Go to Homepage

Go back to Case 7

Go to Case Index

Click here for answers to these questions

     

More Questions; Case 7

 

1. Which of the following is transmitted fecal-orally?

    1. HAV and HBV

    2. HEV and HBV

    3. HBV and HCV

    4. HBV and HDV

    5. HCV and HDV

    6. HAV and HEV

    7. HDV and HEV

    8. HAV and HDV

    9. HAV and HCV

    10. HBV and HEV

    11. HCV and HEV

     

2. Which of the following has a high mortality rate if the person acquires the virus while pregnant?

    1. HAV

    2. HBV

    3. HCV

    4. HDV

    5. HEV

3. Which of the following requires another hepatitis virus to infect the cell at or before it infects that cell?

    1. HAV

    2. HBV

    3. HCV

    4. HDV

    5. HEV

     

4. Which of the following is not endemic in the United States?

    1. HAV

    2. HBV

    3. HCV

    4. HDV

    5. HEV

     

5. Which of the following causes chronic hepatitis?

    1. HAV and HBV

    2. HEV and HBV

    3. HBV and HCV

    4. HBV and HDV

    5. HCV and HDV

    6. HAV and HEV

    7. HDV and HEV

    8. HAV and HDV

    9. HAV and HCV

    10. HBV and HEV

    11. HCV and HEV

     

6. In which of the following are symptoms least likely to occur following infection with HBV or HCV?

    1. Infants

    2. Adolescents

    3. Adults

    4. Elderly

     

7. In which of the following is there a vaccine to prevent infection?

    1. HAV and HBV

    2. HEV and HBV

    3. HBV and HCV

    4. HBV and HDV

    5. HCV and HDV

    6. HAV and HEV

    7. HDV and HEV

    8. HAV and HDV

    9. HAV and HCV

    10. HBV and HEV

    11. HCV and HEV

     

8. Vaccine to which of the following prevents liver cancer?

    1. HAV

    2. HBV

    3. HCV

    4. HDV

    5. HEV

     

9. A 25 year old female comes to the office complaining of upper right quadrant pain, fever and malaise. Examination reveals a yellowing of the whites of the eyes and a yellowing of the patient’s skin. The patient has had 5 new sexual partners in the past month. She does mention eating a lot of fresh raw oysters last summer in New Orleans. She has no history of foreign travel. A blood sample was tested for various Hepatitis viruses (see table below). 

Test

Reaction (positive/negative)

IgM to HAV

Negative
IgG to HAV Positive

PCR for HCV

Negative
IgG for HCV Negative

HBsAg

Positive
Anti-HBc Positive
Anti-HBs Negative

IgM to HDV

Negative
IgG to HDV Negative

10. Which of the following is the most likely cause of her current illness?

    1. HAV

    2. HBV

    3. HCV

    4. HDV

    5. HEV

     

11. Which of the following is this patient currently experiencing?

    1. Acute illness

    2. Window period

    3. Convalescence

    4. Chronic hepatitis

    5. She has been successfully immunized

12. Which of the following did she acquire in the past?

    1. HAV

    2. HCV

    3. HDV

    4. HEV

     

13. A 35 year old male comes to your office complaining of fever and fatigue for the past 4 weeks. He was on a science expedition in Antarctica for the past 3 weeks. He did not have access to medical care. He did mention that the whites of his eyes were yellowish for a week or two but were fine now. He also complained of upper right quadrant pain that was getting better. He mentioned having 3 new sexual partners over a 2 month period just before going off on his expedition. A blood sample was tested for various Hepatitis viruses (see table below).

Test

Reaction (positive/negative)

IgM to HAV

Negative
IgG to HAV Negative

PCR for HCV

Negative
IgG for HCV Negative

HBsAg

Negative
IgM to HBc Positive
IgG to HBc Negative
Anti-HBs Negative

IgM to HDV

Negative
IgG to HDV Negative

Which of the following is this patient currently experiencing?

    1. Acute HBV illness

    2. Window period of HBV infection

    3. Convalescence of his HBV infection

    4. Chronic hepatitis due to HBV

    5. He has been successfully immunized

     

14. Which of the following are the most common results for a person that had completed the HBV vaccination series three months ago?

    1. Positive- HBsAg, positive- Anti-HBc, positive- Anti-HBs

    2. Positive- HBsAg, positive- Anti-HBc, negative- Anti-HBs

    3. Positive- HBsAg, negative- Anti-HBc, negative- Anti-HBs

    4. Negative- HBsAg, positive- Anti-HBc, Negative- Anti-HBs

    5. Negative- HBsAg, Negative- Anti-HBc, positive- Anti-HBs

    6. Negative- HBsAg, Negative- Anti-HBc, Negative- Anti-HBs

     

15. A new patient, a 55 year old male, comes to your office for their first wellness visit. The patient’s former physician sends you the patient’s medical records. You notice he had been diagnosed with HBV infection about 7 months ago. No follow up blood work was performed. The patient appears to be in good health. You suggest the patient get some HBV testing performed. The patient consents and a blood sample was sent to the lab (see table below). 

Test

Reaction (positive/negative)

HBsAg

Positive
IgM to HBc Negative
IgG to HBc Positive
Anti-HBs Negative
HBeAg Negative
Anti-HBe Positive

16. Which of the following is this patient currently experiencing?

    1. Acute illness

    2. Window period

    3. Convalescence

    4. Chronic active hepatitis

    5. Chronic persistent hepatitis

    6. He has been successfully immunized

Click here for answers to these questions

Go back to Case 7

Go to Case Index

Go to Homepage

    © 1996-2013 Neal Chamberlain. All rights reserved.  
    Site Last Revised 11/12/13
    Neal Chamberlain, PhD. A. T. Still University of Health Sciences/Kirksville College of Osteopathic Medicine.

    Take Care and Think Microbiologically!