RML Lucknow - 2021
Medical & Surgical Nursing
Easy

Which of the following statements is/are correct about viral hepatitis?

Appeared in: RML Lucknow - 2021

Explanation

  • All three preceding statements about the transmission of Hepatitis A, B, and C are factually correct, making this the most comprehensive answer.
  • Hepatitis A virus (HAV) is primarily transmitted via the fecal-oral route, often through contaminated food or water.
  • Hepatitis B virus (HBV) can be transmitted from an infected mother to her baby during birth (perinatal transmission), as well as through blood and sexual contact.
  • Hepatitis C virus (HCV) is mainly transmitted parenterally, through exposure to infected blood, such as via unsafe injection practices or inadequately sterilized medical equipment.

Why Other Options Were Wrong

  • Option A: This statement is correct but incomplete. It only addresses the transmission of Hepatitis A, while the other statements about Hepatitis B and C are also correct.
  • Option B: This statement is correct but incomplete. It only describes one mode of transmission for Hepatitis B and ignores the other correct statements provided in the question.
  • Option C: This statement is correct but incomplete. It accurately describes the primary transmission route for Hepatitis C but fails to acknowledge that the other statements are also true.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Modes of transmission for Viral Hepatitis A, B, and C as background academic context rather than a clinical decision trigger.
  • Nurses play a crucial role in patient education on preventing hepatitis transmission, including promoting hand hygiene, safe sex practices, and avoiding the sharing of needles or personal items like razors.
  • For pregnant women with HBV, nurses must ensure the newborn receives both the Hepatitis B vaccine and Hepatitis B Immune Globulin (HBIG) within 12 hours of birth to effectively prevent perinatal transmission.
  • Screening of all pregnant women for HBsAg is a standard of care to identify infants at risk and initiate timely post-exposure prophylaxis.
How to Approach the Question
  • First, analyze the question, which asks to identify all correct statements about viral hepatitis transmission.
  • Next, evaluate each of the first three options as individual true/false statements based on your knowledge.
  • Recall the transmission route for Hepatitis A. It is fecal-oral, often through contaminated water. Therefore, the first statement is true.
  • Recall the transmission routes for Hepatitis B. These include blood, sexual contact, and mother-to-baby (perinatal). Therefore, the second statement is true.
  • Recall the primary transmission route for Hepatitis C. It is parenteral (blood-borne). Therefore, the third statement is true.
  • Since the first three statements are all individually correct, the final option, 'All of the above are correct,' is the most complete and accurate answer.
Concept Tested & Keywords
  • Concept Tested: Modes of transmission for Viral Hepatitis A, B, and C
  • Stem keywords: viral hepatitis, Hepatitis A, Hepatitis B, Hepatitis C, transmitted
  • Lead-in keywords: is/are correct
  • Negative lead-in flag: false

Question ID

QvLBCB3HMCFkzJoS82Taxg

Reference Book

E6 Textbook of Biochemistry for medical StudentsDM Vasudevan Part 2 — Subpart A (pp 1-239 of 478) p. 31-33

E6 Medicine Harrison 22e Part 2 pp. 556-558, 559-561

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