Case Studies Exam #9 – Hepatitis
1. Which of the following is a function
of the liver?
a. Absorption of nutrients
b. Insulin production
c. Production of intrinsic
factor
d. Production of Vitamin D
e. Synthesis of bile salts
2. Bile flows through small ducts in the
liver called:
a. Ascending canals
b. Bile caniliculi
c. Kupffer canals
d. Hepatic canals
e. Hepatic sinusoids
3. What is the end destination of bile
when it leaves the common bile
duct?
a. Bile caniliculi
b. Cystic duct
c. Hepatic canals
d. Left and right hepatic ducts
e. Small intestine
4. Blood leaving the liver flows from
the hepatic veins into which large
vessel?
a. Abdominal aorta
b. Bile caniliculi
c. Hepatic portal vein
d. Inferior vena cava
e. Superior vena cava
5. As one of the most visible
symptoms of viral hepatitis,
jaundice is caused by:
a. Aminotranferases in the
patients serum
b. Bile pigments in the skin
and sclera of the eyes
c. Fecal blockage of intestinal
activity
d. Hypersecretion of bile from
the gall bladder
e. Kidney failure
6. Which of the following statements
are true of viral replication?
a. DNA and RNA synthesis is
NOT part of viral replication
b. Viruses invade host cells
but do not replicate
c. Viruses need a host cell to
replicate
d. Viruses replicate asexually
e. Viruses replicate by binary
fusion
7. In what stage of viral replication
does the virion enter the host cell?
a. Adsorption
b. Maturation
c. Penetration
d. Release
e. Synthesis
8. In what stage of viral replication are
new viral parts assembled to make
complete virions?
a. Adsorption
b. Maturation
c. Penetration
d. Release
e. Synthesis
9. The main target cells for all forms of
viral hepatitis are:
a. Endothelial cells lining the
intestinal tract
b. Epithelial cells of the
common bile duct
c. Epithelial lining of the
stomach
d. Hepatocytes in the liver
e. Macrophages in the
peripheral blood
10. Hepatitis A is transmitted primarily
through:
a. Aerosols
b. Contaminated blood
c. Contaminated food/drink
d. Sharing contaminated
needles
e. Transfusions
11. Hepatitis can be defined as:
a. Chronic viral infection of
white blood cells
b. Inflammation of the
gastrointestinal tract
caused my unsanitary
conditions
c. Inflammation of the liver
caused by a virus
d. Inflammation of the
pancreas
e. Toxemia caused by shared
needles
12. Which of the following in NOT a
symptom of viral hepatitis?
a. Dehydration
b. Fever
c. Flu-like symptoms
d. Increased urine output
e. Jaundice
13. An endemic disease refers to:
a. Large numbers of carriers
or infected individuals in a
population.
b. Low numbers of disease
carriers in a population
c. New outbreak of a disease
in any given population
d. Seasonal outbreaks of an
infectious organism
e. All of the above
14. A physician generally would be
actively involved in a patient with
hepatitis with all EXCEPT:
a. Arranging for the admission
of the patient into a health
care facility
b. Correlating the results of
diagnostic test with patient
diagnosis
c. Explaining the nature of the
disease to the patient and
family
d. Performing immunologic
tests in the laboratory
e. Prescribing and/or
administering medications
15. Which of the following would NOT
be included in the job expectations
of an infectious disease specialist?
a. Acting as a consultant for
other physicians
b. Diagnosing and treating
communicable diseases
c. Performing immunologic
marker studies and liver
enzyme tests
d. Tracking down sources of
infection in outbreaks
e. All are responsibilities of an
infectious disease specialist
16. A clinical laboratory scientist would
aid in the diagnosis of hepatitis by:
a. Administering medications
as necessary to relieve
discomfort.
b. Administering intravenous
fluids
c. Performing immunologic
marker studies and liver
enzyme tests.
d. Promoting sanitation in the
community.
e. Tracking down sources of
infection in outbreaks
17. Most forms of Hepatitis can be
prevented by:
a. Frequent hand washing
b. Proper sanitation
c. Immunization
d. Not sharing needles
e. All of the above
18. Which of the following treatments
for Hepatitis boosts the immune
response?
a. Alpha-interferon
b. Antibiotics
c. Intravenous fluids
d. Pain killers
e. Bed rest
19. An infection with Hepatitis A may
cause severe diarrhea and vomiting.
Treatment would include:
a. Antibiotics
b. Immunosuppressants
c. Intravenous fluids
d. Liver transplant
e. Vaccinations for hepatitis A
and B
20. Which of the following substances
are considered important in
detecting liver damage?
a. Albumin and amino acids
b. Amino acids and
hemoglobin
c. AST, ALT, and bilirubin
d. Hemoglobin and ALT
e. Hemoglobin and bilirubin
21. Dehydration is a dangerous
condition because the body loses:
a. Albumin
b. Aminotranferases
c. Bilirubin
d. Electrolytes
e. Liver enzymes
22. The most common immunological
indicator of an active case of
hepatitis A is:
a. Anti-HAV antibody of the
IgM class
b. Anti-HBC antigen in the IgM
class
c. Anti-HCV antibody
d. HBsAg
e. None of these
23. A report of a positive HbsAg
(Hepatitis B surface Ag) indicates:
a. Patient has an active case
of Hepatitis A
b. Patient has an active case
of Hepatitis C
c. Patient has an acute
Hepatitis B infection or may
be a carrier
d. Patient has had a recent
vaccination for Hepatitis
e. Patient has had a past
hepatitis infection.
24. In this graphic of a virus, identify #2
a. Capsid
b. Envelope
c. Nucleic acid core
d. Spikes
25. In this graphic of a virus, identify #3
a. Capsid
b. Envelope
c. Nucleic acid core
d. Spikes