66 Questions
Which of the following is NOT a common symptom of ascites?
Hypotension
What is the primary cause of ascites?
Portal hypertension
Which medication is contraindicated for patients with hyperkalemia?
Spironolactone (Aldactone)
What is the main purpose of paracentesis in patients with new-onset ascites?
To determine the cause of the fluid build-up
What is the usual dosing of albumin for every liter of ascitic fluid removed during paracentesis?
6-8 grams
What is the primary function of albumin in managing ascites?
Provides increase in intravascular oncotic pressure
What condition does ascites put a patient at risk for?
Spontaneous bacterial peritonitis (SBP)
Which medication is used to prevent varices from bleeding?
Nonselective beta blockers
What is the main purpose of Child-Pugh Score?
To assess the prognosis of chronic liver disease
Which antibiotics are recommended for spontaneous bacterial peritonitis (SBP) prophylaxis?
Norfloxacin and Sulfamethoxazole/Trimethoprim
What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?
Inhibits DNA gyrase in bacteria
What are the side effects of Sulfamethoxazole/Trimethoprim (Bactrim/Septra)?
Rash, photosensitivity, diarrhea, nausea, hyperkalemia at high doses
Which virus is not transmitted by breastfeeding?
Hepatitis B
What is the most common genotype of Hepatitis C in the US?
Genotype 1
Which drug for Hepatitis C treatment is not recommended for Child-Pugh class B and contraindicated in class C?
Glecaprevir + pibrentasvir (Mavyret)
What is the most common method of HCV transmission in the US?
Injection drug use
Which of the following symptoms is associated with chronic HCV?
Jaundice
Which drug for the treatment of HBV is not preferred due to high rates of drug resistance?
Adefovir
What is the main concern associated with using Ribavirin for HCV treatment?
Reactivation of Hepatitis B
How is HBV predominantly spread?
Injection drug use
What type of infection is most prevalent in young children for HBV?
Chronic HBV infection
What is the primary method used to diagnose HBV?
Serologic tests for antibodies and antigens
What should be avoided when using Tenofovir for HBV treatment?
NSAIDs
What is the main side effect of Interferon alfa used in HBV treatment?
Chest pain and fatigue
Which type of hepatitis can cause both acute and chronic infection?
Hepatitis C
What is the primary means of preventing hepatitis A?
Avoiding contaminated food or water
Which type of hepatitis has vaccinations available?
Hepatitis A and B
What is the main mode of preventing hepatitis B?
Unprotected sexual contact
Which type of hepatitis is a self-limiting disease that does not cause a chronic infection?
Hepatitis A
Which type of viral hepatitis is uncommon in the United States?
Hepatitis D
What is the primary profession for which hepatitis B vaccines are frequently given?
Healthcare
Which type of viral hepatitis can cause acute and chronic infection?
Hepatitis B
What is the primary cause of ascites?
Portal hypertension and low levels of albumin
Which medication is contraindicated for patients with hyperkalemia?
Spironolactone
What is the main concern associated with using Ribavirin for HCV treatment?
Birth defects
What should be avoided when using Tenofovir for HBV treatment?
Alcohol consumption
What is the main function of albumin in managing ascites?
Increasing intravascular oncotic pressure
What is the most common method of HCV transmission in the US?
Sharing needles
What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?
Inhibition of bacterial DNA synthesis
Which type of hepatitis can cause both acute and chronic infection?
Hepatitis B
What is the main side effect of Interferon alfa used in HBV treatment?
Flu-like symptoms
What condition does ascites put a patient at risk for?
Spontaneous bacterial peritonitis (SBP)
What is the primary mode of preventing hepatitis B?
Getting vaccinated
Which type of viral hepatitis has vaccinations available?
Hepatitis B
What is the primary mode of transmission for hepatitis A?
Contaminated food or water
Which type of viral hepatitis can cause both acute and chronic infection?
Hepatitis B
What is the primary cause of ascites?
Cirrhosis of the liver
Which type of viral hepatitis is a self-limiting disease that does not cause a chronic infection?
Hepatitis A
What are the side effects of Sulfamethoxazole/Trimethoprim (Bactrim/Septra)?
Rash and photosensitivity
What is the most common genotype of Hepatitis C in the US?
Genotype 1
What is the main purpose of Child-Pugh Score?
To assess liver function and predict prognosis in cirrhosis patients
What is the primary method of preventing hepatitis B?
Vaccination
What is the main concern associated with using Ribavirin for HCV treatment?
Hemolytic anemia
What is the primary mechanism of HCV transmission in the US?
Intravenous drug use
What should be avoided when using Tenofovir for HBV treatment?
Alcohol consumption
Which of the following are signs and symptoms of HBV?
Nausea, vomiting, and dark urine
What is the most common method of HCV transmission in the US?
Injection drug use
Which medication is contraindicated for patients with hyperkalemia?
Ribavirin
What is the primary mode of preventing hepatitis B?
Vaccination
What are the side effects of Sofosbuvir + ledipasvir (Harvoni)?
Headache, fatigue, and nausea
What is the main concern associated with using Ribavirin for HCV treatment?
Reactivation of Hep B
What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?
Inhibits bacterial DNA gyrase
What should be avoided when using Tenofovir for HBV treatment?
Avoid with NSAIDs; do not give with adefovir
What should be monitored when using Telbivudine for HBV treatment?
Thyroid function tests
What is the main purpose of Child-Pugh Score?
To evaluate liver disease severity and predict prognosis
Which type of infection is most prevalent in young children for HBV?
Chronic infection
Test your understanding of hepatitis A, B, and C infections, drugs used to treat them, and the treatment of cirrhosis. Also, assess your knowledge of the Child-Pugh score and its utilization in evaluating liver disease.
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