Types of Hepatitis
Diagnosis
All About That B
Management
Clinical Cases
100

This hepatitis virus is most often spread via the fecal-oral route.

What is hepatitis A?

100

The diagnosis of a 44 year old male with fever and right upper quadrant pain. Social history notable for intake of six cans of beer daily. Serum ALT is 80 U/L and serum AST 260 U/L.

What is alcoholic hepatitis?
100

This marker confirms hepatitis B immunity from vaccination.

What is anti Hepatitis B surface antibody?

100
Management of a nonimmunized 65-year-old male with recent exposure to hepatitis A.

What is administration of hepatitis A vaccine and immune globulin within two weeks of exposure?

100

The likely diagnosis of a 35 year old female with type 2 diabetes mellitus with elevated BMI and serum ALT of 147 U/L and serum AST of 134 U/L. Abdominal ultrasound shows increased echogenicity.

What is metabolic dysfunction-associated steatoic liver disease?

200

This hepatitis virus requires coinfection with HBV to replicate.

What is Hepatitis D?

200

This lab findings indicates acute liver injury.

What is AST and ALT > 1000?

200

This marker suggests HBV infectivity and replication.

What is HBeAg?

200

These vaccines should be given to a non-immune patient with chronic liver disease.

What are hepatitis A and hepatitis B vaccines?

200

The most likely offending agent in a 74-year-old female with hypertension and osteoarthritis who presents with elevated ALT levels and bilirubin levels as well as mild scleral icterus over the past four months. Her medications include amlodipine, baby aspirin, diclofenac, and acetaminophen as needed. 

What is diclofenac?

300

Hepatitis E infection is most dangerous in this patient population. 

What are pregnant women?

300

This establishes the diagnosis in a patient with elevated aminotransferases and positive ANA and anti-smooth muscle antibody titers.

What is a liver biopsy?

300

A positive HBsAg for over 6 months indicates.

What is chronic hepatitis B infection?
300

This tool risk stratifies patients with alcoholic hepatitis to predict which patients will not improve with treatment of steroids.

What is the Lille score?

300

The likely offending agent in a 25-year-old female with obesity who presents with right upper quadrant pain and elevated liver enzymes after starting an over-the- counter weight loss supplement.

What is Ma Huang?

400

This type of viral hepatitis is most likely to cause chronic infection. 

What is hepatitis C?

400

Which lab finding may appear before antibodies in acute hepatitis C infection.

What is HCV RNA?

400

Interpretation of results in a patient who has HBsAg+, anti-HBc IgG+, anti-HBs-, HBeAg+ and Anti-Be -, 3000 u/l HBV DNA as well as increased ALT.  

What is immune active chronic HBV infection?
400

Lab values where surveillance for HCC is recommended in patients with cirrhosis or those without cirrhosis but have chronic HBV.

What is a persistently elevated ALT and HBV DNA level greater than 10,000 U/mL?

400

This is indicated in a 28 year old unvaccinated female household contact of a patient with HBV for postexposure prophylaxis.

What is hepatitis B vaccine with or without HBIG?

500

This antibiotic can be commonly associated with drug induced liver injury with a cholestatic or mixed pattern of liver injury.

What is amoxicillin-clavulanic acid?

500

This is characterized by a dramatic but brisk rise and fall of aminotransferase levels over 24 to 48 hours with a subsequent rise in bilirubin levels. 

What is ischemic hepatitis?

500

Interpretation of results in a patient who has HBsAg-, anti-HBc IgG+, anti-HBs+, anti HBeAg -.

What is resolved hepatitis B infection?

500

The management of a 36-year-old male patient co-infected with hepatitis B and HIV.

What is emtricitabine-tenofovir?
500

Recommended testing for a 47-year-old male with history of IV drug use with 3 month history of recurrent purpuric lesions on his legs. Skin biopsy shows leukocytoclastic vasculitis. 

What is testing for cryoglobulins and HCV infection?