Hepatitis.txt

142) A patient comes to you for help. They have been living with Hepatitis B for almost 15 years now. They explain to you that they are considered to be a chronic persistent carrier. What does this mean?

A) A person that has a progressive symptomatic disease that continues to damage the liver and they can continue to infect others.
B) A person that has a progressive symptomatic disease that continues to damage the liver but can no longer infect others.
C) A person that is asymptomatic or has very minimal symptoms but can continue to infect others.
D) A person that is asymptomatic or has very minimal symptoms but can no longer infect others.

5) All of the following are the best ways to prevent needle stick injuries when working with patients who have hepatitis EXCEPT:

A) Strict adherence to using gloves for each patient when inserting or taking out needles
B) Strict adherence to CNT protocols by practitioners
C) Continuing recognition of the need to handle all patients as if they were potentially infectious
D) The need to train all staff in clean needle protocols and universal precautions

82) Health care workers (HCWs) who are infected with HIV or HBV should not perform exposure prone procedures unless which one of the following has happened:

A) They have received extensive treatment and are currently undergoing active therapy for their infection
B) They have received counseling from an expert review panel regarding the circumstances under which they may continue to perform these procedures
C) They have signed and notarized a form swearing that they will always follow universal precautions.
D) They have signed and notarized a form swearing that under all conditions, whether the procedures are exposure prone or not, that they will wear gloves and always follow universal precautions.

148) How long can Hepatitis B survive on surfaces?

A) At least 72 hours at room temperature
B) At least one week to 10 days at room temperature
C) At least one week at room temperature
D) At least 24 to 48 hours at room temperature

140) If a person is exposed to Hepatitis B, what type of injection may provide protection to an unvaccinated person?

A) Huang Qi Injection
B) Hepatitis D vaccine
C) Hepatitis B immune globulin (HBIG)
D) Vitamin C

93) In an investigation of an outbreak of HBV, what is the most important documentation an acupuncturist can have to contact patients to warn them of exposure?

A) Accurate and up to date medical records of a patient's current condition.
B) Documentation that none of your patients have been exposed to anyone with Hepatitis B.
C) Records of daily appointment schedules with an accurate record of names and address of all patients and dates of treatments.
D) Documentation that all of your patients have been immunized for Hepatitis A and B.

71) The Center for Disease Control and Prevention states the highest risk of contracting Hepatitis B occurs during:

A) After five years or more of practice
B) The first year of practice
C) It depends on how many patients the practitioner sees
D) During the professional training period

123) What are the early signs and symptoms of Hepatitis B?

A) Fever, malaise, body aches, maculopapular rash, lymphadenopathy, and headache
B) Persistent fever, night sweats, rapid, unexplained loss of weight and chronic diarrhea
C) Febrile illness resembling mononucleosis or influenza which resolves spontaneously and which many people do not note as significant at the time.
D) Mild fl-like signs and symptoms, fever (in 60% of cases), general malaise, insidious onset of anorexia and abdominal pain. Chills, nausea, joint pains, rash and diarrhea.

20) What is the incubation period of Hepatitis A?

A) 15 to 60 days
B) 50 to 180 days
C) 20 to 90 days
D) 15 to 50 days

149) What is the incubation period of Hepatitis B?

A) 50 to 180 days
B) 15 to 60 days
C) 15 to 50 days
D) 20 to 90 days

187) What is the incubation period of Hepatitis C?

A) 20 to 90 days
B) 15 to 50 days
C) 15 to 60 days
D) 50 to 180 days

117) What is the incubation period of Hepatitis D?

A) Unknown
B) 20 - 90 days
C) 15 - 50 days
D) 50 - 180 days

72) What percentage of people with Hepatitis B become chronic carriers?

A) 5 - 10%
B) Unknown
C) 50%
D) They do not become chronic

79) What percentage of people with Hepatitis C become chronic carriers?

A) They do not become chronic
B) 5 - 10%
C) 50%
D) Unknown

15) Which one of the following is known to be able to survive at least one week at room temperature on surfaces?

A) Hepatitis B
B) Hepatitis E
C) Hepatitis D
D) Hepatitis A

78) What percentage of people with Hepatitis E become chronic carriers?

A) Unknown
B) 5 - 10%
C) They do not become chronic
D) 50%

4) Which one of the following statements about Hepatitis is correct?

A) The incubation period of Hepatitis A is 15 to 50 days and of insidious onset.
B) The incubation period of hepatitis E is 15 to 60 days and of acute onset.
C) The incubation period of hepatitis B is 60 to 180 days and of insidious onset.
D) The incubation period of hepatitis C is 20 to 90 days and of acute onset.

134) You are currently working in a clinic that predominantly treats patients with Hepatitis C. A new volunteer intern comes in to help out and you are responsible for training the new intern. When it comes time to talk about avoiding needle stick injuries you explain that all of the following are best for preventing needle stick injuries except:

A) The need to train all staff in clean needle protocols and universal precautions.
B) The need to always use gloves when removing needles and handling cotton balls with blood on them.
C) Continuing recognition of the need to handle ALL patients as if they were potential infectious.
D) Strict adherence to CNT protocols by practitioners