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Hepatitis C Among Homeless Individuals

1. Which of the following statements regarding hepatitis C is true?

A. Hepatitis C is the leading cause of death from liver disease and the principal indication for liver transplantation in the United States.

B. Hepatitis C is the most common chronic bloodborne infection in the US.

C. Hepatitis C progresses slowly and usually is asymptomatic until the advanced stage, so chronic hepatitis C is under recognized, especially in the outpatient setting.

D. All of the above.


2. Currently, most people become infected with HCV:

A. By sharing needles, syringes, or other equipment used to inject drugs.

B. Through needlestick injuries in health care settings.

C. From mother to child at the time of birth.

D. Through sexual contact with a person infected with HCV.


3. All of the following populations are disproportionately affected by viral hepatitis, except for:

A. Baby boomers

B. Incarcerated persons

C. Those living below the poverty level

D. Men who have sex with men


4. Hepatitis C is striking white suburbanites in their 20s due to an apparent resurgence of heroin use and indiscriminate needle-sharing, therefore researchers urge clinicians to recognize this changing pattern of disease and to consider screening more young people for hepatitis C.

A. True

B. False


5. The CDC has issued a new recommendation for one-time screening for HCV in all individuals born between 1965 and 1985.

A. True

B. False


6. When counseling patients with hepatitis C, all of the following should be told to the patient, except for:

A. Do not share razors or toothbrushes.

B. Be sure to use condoms even if in a long-term monogamous relationship.

C. Do not use NSAIDs in the presence of advanced liver disease.

D. Undergo vaccination against hepatitis A and B, Streptococcus pneumonia, and influenza.


7. Current guidelines recommend that all patients with chronic HCV be evaluated for psychiatric disorders - particularly depression and suicide risk - since uncontrolled depression or active suicidal ideation is an absolute contraindication to interferon-based therapies.

A. True

B. False


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