Chapter·MicrobiologyHIV

HIV co-infections (HBV, HCV, TB)Downloads

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Sample Questions

1

A scientist is researching the long term effects of the hepatitis viruses on hepatic tissue. She finds that certain strains are oncogenic and increase the risk of hepatocellular carcinoma. However, they appear to do so via different mechanisms. Which of the following answer choices correctly pairs the hepatitis virus with the correct oncogenic process?

AHepatitis A virus - chronic inflammation

BHepatitis C virus - chronic inflammation

CHepatitis E virus - integration of viral DNA into host hepatocyte genome

DHepatitis B virus - integration of viral DNA into host hepatocyte genome

EHepatitis A virus - integration of viral DNA into host hepatocyte genome

2

A 52-year-old male patient with chronic alcoholism presents to an ambulatory medical clinic, where the hepatologist elects to perform comprehensive hepatitis B screening, in addition to several other screening and preventative measures. Given the following choices, which serologic marker, if positive, would indicate the patient’s immunity to the hepatitis B virus?

AHBeAb

BHBeAg

CHBsAb

DHBsAg

EHBcAb

3

A 30-year-old woman presents with generalized fatigue, joint pain, and decreased appetite. She says that symptoms onset a year ago and have not improved. The patient’s husband says he has recently noticed that her eyes and skin are yellowish. The patient denies any history of smoking or alcohol use, but she admits to using different kinds of intravenous illicit drugs during her college years. The patient is afebrile and vital signs are within normal limits. Physical examination is unremarkable, except for moderate scleral icterus. A polymerase chain reaction (PCR) of a blood sample is positive for a viral infection that reveals a positive-sense RNA virus, that is small, enveloped, and single-stranded. The patient is started on a drug that resembles a purine RNA nucleotide. She agrees not to get pregnant before or during the use of this medication. Which of the following is the drug that was most likely given to this patient?

ASofosbuvir

BCidofovir

CRibavirin

DSimeprevir

EInterferon-alpha

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