Gastroenterology & Hepatology — Flashcards

Flashcard 491: If a case of hepatitis C is suspected then notify _____

Answer: Public Health

Flashcard 492: _____ hepatitis C < 6 months Chronic hepatitis C > 6 months after initial infection

Answer: Acute

Flashcard 493: There are 2 main types of hepatitis C; _____ & Chronic

Answer: Acute

Flashcard 494: The main types of autoimmune hepatitis are _____, type 2, & type 3

Answer: type 1

Flashcard 495: Management of chronic hepatitis B includes regular _____ & antiviral medication may be offered

Answer: monitoring

Flashcard 496: What is the mainstay specialist management of hepatitis C?\n_____

Answer: Identify HCV genotyping, presence or absence of cirrhosis, then treat with direct-acting antivirals (DAAs)

Flashcard 497: In ~40% of patients autoimmune hepatitis can preset acutely with prodromal _____

Answer: flu-like symptoms

Flashcard 498: 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 499: Hepatitis A symptoms often improve once _____ occurs

Answer: jaundice

Flashcard 500: If an outbreak of hepatitis A is suspected or the patient is a food handler, then _____

Answer: notify the local Health Protection Unit promptly