Gastroenterology & Hepatology — Flashcards

Flashcard 451: What is the mainstay management of autoimmune hepatitis? _____

Answer: Corticosteroids (e.g., prednisolone) +/- Azathioprine

Extra: The goal of treatment is to induce and maintain remission. Prednisolone is used for induction, while Azathioprine is often added as a steroid-sparing agent for maintenance.

Flashcard 452: Type _____ autoimmune hepatitis antibodies are anti-nuclear antibodies (ANA) ± anti-smooth muscle antibodies (SMA)

Answer: 1

Flashcard 453: In a patient with autoimmune hepatitis, be wary of _____ co-morbidity as it can cause malabsorption of immunosuppressive drugs

Answer: coeliac disease

Flashcard 454: How do you diagnose autoimmune hepatitis if immunological blood tests are inadequate? _____

Answer: Liver biopsy

Flashcard 455: Type _____ autoimmune hepatitis is the most severe

Answer: 2

Flashcard 456: _____ is a rare cause of chronic hepatitis suspected to be caused by molecular mimicry

Answer: Autoimmune hepatitis

Flashcard 457: Type _____ autoimmune hepatitis antibodies are anti-liver kidney microsomal-1 (LKM-1) ± anti-liver cytosolic-1 (LC-1)

Answer: 2

Flashcard 458: Management of chronic hepatitis B includes regular _____ & antiviral medication may be offered

Answer: monitoring

Flashcard 459: Most patients with acute hepatitis C present _____; but can present with jaundice, fatigue, & arthralgia

Answer: asymptomatically

Flashcard 460: What is the referral for Hepatitis C? _____

Answer: Referred for specialist care