Question 1
Question
Viral hepatitis A (VHA) and E (VHE) are transmitted by
Answer
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fecal-oral mechanism
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by parenteral mechanism
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sexual mechanism
Question 2
Question
The median (most common) incubation period at VHA is
Question 3
Question
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
Question 4
Question
The most severe course with possible liver failure is seen in
Answer
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VHE
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Acute VHB + VHD (co)
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VHA
Question 5
Question
In risk of acute VHC are
Question 6
Question
The values of aminotransferases (ALT and AST) in acute viral hepatitis are
Answer
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100 to 300 U/I
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to 100 U/I
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> 1000 U/l
Question 7
Question
In acute viral hepatitis hyperbilirubinacmia has the following characteristics
Answer
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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
Question 8
Question
Which of the following for hepatitis B is true
Answer
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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
Question 9
Question
Choose the correct answer for laboratory tests of liver function
Answer
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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
Question 10
Question
Most early and secure evidence of acute VHC is possible by:
Question 11
Question
The most common symptoms In the preicteric period of acute viral hepatitis are
Question 12
Question
The change in urine color (dark) and faeces (light) appears
Question 13
Question
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?
Answer
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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
Question 14
Question
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?
Answer
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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
Question 15
Question
Existing flu-like syndrome in preicteric period is the most characteristic for:
Answer
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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)
Question 16
Question
Most often becomes chronic
Question 17
Question
The jaundice is seen early
Answer
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in the sclera
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in the skin
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on the palms
Question 18
Question
The presence of anti HBs in serum means
Answer
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Presence of immunity
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Acute VHB
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Has no diagnostic value
Question 19
Question
Hepatitis C virus is transmitted by
Question 20
Question
Clinical indicators of impending hepatic coma do not include
Question 21
Question
Laboratory screening in acute viral hepatitis includes
Answer
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ALT, AST, urine
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ALP, GGT, amylase
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Leucocytes, PLT, CRP
Question 22
Question
Jaundice as clinical manifestations of acute VHC can be found in
Answer
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single patients
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naturally
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in the half of cases
Question 23
Question
Anti HBc IgM is a marker for
Answer
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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
Question 24
Question
To prove the VHA is looking for
Question 25
Question
Serotogical markers of acute viral hepatitis B (VHB) are
Answer
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HBsAg + anti HbC IgM
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HBsAg + anti HbC IgG
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HBcAg + anti HBc
Question 26
Question
Clinical and laboratory indicators of threatening coma are
Answer
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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
Question 27
Question
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
Question 28
Question
The incubation period of the VHB is
Answer
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10-30 days
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40-180 days
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3-90 days
Question 29
Question
Anti HBc IgM area marker for
Answer
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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
Question 30
Question
Clinical indicators of threatening hepatic coma NOT include
Question 31
Question
Minimum clinical laboratory investigations for suspected viral hepatitis
Answer
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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
Question 32
Question
The duration of the preicteric period in acute viral hepatitis is
Question 33
Question
Which of the following statements regarding hepatitis viruses is true
Answer
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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
Question 34
Question
Choose the correct statement about laboratory studies available to test hepatic function
Answer
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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
Question 35
Question
The primary mode of transmission of HCV is
Question 36
Question
Which of the following viral causes of acute hepatitis is most likely to cause fulminant pregnant woman
Question 37
Question
Acute HCV hepatitis becomes chronic in
Question 38
Question
Prodroms in acute viral hepatitis usually last
Answer
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30 days
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7 days
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2-3 months
Question 39
Question
The earliest laboratory confirmation test of acute hepatitis C is
Answer
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Anti HCV by ELISA
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HCV RNA by PCR
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HCVAg by ELISA
Question 40
Question
Which hepatitis is NOT vaccine-preventable
Answer
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hepatitis B
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hepatitis A
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hepatitis C