT influence the frequency of hepatoma surveillance in a patient with Hepatitis C cirrhosis?

<p>Patient's blood type (A)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the use of beta hCG in the surveillance of hepatoma?

<p>Beta hCG is not a reliable marker for hepatocellular carcinoma. (D)</p> Signup and view all the answers

Flashcards

Hepatoma Screening

The process of monitoring individuals for liver cancer, especially in high-risk groups.

Alpha-fetoprotein (AFP)

A protein that is often elevated in individuals with hepatoma; used as a tumor marker.

Beta hCG

A hormone that is typically tested for in pregnancy and some tumors, but not liver cancer.

Carcinoembryonic antigen (CEA)

A marker often elevated in colorectal cancer and other cancers, not specifically for hepatoma.

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Alkaline phosphatase

An enzyme that can indicate liver disease but is not specific for cancer detection.

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Study Notes

Screening for Hepatoma in Hepatitis C Cirrhosis

  • A 35-year-old injecting drug user with Hepatitis C-related cirrhosis requires surveillance for hepatocellular carcinoma (HCC).
  • The most appropriate screening test for HCC is Alpha-fetoprotein (AFP).
  • Beta-hCG, Carcinoembryonic antigen (CEA), Alkaline phosphatase, and CD4 count are not relevant for HCC screening in this context.

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Description

This quiz focuses on the best practices for screening hepatocellular carcinoma (HCC) in patients with Hepatitis C-related cirrhosis. It emphasizes the importance of Alpha-fetoprotein (AFP) testing while discussing irrelevant tests like Beta-hCG and CEA. Equip yourself with knowledge essential for effective patient care.

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