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Quiz von Med Student , aktualisiert more than 1 year ago
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Erstellt von Med Student
vor fast 5 Jahre
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Frage 1
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Viral hepatitis A (VHA) and E (VHE) are transmitted by
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fecal-oral mechanism
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by parenteral mechanism
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sexual mechanism
Frage 2
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The median (most common) incubation period at VHA is
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30 days
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90 days
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45 days
Frage 3
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A rash and syndrome of arthralgia in preicterical period of acute viral hepatitis is characteristic for
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Viral hepatitis B (VHB)
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VHA
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VHE
Frage 4
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The most severe course with possible liver failure is seen in
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VHE
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Acute VHB + VHD (co)
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VHA
Frage 5
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In risk of acute VHC are
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IDUs
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Newborns in poor sanitary conditions
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Travellers to tropical countries
Frage 6
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The values of aminotransferases (ALT and AST) in acute viral hepatitis are
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100 to 300 U/I
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to 100 U/I
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> 1000 U/l
Frage 7
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In acute viral hepatitis hyperbilirubinacmia has the following characteristics
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elevated are both fractions, but prevails the direct bilirubin
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increased are both fractions, but more is elevated indirect bilirubin
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the type of hyperbilirubinaemia has no diagnostic significance
Frage 8
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Which of the following for hepatitis B is true
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the greater is the frequency of HBV infection among men who have sex with men and sex workers
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usual interval between exposure and clinical manifestations of acute hepatitis B is 1-3 weeks
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about 25% of adults infected with HBV, remain chronic carriers of HbsAg
Frage 9
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Choose the correct answer for laboratory tests of liver function
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Prothrombin time and albumin reflects synthetic liver function
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AST is more specific than ALT as a marker of damage of the liver
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High LDH is specific to hepatocyte damage
Frage 10
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Most early and secure evidence of acute VHC is possible by:
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ELISA for anti HCV
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PCR for the RNA of the hepatitis C virus
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RSC of specific antibodies
Frage 11
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The most common symptoms In the preicteric period of acute viral hepatitis are
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fatigue, anorexia
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abdominal pain and vomiting
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fever and convulsions
Frage 12
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The change in urine color (dark) and faeces (light) appears
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in incubation period
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in the end of the preicteric period
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in the reconvalescent period
Frage 13
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23 year old intravenous drug user, HIV-positive, on HART (antiretroviral) treatment as hospitalised in infectious department with jaundice. When taking blood for blood chemistries and hepatic markers, despite of the use of gloves nurse pricks herself with needles before disposing, together with a syringe,
What's the first thing she should do?
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Flash with water AND QUICK stop bleeding
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Flush with water without stopping bleeding
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Flush with water treated with a disinfectant
Frage 14
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The results of tests made before 2 months, provided by patient are: CD4 - 451μ/L, (N 500-1300 μ/L), HIV PCR - (-). The results of blood received after 2 days are following
Anti HAV IgM (+). HBsAg (-), anti HCV (+), HCV PCR (-).
What is the risk to the nurse and what should be done?
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The patient has acute hepatitis A, without much risk, controlled HIF infection, no risk of transmission
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The patient has acute hepatitis A. without much risk. controlled HIF infection but the nurse held a 28-day course with HART, insignificant risk of hepatitis C
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The patient has acute hepatitis A, without much risk, controlled HIF infection but the nurse held a 28-day course with HART, nevertheless monitoring tor HCV and HIF in the next six months
Frage 15
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Existing flu-like syndrome in preicteric period is the most characteristic for:
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acute viral hepatitis A (VHA)
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acute viral hepatitis B (VHB)
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acute viral hepatitis C (VHC)
Frage 16
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Most often becomes chronic
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VHA
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VHB
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VHC
Frage 17
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The jaundice is seen early
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in the sclera
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in the skin
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on the palms
Frage 18
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The presence of anti HBs in serum means
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Presence of immunity
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Acute VHB
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Has no diagnostic value
Frage 19
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Hepatitis C virus is transmitted by
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parenteral, sexual, vertical (pregnant - Newborn)
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fecal-oral mechanism
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by arthropods (vectors)
Frage 20
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Clinical indicators of impending hepatic coma do not include
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mood changes, behaviour and sleep inversion
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combinative thinking disorders and dyscalculia
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paresis and paralysis
Frage 21
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Laboratory screening in acute viral hepatitis includes
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ALT, AST, urine
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ALP, GGT, amylase
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Leucocytes, PLT, CRP
Frage 22
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Jaundice as clinical manifestations of acute VHC can be found in
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single patients
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naturally
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in the half of cases
Frage 23
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Anti HBc IgM is a marker for
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hepatitis C virus infection
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hepatitis B virus infection
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an active hepatitis B virus infection
Frage 24
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To prove the VHA is looking for
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viral antigens in fecal samples
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anti HAV IgM in serum
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HBsAg in serum
Frage 25
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Serotogical markers of acute viral hepatitis B (VHB) are
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HBsAg + anti HbC IgM
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HBsAg + anti HbC IgG
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HBcAg + anti HBc
Frage 26
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Clinical and laboratory indicators of threatening coma are
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reduced haemostatic factors, low fibrinogen
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leucopenia and high fibrinogen
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lymphocytosis and accelerated ESR
Frage 27
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Frequently out of the VHA is a
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recovery
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chronic infection in 50%
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acute liver failure
Frage 28
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The incubation period of the VHB is
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10-30 days
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40-180 days
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3-90 days
Frage 29
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Anti HBc IgM area marker for
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hepatitis C virus infection
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hepatitis B virus infection
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an active hepatitis B virus infection
Frage 30
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Clinical indicators of threatening hepatic coma NOT include
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mood changes, behavior and inversion of sleep
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dyscalculia
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muscle rigidity and convulsions
Frage 31
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Minimum clinical laboratory investigations for suspected viral hepatitis
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urine (bile pigments). serum (ALT and AST bilirubin)
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blood test, electrolytes, acid-base metabolism
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abdominal ultrasound
Frage 32
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The duration of the preicteric period in acute viral hepatitis is
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30 days
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7 days
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90 days
Frage 33
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Which of the following statements regarding hepatitis viruses is true
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risk of transmission of HBV from mother to baby is greater than that of HCV
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the risk of fulminant liver failure is greater for infection with HCV than it is for HBV
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the chances of an adult becoming a chronic carrier are greater following infection with HBV
Frage 34
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Choose the correct statement about laboratory studies available to test hepatic function
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AST is more specific than ALT as marker of hepatocyte injury
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Prothrombin time and albumin reflect hepatocyte synthetic function
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Lactate dehydrogenase elevation is highly specific for hepatocyte function
Frage 35
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The primary mode of transmission of HCV is
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sexual
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faecal-oral
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intravenous drug (needles)
Frage 36
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Which of the following viral causes of acute hepatitis is most likely to cause fulminant pregnant woman
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HCV
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HEV
Frage 37
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Acute HCV hepatitis becomes chronic in
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50-80%
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<5%
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90%
Frage 38
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Prodroms in acute viral hepatitis usually last
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30 days
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7 days
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2-3 months
Frage 39
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The earliest laboratory confirmation test of acute hepatitis C is
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Anti HCV by ELISA
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HCV RNA by PCR
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HCVAg by ELISA
Frage 40
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Which hepatitis is NOT vaccine-preventable
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hepatitis B
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hepatitis A
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hepatitis C
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