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MCQs on "Acute Hepatitis in Hong Kong: Diagnostic Approach and Management" by Dr. Chau Tai Nin

Direction: Choose the single best answer and give a tick in the corresponding box on the answer form.

1.	Which of the following is the commonest cause of acute viral hepatitis in Hong Kong?
	a) Hepatitis A virus
	b) Hepatitis B virus
	c) Hepatitis C virus
	d) Hepatitis D virus
	e) Hepatitis E virus

2.	Which of the following is NOT true for hepatitis E virus (HEV)?
	a) It is the commonest cause of outbreak of waterborne hepatitis worldwide.
	b) It has 4 genotypes and genotype 4 is most common in Hong Kong.
	c) It can be transmitted through a close contact with animals (zoonotic transmission).
	d) Hepatitis E predominantly affects children.
	e) The mortality rate of hepatitis E is higher than that of hepatitis A.

3.	Which of the following is NOT true for hepatitis C?
	a) Hepatitis C infection is more common among intravenous drug addicts and renal failure patients.
	b) The seroprevalence of anti-hepatitis C antibodies is around 2% among new blood donors in Hong Kong.
	c) Acute hepatitis C is usually asymptomatic.
	d) Majority of acute hepatitis C patients will develop chronic infection.
	e) Acute hepatitis C can be treated with peginterferon with high sustained virological response.

4.	Which of the following investigations are NOT useful in a 35-years-old patient with acute hepatitis but negative hepatitis serology?
	a) Serum gamma glutamyltransferase level
	b) Abdominal ultrasonography
	c) Anti-mitochondrial antibody
	d) Anti-smooth muscle antibody
	e) Serum ceruloplasmin and 24 hour urine for copper

5.	Which of the following is NOT appropriate in the management of severe hepatitis B?
	a) Prescribe cholestyramine to patients with significant pruritis.
	b) Prescribe oral nucleoside analogue e.g. entacavir in all patients with acute hepatitis B.
	c) Prescribe oral nucleoside analogue to patients with icteric flare up of chronic hepatitis B.
	d) Refer to liver transplantation centre if patients develop hepatic encephalopathy.
	e) None of the above.

Answers for this quiz are not yet available.