Liver Diseases and Treatments Quiz
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Questions and Answers

Which of the following is NOT a common symptom of ascites?

  • Itchy skin
  • Hypotension (correct)
  • Loss of appetite
  • Jaundice
  • What is the primary cause of ascites?

  • Overactive immune system
  • Portal hypertension (correct)
  • Low sodium intake
  • High levels of albumin
  • Which medication is contraindicated for patients with hyperkalemia?

  • Furosemide (Lasix)
  • Ibuprofen
  • Paracetamol
  • Spironolactone (Aldactone) (correct)
  • What is the main purpose of paracentesis in patients with new-onset ascites?

    <p>To determine the cause of the fluid build-up</p> Signup and view all the answers

    What is the usual dosing of albumin for every liter of ascitic fluid removed during paracentesis?

    <p>6-8 grams</p> Signup and view all the answers

    What is the primary function of albumin in managing ascites?

    <p>Provides increase in intravascular oncotic pressure</p> Signup and view all the answers

    What condition does ascites put a patient at risk for?

    <p>Spontaneous bacterial peritonitis (SBP)</p> Signup and view all the answers

    Which medication is used to prevent varices from bleeding?

    <p>Nonselective beta blockers</p> Signup and view all the answers

    What is the main purpose of Child-Pugh Score?

    <p>To assess the prognosis of chronic liver disease</p> Signup and view all the answers

    Which antibiotics are recommended for spontaneous bacterial peritonitis (SBP) prophylaxis?

    <p>Norfloxacin and Sulfamethoxazole/Trimethoprim</p> Signup and view all the answers

    What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?

    <p>Inhibits DNA gyrase in bacteria</p> Signup and view all the answers

    What are the side effects of Sulfamethoxazole/Trimethoprim (Bactrim/Septra)?

    <p>Rash, photosensitivity, diarrhea, nausea, hyperkalemia at high doses</p> Signup and view all the answers

    Which virus is not transmitted by breastfeeding?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the most common genotype of Hepatitis C in the US?

    <p>Genotype 1</p> Signup and view all the answers

    Which drug for Hepatitis C treatment is not recommended for Child-Pugh class B and contraindicated in class C?

    <p>Glecaprevir + pibrentasvir (Mavyret)</p> Signup and view all the answers

    What is the most common method of HCV transmission in the US?

    <p>Injection drug use</p> Signup and view all the answers

    Which of the following symptoms is associated with chronic HCV?

    <p>Jaundice</p> Signup and view all the answers

    Which drug for the treatment of HBV is not preferred due to high rates of drug resistance?

    <p>Adefovir</p> Signup and view all the answers

    What is the main concern associated with using Ribavirin for HCV treatment?

    <p>Reactivation of Hepatitis B</p> Signup and view all the answers

    How is HBV predominantly spread?

    <p>Injection drug use</p> Signup and view all the answers

    What type of infection is most prevalent in young children for HBV?

    <p>Chronic HBV infection</p> Signup and view all the answers

    What is the primary method used to diagnose HBV?

    <p>Serologic tests for antibodies and antigens</p> Signup and view all the answers

    What should be avoided when using Tenofovir for HBV treatment?

    <p>NSAIDs</p> Signup and view all the answers

    What is the main side effect of Interferon alfa used in HBV treatment?

    <p>Chest pain and fatigue</p> Signup and view all the answers

    Which type of hepatitis can cause both acute and chronic infection?

    <p>Hepatitis C</p> Signup and view all the answers

    What is the primary means of preventing hepatitis A?

    <p>Avoiding contaminated food or water</p> Signup and view all the answers

    Which type of hepatitis has vaccinations available?

    <p>Hepatitis A and B</p> Signup and view all the answers

    What is the main mode of preventing hepatitis B?

    <p>Unprotected sexual contact</p> Signup and view all the answers

    Which type of hepatitis is a self-limiting disease that does not cause a chronic infection?

    <p>Hepatitis A</p> Signup and view all the answers

    Which type of viral hepatitis is uncommon in the United States?

    <p>Hepatitis D</p> Signup and view all the answers

    What is the primary profession for which hepatitis B vaccines are frequently given?

    <p>Healthcare</p> Signup and view all the answers

    Which type of viral hepatitis can cause acute and chronic infection?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the primary cause of ascites?

    <p>Portal hypertension and low levels of albumin</p> Signup and view all the answers

    Which medication is contraindicated for patients with hyperkalemia?

    <p>Spironolactone</p> Signup and view all the answers

    What is the main concern associated with using Ribavirin for HCV treatment?

    <p>Birth defects</p> Signup and view all the answers

    What should be avoided when using Tenofovir for HBV treatment?

    <p>Alcohol consumption</p> Signup and view all the answers

    What is the main function of albumin in managing ascites?

    <p>Increasing intravascular oncotic pressure</p> Signup and view all the answers

    What is the most common method of HCV transmission in the US?

    <p>Sharing needles</p> Signup and view all the answers

    What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?

    <p>Inhibition of bacterial DNA synthesis</p> Signup and view all the answers

    Which type of hepatitis can cause both acute and chronic infection?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the main side effect of Interferon alfa used in HBV treatment?

    <p>Flu-like symptoms</p> Signup and view all the answers

    What condition does ascites put a patient at risk for?

    <p>Spontaneous bacterial peritonitis (SBP)</p> Signup and view all the answers

    What is the primary mode of preventing hepatitis B?

    <p>Getting vaccinated</p> Signup and view all the answers

    Which type of viral hepatitis has vaccinations available?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the primary mode of transmission for hepatitis A?

    <p>Contaminated food or water</p> Signup and view all the answers

    Which type of viral hepatitis can cause both acute and chronic infection?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the primary cause of ascites?

    <p>Cirrhosis of the liver</p> Signup and view all the answers

    Which type of viral hepatitis is a self-limiting disease that does not cause a chronic infection?

    <p>Hepatitis A</p> Signup and view all the answers

    What are the side effects of Sulfamethoxazole/Trimethoprim (Bactrim/Septra)?

    <p>Rash and photosensitivity</p> Signup and view all the answers

    What is the most common genotype of Hepatitis C in the US?

    <p>Genotype 1</p> Signup and view all the answers

    What is the main purpose of Child-Pugh Score?

    <p>To assess liver function and predict prognosis in cirrhosis patients</p> Signup and view all the answers

    What is the primary method of preventing hepatitis B?

    <p>Vaccination</p> Signup and view all the answers

    What is the main concern associated with using Ribavirin for HCV treatment?

    <p>Hemolytic anemia</p> Signup and view all the answers

    What is the primary mechanism of HCV transmission in the US?

    <p>Intravenous drug use</p> Signup and view all the answers

    What should be avoided when using Tenofovir for HBV treatment?

    <p>Alcohol consumption</p> Signup and view all the answers

    Which of the following are signs and symptoms of HBV?

    <p>Nausea, vomiting, and dark urine</p> Signup and view all the answers

    What is the most common method of HCV transmission in the US?

    <p>Injection drug use</p> Signup and view all the answers

    Which medication is contraindicated for patients with hyperkalemia?

    <p>Ribavirin</p> Signup and view all the answers

    What is the primary mode of preventing hepatitis B?

    <p>Vaccination</p> Signup and view all the answers

    What are the side effects of Sofosbuvir + ledipasvir (Harvoni)?

    <p>Headache, fatigue, and nausea</p> Signup and view all the answers

    What is the main concern associated with using Ribavirin for HCV treatment?

    <p>Reactivation of Hep B</p> Signup and view all the answers

    What is the mechanism of action of Norfloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis?

    <p>Inhibits bacterial DNA gyrase</p> Signup and view all the answers

    What should be avoided when using Tenofovir for HBV treatment?

    <p>Avoid with NSAIDs; do not give with adefovir</p> Signup and view all the answers

    What should be monitored when using Telbivudine for HBV treatment?

    <p>Thyroid function tests</p> Signup and view all the answers

    What is the main purpose of Child-Pugh Score?

    <p>To evaluate liver disease severity and predict prognosis</p> Signup and view all the answers

    Which type of infection is most prevalent in young children for HBV?

    <p>Chronic infection</p> Signup and view all the answers

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