A 29-year-old Saudi male returned from India 5 weeks ago presented to the emergency department complaining of right upper quadrant abdominal pain associated with nausea and vomiting for the past several days. The pain was associated with low-grade fever and jaundice. On systemic review he complained of generalized joint and muscle pain. On examination, he was jaundiced but vitally stable. Laboratory investigations showed markedly elevated liver enzymes with ALT around 800 U/L and AST around 900 U/L. ALP was 200 U/L and INR was 1.2. CBC and electrolytes were normal. Hepatitis serology revealed positive anti-HAV IgM antibodies. Which of the following is true regarding his condition?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Transmitted via the fecal-oral route
A positive anti-HAV IgM after travel to an endemic area confirms acute hepatitis A, which is spread by the faecal–oral route.
- HAV causes acute hepatitis only: no carrier state and no chronic phase.
- A vaccine is available.
- Sexual and blood-borne transmission describes HBV/HCV.
ليش كل خيار صح أو غلط
-
A
ليش صح
Anti-HAV IgM means acute hepatitis A, which is usually transmitted by the fecal-oral route; about half of cases are acquired during visits to endemic countries, like his trip to India.
✓ Liver Infection.pdf · p. 1 -
B
ليش غلط
Hepatitis A causes acute hepatitis only: patients do not become carriers and do not develop chronic hepatitis, so there is no chronic phase.
✓ Liver Infection.pdf · p. 1 -
C
ليش غلط
A hepatitis A vaccine is available: it is given in childhood, with boosters recommended before travel to endemic regions.
✓ Liver Infection.pdf · p. 5 -
D
ليش غلط
Sexual and blood-borne spread describes hepatitis B (sexual contact is the most common route, plus needlestick and contaminated blood), not hepatitis A.
✓ Liver Infection.pdf · p. 2
- المصدر
- Liver Infection.pdf · p. 1
Liver Infection.pdf · p. 5 - المحاضرة
- Acute Liver Injury & Failure · Gastroenterology & Liver · Module C
- ظهر في
- MED43 ♀ Quiz C · MED43 ♀ Compre