A client with chronic hepatitis D is prescribed antiviral therapy. What statement by the client demonstrates understanding of the treatment regimen?
"I will take pegylated interferon-alpha as the antiviral agent.”
"I will use ribavirin to suppress the viral replication.”
"I need to continue the treatment for a shorter duration than hepatitis B or C.”
"The goal of treatment is to achieve undetectable HDV RNA after the treatment ends.”
The Correct Answer is A
Choice A rationale:
The client's statement, "I will take pegylated interferon-alpha as the antiviral agent," demonstrates understanding of the treatment regimen for chronic hepatitis
D. Pegylated interferon-alpha is the recommended antiviral therapy for chronic hepatitis
D. It helps suppress viral replication and reduce liver inflammation, which is essential in managing the disease. Interferon therapy can be used alone or in combination with antiviral agents like lamivudine or adefovir. However, it is crucial to note that interferon therapy may have side effects, and the client should be educated about them.
Choice B rationale:
"I will use ribavirin to suppress viral replication" is incorrect. Ribavirin is an antiviral agent used for the treatment of hepatitis C but is not typically recommended for hepatitis
D. The primary antiviral therapy for hepatitis D is pegylated interferon-alpha.
Choice C rationale:
"I need to continue the treatment for a shorter duration than hepatitis B or C" is incorrect. The treatment duration for chronic hepatitis D is generally longer than that for hepatitis B or
C. The therapy may last for six months to a year or even longer, depending on the individual response to treatment and the level of liver damage.
Choice D rationale:
"The goal of treatment is to achieve undetectable HDV RNA after the treatment ends" is incorrect. While achieving undetectable HDV RNA is a favorable outcome, it may not always be achievable with current therapies. The primary goal of treatment is to suppress viral replication, reduce liver inflammation, and slow down the progression of liver disease.
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Related Questions
Correct Answer is C
Explanation
Choice C rationale:
This statement is accurate. Hepatitis C is primarily transmitted through exposure to infected blood, such as sharing needles or receiving contaminated blood transfusions. However, there have been rare cases of HCV transmission through ingestion of contaminated food or water, although this is not the primary mode of transmission. The risk of acquiring HCV through food or water is significantly lower compared to hepatitis A or hepatitis
E.
Choice A rationale:
Hepatitis A (HAV) can indeed be transmitted through sexual contact, as well as the fecal-oral route. HAV is highly contagious and is commonly associated with outbreaks in areas with poor sanitation and hygiene practices.
Choice B rationale:
Hepatitis B (HBV) is transmitted through direct contact with infected body fluids, including blood, semen, and vaginal fluids. It can be transmitted through sexual contact, sharing of needles, and from mother to child during childbirth.
Choice D rationale:
Hepatitis E (HEV) is primarily transmitted through the fecal-oral route, similar to hepatitis
A. Unlike what is stated in this choice, HEV does not require a person to be already infected with hepatitis B to cause infection.
Correct Answer is C
Explanation
Choice A rationale:
Needle sharing is associated with the transmission of hepatitis C and HIV, but not hepatitis
A. Hepatitis A is primarily transmitted through the fecal-oral route, usually by consuming food or water contaminated with the virus. Poor sanitation, inadequate hygiene, and consumption of raw or undercooked shellfish are common factors in the spread of hepatitis
A.
Choice B rationale:
Blood transfusion is not a mode of transmission for hepatitis
A. Hepatitis A is mainly transmitted through oral-fecal contact and does not involve the exchange of blood products.
Choice C rationale:
Ingestion of contaminated food or water is the primary mode of transmission for hepatitis
A. The virus is excreted in the feces of infected individuals, and people can become infected by ingesting food or water that has been contaminated with the virus. Proper food handling, handwashing, and access to clean drinking water are essential in preventing the spread of hepatitis
A.
Choice D rationale:
Sexual contact is associated with the transmission of hepatitis B and other sexually transmitted infections, but it is not a significant mode of transmission for hepatitis
A. Hepatitis A is mainly spread through fecal-oral transmission and does not commonly involve sexual contact.
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