184 which one of the pair is not correct regarding

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184
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WHICH ONE OF THE PAIR IS NOT CORRECT REGARDING HEPATITIS B MANAGEMENT - (AIIMS NOV 10) A) SUPPORTIVE CARE - ACUTE VIRAL HEPATITIS B B) ANTIVIRAL DRUGS - CHRONIC VIRAL HEPATITIS B C) SUPPORTIVE CARE - CHRONIC VIRAL HEPATITIS B D) ANTIVIRAL DRUGS - ACUTE VIRAL HEPATITIS B D 185
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RX OF CHRONIC HBV INFECTION - (PGI JUNE 05) A) INTERFERON B) ADEFOVIR DIPIVOXIL C) LAMIVUDINE D) FAMCYCLOVIR E) GANCICLOVIR 186
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THERE ARE SEVEN DRUGS AVAILABLE FOR THE TREATMENT OF HEPATITIS B :- STANDARD INTERFERON PEGYLATED INTERFERON LAMIVUDINE ADEFOVIR ENTECAVIR TELBIVUDINE • TENOFOVIR 187
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NOW, THE DRUGS RECOMMENDED FOR FIRST LINE THERAPY OF HEPATITIS ARE :- PEGYLATED INTERFERON ENTECAVIR TENOFOVIR 188
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RX OF CHRONIC HBV INFECTION - (PGI JUNE 05) A) INTERFERON B) ADEFOVIR DIPIVOXIL C) LAMIVUDINE D) FAMCYCLOVIR E) GANCICLOVIR A , B , C 189
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A YOUNG MAN PRESENTS WITH HBSAG POSITIVE ANTI HBCIGG POSITIVE, HBEAG NEGATIVE AND NORMAL LEVELS OF AST AND ALT. HE IS ASYMPTOMATIC. WHAT IS THE NEXT LINE OF MANAGEMENT. (AIPGMEE 08) A) WAIT AND WATCH B) LAMIVUDIN C) IMMUNOGLOBULIN D) LIVER TRANSPLANT 190
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RECOMMENDATIONS FOR TREATMENT OF CHRONIC HEPATITIS B :- HBE AG LEVELS :- -/+ 191
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192
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193
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A YOUNG MAN PRESENTS WITH HBSAG POSITIVE ANTI HBCIGG POSITIVE, HBEAG NEGATIVE AND NORMAL LEVELS OF AST AND ALT. HE IS ASYMPTOMATIC. WHAT IS THE NEXT LINE OF MANAGEMENT. (AIPGMEE 08) A) WAIT AND WATCH B) LAMIVUDIN C) IMMUNOGLOBULIN D) LIVER TRANSPLANT A 194
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195
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38 YEAR OLD MAN BABBU, A CHRONIC ALCOHOLIC, PRESENTS WITH PAIN IN ABDOMEN. ON EXAMINATION HIS LIVER IS ENLARGED AND SERUM A FETOPROTEIN IS ELEVATED. THE MOST LIKELY DIAGNOSIS IS - (AI 2000) A) HEPATOCELLULAR CARCINOMA B) LIVER CELL HYPERPLASIA C) HEPATIC ADENOMA D) HEPATITIS 196
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PRIMARY HEPATOCELLULAR CARCINOMA IS ESPECIALLY PREVALENT IN REGIONS OF ASIA AND AFRICA. THE LARGEST NUMBER OF CASES ARE FOUND IN ASIA FOLLOWED BY AFRICA. MORE THAN 85% OF CASES OF HCC OCCURS IN COUNTRIES WITH HIGH RATES OF CHRONIC HBV INFECTION. 197
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OTHER MAJOR ETIOLOGICAL ASSOCIATIONS FOR LIVER CARCINOMA ARE – - CHRONIC ALCOHOLISM - FOOD CONTAMINANTS (PRIMARILY AFLATOXINS DERIVED FROM ASPERGILLUS FLAVUS) - TYROSINEMIA - HEREDITARY HEMOCHROMATOSIS 198
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CLINICAL FEATURES OF HEPATOCELLULAR CARCINOMA – THE SYMPTOMS OF HEPATOCELLULAR CARCINOMA ARE OFTEN MASKED BY SYMPTOMS OF CHRONIC HEPATITIS OR CIRRHOSIS. IN MOST CASES HEPATOCELLULAR CARCINOMA PRESENTS AS AN ILL DEFINED UPPER ABDOMINAL PAIN AND AN ABDOMINAL MASS. ELEVATED LEVEL OF SERUM ALPHAFETOPROTEINS ARE SEEN IN 50 - 75% CASES. 199
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HEPATOCELLULAR CARCINOMAS HAVE A STRONG PROPENSITY FOR INVASION OF VASCULAR CHANNELS. EXTENSIVE INTRAHEPATIC METASTASIS OCCURS AND THE TUMOUR OCCASIONALLY INVADES THE PORTAL VEIN OR INFERIOR VENACAVA.
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  • Winter '16
  • jean grey
  • chronic hepatitis, chronic liver failure

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