Gastroenterology & Hepatology UK Medical PG Flashcards - Medical Study Cards
Master Gastroenterology & Hepatology with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Gastroenterology & Hepatology Flashcard Deck - 10 Cards
Flashcard 461: Management of chronic hepatitis B includes regular _____ & antiviral medication may be offered
Answer: monitoring
Flashcard 462: What is the definitive management of autoimmune hepatitis for patients with decompensated cirrhosis or acute liver failure?
Answer: Liver transplantation is indicated for decompensated cirrhosis or fulminant hepatic failure. First-line medical therapy remains corticosteroids and/or azathioprine.
Extra: Autoimmune hepatitis (AIH) usually responds well to steroids (Prednisolone) and Azathioprine. However, for those who progress to end-stage liver disease or present with acute liver failure, liver transplantation is the definitive treatment. Approximately 10-20% of AIH patients will eventually require a transplant.
Flashcard 463:
What is the mainstay investigation to diagnose hepatitis C?
_____ → HCV RNA (if anti-HCV antibody test is +ve)
Answer: Anti-HCV antibodies
Flashcard 464:
Most patients with acute hepatitis C present _____; but can present with jaundice, fatigue, & arthralgia
Answer: asymptomatically
Flashcard 465: Autoimmune hepatitis is associated with other autoimmune diseases, most commonly _____
Answer: autoimmune thyroid disease
Flashcard 466: Active management for _____ hepatitis B is entecavir or tenofovir
Answer: chronic
Extra: Acute Hepatitis B is usually managed supportively. Antivirals are indicated for chronic HBV (based on DNA levels, ALT, and cirrhosis status) or in cases of fulminant acute HBV.
Flashcard 467: What is the definitive management of fulminant hepatitis?
Answer: Liver transplant is the only definitive treatment for patients who do not show spontaneous recovery, as mortality rates exceed 80% in many cases.
Flashcard 468:
_____ is inflammation of the liver caused by infection with the hepatitis C virus; it is primarily transmitted through exposure to infected blood
Answer: Hepatitis C
Flashcard 469:
What is the referral for Hepatitis C?
_____
Answer: Referred for specialist care
Flashcard 470:
In ~40% of patients autoimmune hepatitis can preset acutely with prodromal _____
Answer: flu-like symptoms
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