I. Start the exam by click the “Start” button
Acute viral hepatitis- Part 7
See all quizzes of Acute viral hepatitis at here:
Acute viral hepatitis- Part 1| Acute viral hepatitis- Part 2| Acute viral hepatitis- Part 3| Acute viral hepatitis- Part 4| Acute viral hepatitis- Part 5| Acute viral hepatitis- Part 6| Acute viral hepatitis- Part 7
1.Acute hepatitis-like clinical events in chronic hepatitis B may
be due to ?
A. HDV superinfection
B. Spontaneous HBeAg to anti-HBe seroconversion
C. Spontaneous reactivation
D. All of the above
2. The diagnosis of anicteric hepatitis is based on ?
A. S. Aminotransferase levels
B. S. Bilirubin levels
C. S. Alkaline phosphatase levels
D. S. GGT levels
3. In acute hepatitis, very high serum bilirubin level (20 – 30 mg/
dL) occur in ?
A. Severe disease
B. Glucose-6-phosphate dehydrogenase deficiency
C. Sickle cell anemia
D. All of the above
4. Which of the following occur transiently in acute viral
hepatitis ?
A. Neutropenia
B. Lymphopenia
C. Steatorrhea
D. All of the above
5. Which of the following is characteristically elevated during
acute hepatitis A ?
A. Serum IgG
B. Serum IgM
C. Serum IgA
D. Serum IgE
4. Which of the following antibodies may be present during the
acute phase of viral hepatitis ?
A. Rheumatoid factor
B. Nuclear antibody
C. Heterophil antibody
D. All of the above
5. If levels of HBsAg are too low to be detected during acute HBV
infection, which of the following establishes its diagnosis ?
A. IgM anti-HBc
B. IgG anti-HBc
C. IgM & IgG anti-HBc
D. HBeAg
6. Which of the following is true in chronic HBV infection ?
A. IgM anti-HBc-positive, IgG anti-HBc-positive
B. IgM anti-HBc-negative, IgG anti-HBc-negative
C. IgM anti-HBc-negative, IgG anti-HBc-positive
D. IgM anti-HBc-positive, IgG anti-HBc-negative
7. A false-positive test for IgM anti-HBc may be found in patients
with ?
A. Glucose-6-phosphate dehydrogenase deficiency
B. High-titer rheumatoid factor
C. Sickle cell anemia
D. All of the above
8. Presence of anti-HBs in the presence of HBsAg in patients with
acute hepatitis B indicates which of the following ?
A. Fulminant hepatitis
B. Chronicity
C. Imminent HBsAg clearance
D. None of the above
9. After hepatitis B vaccination, which is the only serologic marker
to appear ?
A. Anti-HBs
B. Anti-HBe
C. Anti-HBc
D. All of the above
10.In chronic hepatitis B, high levels of HBV DNA increase the
risk of ?
A. Cirrhosis
B. Hepatic decompensation
C. Hepatocellular carcinoma
D. All of the above
11. Relapsing hepatitis is a feature of ?
A. Acute hepatitis A
B. Acute hepatitis B
C. Acute hepatitis C
D. Hepatitis D superinfection
12. Extrahepatic manifestations of HCV include ?
A. Mixed cryoglobulinemia
B. Porphyria cutanea tarda
C. Lichen planus (LP)
D. All of the above
13.Fulminant hepatitis is rare in ?
A. Hepatitis A
B. Hepatitis B & D
C. Hepatitis E
D. All of the above
14. Out of the following, fulminant hepatitis is most common in ?
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis E
15. Fulminant hepatitis is hardly ever seen in ?
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis E
16. Likelihood of remaining chronically infected after acute HBV
infection is high in all except ?
A. Old
B. Down’s syndrome
C. Chronically hemodialyzed patients
D. HIV infection
17. Progression of acute to chronic hepatitis is likely if ?
A. HBeAg persists for >3 months
B. HBsAg persists for >6 months
C. AST/ALT do not normalise within 6-12 months
D. All of the above
18. Likelihood of remaining chronically infected after acute HCV
infection is ?
A. 25 – 40 %
B. 40 – 60 %
C. 65 – 75 %
D. 85 – 90 %
19. Gianotti-Crosti syndrome is best related to ?
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis E
19. Hepatitis A vaccines provide adequate protection how many
weeks after a primary inoculation ?
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks
20. Hepatitis A vaccine is administered by which route ?
A. Intradermal
B. Subcutenuous
C. Intramuscular
D. Intravenous
21. The first vaccine for hepatitis B active immunization was
prepared from ?
A. 22-nm spherical forms of HBsAg
B. 27-nm spherical forms of HBsAg
C. 42-nm spherical forms of HBsAg
D. All of the above
22. Which of the following is the difference between plasma
derived vaccine and genetically engineered Hepatitis B
vaccine ?
A. Nonglycosylated
B. Hydrolyzed
C. Oxidized
D. Heat attenuated
23. Hepatitis B vaccine is administered ?
A. Intradermally
B. Subcuteneously
C. Intramuscularly
D. Intravenously
2In adults, recommended site of Hepatitis B vaccine is ?
Harrison’s 18th Ed. 2555
A. Thigh muscle
B. Triceps muscle
C. Deltoid muscle
D. Gluteal muscle