Which type of hepatitis is primarily transmitted through food or water contaminated with feces?
Hepatitis A
Hepatitis D
Hepatitis B
Hepatitis C
The Correct Answer is A
A. Hepatitis A: This picornavirus is classically transmitted via the fecal-oral route through contaminated nutrients or close personal contact. It causes an acute, self-limiting infection of the liver without a chronic carrier state. It is highly associated with poor sanitation.
B. Hepatitis D: This defective RNA virus requires the presence of the Hepatitis B virus to replicate and cause infection. It is transmitted through parenteral routes or sexual contact, similar to its helper virus. It is not a waterborne or foodborne pathogen.
C. Hepatitis B: This DNA virus is transmitted through exposure to infected blood, semen, or other body fluids, as well as perinatally. It is not spread through contaminated food or casual water contact. It often leads to chronic hepatitis and hepatocellular carcinoma.
D. Hepatitis C: This flavivirus is primarily a blood-borne pathogen, commonly spread through shared needles or healthcare-associated exposures. It is not transmitted via the fecal-oral route or through ingestion of contaminated water. It frequently results in chronic hepatic inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Histamine: This neurotransmitter is involved in the regulation of wakefulness and immune responses within the central nervous system. While it has various neuromodulatory roles, its depletion is not the underlying cause of parkinsonian motor symptoms. It is primarily associated with allergic and inflammatory reactions.
B. Norepinephrine: This catecholamine regulates the sympathetic nervous system and the stress response. Although its levels may fluctuate in neurodegenerative states, its decline does not account for the characteristic tremors and rigidity. It is more involved in mood and autonomic stability.
C. Dopamine: The loss of pigmented neurons in the pars compacta of the substantia nigra leads to a profound deficit of this chemical. This lack of inhibitory signaling in the striatum results in the overactivity of the indirect motor pathway. It is the primary neurochemical hallmark.
D. Serotonin: This indolamine is essential for the regulation of mood, sleep, and appetite. While depression is a common non-motor symptom of Parkinson's, the motoric features are not caused by a primary serotonin deficiency. It is more central to the pathology of affective disorders.
Correct Answer is ["A","B","C","E"]
Explanation
A. Bile production: Hepatocytes synthesize bile acids from cholesterol, which are essential for the emulsification and absorption of dietary lipids. This fluid is secreted into the biliary canaliculi for transport to the gallbladder. It is a vital exocrine function of the liver.
B. Glucose storage: The liver regulates glycemic homeostasis by converting excess systemic glucose into glycogen through the process of glycogenesis. This stored energy is mobilized via glycogenolysis during periods of fasting. It serves as a critical metabolic reservoir for the body.
C. Production of cholesterol: This organ is the primary site for de novo cholesterol synthesis, which is necessary for cell membrane integrity and steroid hormone production. It also manages lipoprotein metabolism to transport lipids throughout the circulation. It is a central hub for lipid biochemistry.
D. Destruction of clotting factors: The liver is responsible for the synthesis, not the destruction, of essential coagulation proteins such as fibrinogen and prothrombin. Hepatic dysfunction leads to a deficiency in these factors and subsequent coagulopathy. It maintains the integrity of the hemostatic system.
E. Medication metabolism: The liver utilizes Phase 1 and Phase 2 enzymatic pathways, including the cytochrome P450 system, to biotransform xenobiotics. This process converts lipophilic drugs into water-soluble metabolites for renal or biliary excretion. It is the primary site for pharmacological detoxification.
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