-
What type of cirrhosis – Vascular congestion of liver?
Cardiac
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What type of cirrhosis – diffuse liver fibrosis?
Biliary
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What type of cirrhosis – malnutrition related?
Alcoholic
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What type of cirrhosis – associated with chemical toxicity?
Postnecrotic
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What type of cirrhosis – Early fatty infiltration?
Alcoholic
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What type of cirrhosis – viral induced?
Postnecrotic
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What type of cirrhosis – chronic biliary obstruction?
Biliary
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A more sensitive antibody test for HCV includes the use of the?
recombinant and immunoblot assay (RIBA)
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Decreased prothrombin production causes?
Petechia, purapura, epistaxis, bruising, gingival bleeding & heavy menstrual bleeding
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Vascular congestion of spleen causes?
Anemia, leucopenia, thrombocytopenia
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Increased estrogen metabolism causes?
Testicular atrophy, spider angiomas, male gynecomastia, amenorrhea
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Stretching of liver capsule causes?
Dull, heavy, RUQ pain
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Decreased bilirubin conjugation and excretion causes?
Jaundice
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Altered carb, protein and fat metabolism causes?
Anorexia & dyspepsia
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Vitamin B deficiency causes?
Peripheral neuropathy
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Prophylactic immunologic used for preexposure protection to HBV?
Hep B vaccine (Recombivax HB Engerix B)
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Prophylactic immunity to postexposure protection to HBV?
Hep B immuneglobulin (HB1g) and Hep B vaccine
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Type of jaundice associated with gallstones is ?
Obtructive
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The type of serum bilirubin that is elevated is most likely?
conjugated
-
Hemolytic jaundice is caused by?
Destruction of RBC
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Type of bilirubin elevated in the blood is?
Unconjugated
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Jaundice resulting from failure of the liver to conjugate and excrete bilirubin is known as?
Hepatocellular jaundice
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Hepatocellular jaundice causes of serum elevations of ________ & ________ bilirubin
Conjugated and nonconjugated
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What type of hepatitis is caused by IV drug use?
Hep C
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What type of hepatitis is uncommon in US?
Hep E
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What type of hepatitis -exists only with Hep B?
Hep D
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What type of hepatitis is caused by a DNA virus?
Hep B
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What type of hepatitis is most common cause of chronic hepatitis?
Hep C
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What type of hepatitis often causes asymptomatic anicteric hepatitis?
Hep A
-
What type of hepatitis chronic carriers have increased risk for hepatocellular cancer?
Hep B
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What type of hepatitis has no chronic carrier state?
Hep A
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What type of hepatitis has no readily available diagnostic serology tests?
Hep E
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What type of hepatitis is the usual cause of hepatitis epidemics?
Hep A
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In addition to HBV antigens and antibodies, the best indicator of active, HBV replication is the presence of ?
Hep B virus DNA
-
The HBV antibody that is a marker of response to the HBV vaccine is ?
Anti-HBe
-
The HBV antibody that does not appear after immunization is?
Anti-HBc, IgG
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Systemic effects of viral hepatitis are caused primarily by?
Activation of the complement system by antigen-antibody complexes
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During the incubation period of viral hepatitis, the nurse would expect the patient to report?
Anorexia and RUQ discomfort
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Fulminant hepatic failure as a complication of viral hepatitis is highest in people with?
Hep B with Hep D
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Those who have had household or close contact with pt who has Hep A should receive ?
Immune globulin
-
What is drug treatment for acute Hep B?
There are no specific drugs that are effective for treating acute viral hepatitis
-
Most challenging nursing intervention to promote healing in viral hepatitis?
Providing adequate nutritional intake
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Pt with autoimmune hepatitis will be treated with?
Corticosteroids or other immunosuppressant drugs
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