623 Adult - Viral Hepatitis - NP Certification, Fi
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623 Adult - Viral Hepatitis - NP Certification,
Fitzgerald 4th edition, Complete Updated
Solution 2024.
b. viral hepatitis
a 36 y/o man c/o nausea, fever, malaise, and abdominal pain. He shows signs of
jaundice and reports darkly-colored urine. Dx results show elevated serum
aminotransferase less than 10x upper limits of normal (ULN). His most likely dx is:
a. GERD
b. viral hepatitis
c. Crohn's disease
d. Barrett esophagus
a. HAV IgM
a serological marker for acute hepatitis A virus (HAV) infection is:
a. HAV IgM
b. HAV viral RNA
c. TNF-alpha
d. IL-10
c. resolved hepatitis a infection
you are caring for a 45 y/o woman from a developing country. She reports that she had
yellow jaundice as a young child. her PE is unremarkable. her lab studies are as
follows: AST, 22U/L (normal 0-31 U/L); alanine aminotransferase (ALT), 25 U/L ( normal
0-40U/L); hepatitis A virus immunoglobulin G (HAV IgG) positive.
lab testing reveals:
a. chronic hepatitis A
b. no evidence of prior or current hepatitis A infection
c. resolved hepatitis a infection
d. prodromal hepatitis A
c. contaminated water supplies
the most common source of hepatitis A infection is:
a. sharing intravenous drug equipment
b. cooked seafood
c. contaminated water supplies
d. sexual contact
c. chronic hepatitis B
in addition to the lab work described, results reveal the following for the pt who reports
that she had yellow jaundice as a young child. Lab finding are: hepatitis B surface
antigen (HBsAg) positive. these finding are most consistent with:
a. no evidence of hepatitis B infection
b. resolved hepatitis B infection
c. chronic hepatitis B
d. evidence of effective hepatitis B immunization
b. 28 days
, the average incubation time for HAV is approximately:
a. 10 days
b. 28 days
c. 60 days
d. 6 months
d. any person who wishes to receive the vaccine
current vaccine guidelines recommend administering the immunization against HAV to:
a. those living in or traveling to areas endemic for the disease
b. food handlers and day-care providers
c. military personnel
d. any person who wishes to receive the vaccine
d. freezing food for at least 1 hr
all of the following are effective methods to kill the hepatitis A virus except:
a. heating food to more than 185F (85C) for at least one minute
b. adequately chlorinating water
c. cleaning surfaces with a 1:100 bleach solution
d. freezing food for at least 1 hr
a. HAV vaccine
you see a 27 y/o man who says he ate at a restaurant last week that was later reported
to have a worker identified with Hepatitis A. He is healthy and shows no sign of infection
but is concerned about contracting HAV infection. You recommend:
a. HAV vaccine
b. HAV immune globulin
c. HAV vaccine plus immune globulin
d. no intervention at this time and wait until sxs manifest
d. taking daily acetaminophen to allevaite joint pains
a 54 y/o man has been recently dxed with HAV infection. You recommend all of the
following except:
a. eating smaller, more frequent meals to help combat nausea
b. avoiding consumption of any alcohol
c. reviewing current medication use for consideration of discontinuation
d. taking daily acetaminophen to allevaite joint pains
d. the presence of HBsAg
a 38 y/o man with a recent hx of injection drug use presents with malaise, nausea,
fatigue and yellow eyes for the past week. after ordering dxtic tests, you confirm the dx
of acute hepatitis B. anticipated lab results include:
a. the presence of hepatitis B surface antibody
b. neutrophilia
c. thrombocytosis
d. the presence of HBsAg
a. abdominal rebound tenderness
clinical findings in pts with acute hepatitis B likely include all of the following EXCEPT:
a. abdominal rebound tenderness
b. scleral icterus
c. a smooth, tender, palpable hepatic border
d. report of myalgia
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