Evaluation, Staging, and Monitoring of Chronic Hepatitis C

Self-StudyEvaluation, Staging, and Monitoring of Chronic Hepatitis C

Evaluation, Staging, and Monitoring of Chronic Hepatitis C
Sign In or Register to get started

Evaluation, Staging, and Monitoring of Chronic Hepatitis C

You are just a few steps away from free CE credits!

1

Sign in or Register

A free account is required.

2

Study the Material

An entire Cc section, or just a few topics at a time.

3

Take the CE Quiz

5 questions covering the topics in each Cc section.

4

Claim CE Credit

Free CNE and Free CME available!

loading

New Users

Create a free account to get started.

Required for CE

Returning Users

Forgot password?

Core Competencies

Initial Evaluation of Persons with Chronic HCV

Topic
Learning Objectives
Background
General Approach to Initial Evaluation
Key Aspects of Medical History
Key Aspects of Physical Examination
Recommended Initial Laboratory Studies
Immunizations for Persons with Chronic HCV
Screening for other Causes of Liver Disease
Summary Points

Natural History of HCV Infection

Topic
Learning Objectives
Spontaneous Clearance versus Chronic Infection
Variable Outcomes of Chronic Infection
Host Factors that Impact Rate of Fibrosis Progression
Viral Factors that Impact Rate of Fibrosis Progression
Environmental Factors that Impact Rate of Fibrosis Progression
Summary Points

Counseling Persons with Chronic HCV Infection

Topic
Learning Objectives
Background
Over-the-Counter Pain Medications
Iron and Vitamin Supplements
Complementary and Alternative Therapies
Coffee, Diet, and Sodium Intake
Modifying Obesity
Alcohol, Cannabis, and Tobacco
Summary Points

Evaluation and Staging of Liver Fibrosis

Topic
Learning Objectives
Background
Indirect Markers for Estimating Hepatic Fibrosis
Direct Markers of Fibrosis
Radiologic Modalities to Estimate Fibrosis
Liver Biopsy and Histologic Assessment of the Liver
Summary Points

Evaluation and Prognosis of Persons with Cirrhosis

Topic
Learning Objectives
Background
Evaluation of Persons with Cirrhosis
Classification Systems for Persons with Cirrhosis
Compensated Cirrhosis
Decompensated Cirrhosis
Summary Points

Surveillance for Hepatocellular Carcinoma

Topic
Learning Objectives
Epidemiology
Risk Factors and Prognosis
Benefit of HCC Surveillance with HCV Infection
Indications for HCC Surveillance
Surveillance Testing Methods
Guidance for HCC Surveillance
Summary Points

Extrahepatic Conditions Related to HCV Infection

Topic
Learning Objectives
Overview of Extrahepatic Manifestations
Cryoglobulinemia
Autoimmune Disorders
Renal Disorders
Dermatologic Manifestations
Insulin Resistance and Type 2 Diabetes
Lymphomas
Cardiovascular Events
Summary Points

Self-Study Module Progress Tracker - 4th Edition

Lesson 1Initial
Evaluation
  • Describe key aspects of the medical history to obtain in a new evaluation of persons with HCV infection
  • Identify key abnormal physical examination findings that may be present in a person with HCV and cirrhosis
  • Summarize recommended laboratory studies to obtain for a person with HCV at the initial evaluation visit
  • List immunizations that should be administered to persons with chronic HCV infection
  • Discuss the evaluation of secondary causes of liver disease in persons with chronic HCV infection
Lesson 2Natural
History
  • Explain spontaneous viral clearance versus persistent infection following initial HCV acquisition
  • Describe the variable outcomes that can occur in persons with chronic HCV infection
  • Summarize the typical time course for developing liver complications in untreated chronic HCV
  • List factors that influence the rate of progression of fibrosis in persons with chronic HCV infection
  • Discuss the impact of alcohol intake on fibrosis progression in persons with chronic HCV infection
Lesson 3Counseling Persons
with Chronic HCV
  • Determine which common liver health counseling messages should be addressed in persons with chronic HCV infection
  • Explain recommendations for intake of acetaminophen and nonsteroidal anti-inflammatory medications in persons with chronic HCV infection
  • Discuss recommendations for iron intake and vitamins for persons with chronic HCV infection
  • Summarize key counseling messages related to coffee, diet, and complementary medications in persons with chronic HCV infection
  • Clarify guidance related to alcohol and marijuana use in persons with chronic HCV infection
Lesson 4Evaluation and
Staging of Liver
Fibrosis
  • Discuss noninvasive indirect markers used for estimating liver fibrosis
  • Describe noninvasive direct markers used for estimating liver fibrosis
  • Summarize key radiologic methods that can estimate hepatic fibrosis
  • List the transient elastography cutoff that is used to estimate cirrhosis in persons with chronic HCV
  • Explain the indications, risks, and histologic assessment for liver biopsy in persons with chronic HCV
Lesson 5Evaluation and Prognosis
of Persons with Cirrhosis
  • Differentiate compensated cirrhosis from decompensated cirrhosis
  • Explain the classification and prognostic systems for cirrhosis
  • Summarize important aspects of the medical history and physical examination in persons with cirrhosis
  • Discuss the approach to treatment of HCV in persons with compensated cirrhosis
  • Describe key manifestations and complications associated with decompensated cirrhosis
Lesson 6Surveillance for
Hepatocellular
Carcinoma
  • Discuss the incidence of hepatocellular carcinoma (HCC) in persons with chronic HCV
  • Describe major risk factors for developing HCC
  • Explain the rationale for HCC surveillance in persons with chronic HCV infection
  • Summarize the American Association for the Study of Liver Diseases (AASLD) recommendations for HCC surveillance indications
  • List recommended HCC surveillance methods
Lesson 7Extrahepatic
Conditions
  • Identify the most common clinical syndromes associated with HCV-related cryoglobulinemia
  • Describe the renal extrahepatic manifestations associated with chronic HCV infection
  • Recognize the most common dermatologic extrahepatic manifestations associated with chronic HCV infection
  • Explain the relationship of chronic HCV infection and lymphomas
  • Summarize the association of chronic HCV and cardiovascular disease
Topic 1 
 
 
 
 
 
 
Topic 2 
 
 
 
 
 
 
Topic 3 
 
 
 
 
 
 
Topic 4 
 
 
 
 
 
 
Topic 5 
 
 
 
 
 
 
Topic 6 
 
 
 
 
 
 
Topic 7 
 
 
 
Topic 8 
 
 
Topic 9 
CE Quiz 
 
 
 
 
 
 

Self-Study Module Progress Tracker - 3rd Edition

3rd Edition. There is a newer edition of this Self-Study Module.
Lesson 1Initial
Evaluation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe key aspects of the medical history to obtain in a new evaluation of persons with HCV infection
  • Identify key abnormal physical examination findings that may be present in a person with HCV and cirrhosis
  • Summarize recommended laboratory studies to obtain for a person with HCV at the initial evaluation visit
  • List immunizations that should be administered to persons with chronic HCV infection
  • Discuss the evaluation of secondary causes of liver disease in persons with chronic HCV infection
Lesson 2Natural
History
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize spontaneous viral clearance versus persistent infection following initial HCV acquisition
  • Describe the variable outcomes that can occur in persons with chronic HCV infection
  • List factors that influence the rate of progression of fibrosis in persons with chronic HCV infection
  • Discuss the impact of alcohol intake on fibrosis progression in persons with chronic HCV infection
Lesson 3Counseling
Patients
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Determine which common liver health counseling messages should be addressed in persons with chronic HCV infection
  • Explain recommendations for intake of acetaminophen and nonsteroidal antiinflammatory medications in persons with chronic HCV infection
  • Discuss key counseling messages related to coffee, diet, and complementary medications in persons with chronic HCV infection
  • Clarify guidance related to alcohol and marijuana use in persons with chronic HCV infection
Lesson 4Evaluation and Staging of Liver Fibrosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Explain the indications, risks, and histologic assessment for liver biopsy in persons with chronic HCV infection
  • Discuss noninvasive Indirect and direct tests of liver fibrosis and examine the potential clinical utility of these tests
  • Summarize key radiologic methods that can estimate hepatic fibrosis
Lesson 5Evaluation and Prognosis of Persons with Cirrhosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate compensated cirrhosis from decompensated cirrhosis
  • Explain the classification and prognostic systems for cirrhosis
  • Summarize important aspects of the medical history and physical examination in persons with cirrhosis
  • Describe key manifestations and complications associated with decompensated cirrhosis
Lesson 6Surveillance for Hepatocellular Carcinoma
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the incidence of hepatocellular carcinoma (HCC) in persons with chronic HCV
  • Describe major risk factors for developing HCC
  • Explain the rationale for HCC surveillance in persons with chronic HCV infection
  • Summarize the American Association for the Study of Liver Diseases (AASLD) recommendations for HCC surveillance indications
  • List recommended HCC surveillance methods
Lesson 7Extrahepatic
Conditions
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Identify the most common clinical syndromes associated with HCV-related cryoglobulinemia
  • Describe the renal extrahepatic manifestations associated with chronic HCV infection
  • Recognize the most common dermatologic extrahepatic manifestations associated with chronic HCV infection
  • Explain the relationship of chronic HCV infection and lymphomas
Topic 1 
 
 
 
 
 
 
Topic 2 
 
 
 
 
 
 
Topic 3 
 
 
 
 
 
 
Topic 4 
 
 
 
 
 
 
Topic 5 
 
 
 
 
 
Topic 6 
 
 
 
 
 
Topic 7 
 
 
Topic 8 
 
 
Topic 9 
CE Quiz 
 
 
 
 
 
 

Self-Study Module Progress Tracker - 2nd Edition

2nd Edition. There is a newer edition of this Self-Study Module.
Lesson 1Initial
Evaluation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe key aspects of the medical history to obtain in a new evaluation of persons with HCV infection
  • Identify key abnormal physical examination findings that may be present in a person with HCV and cirrhosis
  • Summarize recommended laboratory studies to obtain for a person with HCV at the initial evaluation visit
  • List immunizations that should be administered to persons with chronic HCV infection
  • Discuss the evaluation of secondary causes of liver disease in persons with chronic HCV infection
Lesson 2Natural
History
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize spontaneous viral clearance versus persistent infection following initial HCV acquisition
  • Describe the variable outcomes that can occur in persons with chronic HCV infection
  • List factors that influence the rate of progression of fibrosis in persons with chronic HCV infection
  • Discuss the impact of alcohol intake on fibrosis progression in persons with chronic HCV infection
Lesson 3Counseling
Patients
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Determine which common liver health counseling messages should be addressed in persons with chronic HCV infection
  • Explain recommendations for intake of acetaminophen and nonsteroidal antiinflammatory medications in persons with chronic HCV infection
  • Discuss key counseling messages related to coffee, diet, and complementary medications in persons with chronic HCV infection
  • Clarify guidance related to alcohol and marijuana use in persons with chronic HCV infection
Lesson 4Evaluation and Staging of Liver Fibrosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Explain the indications, risks, and histologic assessment for liver biopsy in persons with chronic HCV infection
  • Discuss noninvasive Indirect and direct tests of liver fibrosis and examine the potential clinical utility of these tests
  • Summarize key radiologic methods that can estimate hepatic fibrosis
Lesson 5Evaluation and Prognosis of Persons with Cirrhosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate compensated cirrhosis from decompensated cirrhosis
  • Explain the classification and prognostic systems for cirrhosis
  • Summarize important aspects of the medical history and physical examination in persons with cirrhosis
  • Describe key manifestations and complications associated with decompensated cirrhosis
Lesson 6Surveillance for Hepatocellular Carcinoma
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the incidence of hepatocellular carcinoma (HCC) in persons with chronic HCV
  • Describe major risk factors for developing HCC
  • Explain the rationale for HCC surveillance in persons with chronic HCV infection
  • Summarize the American Association for the Study of Liver Diseases (AASLD) recommendations for HCC surveillance indications
  • List recommended HCC surveillance methods
Lesson 7Extrahepatic
Conditions
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Identify the most common clinical syndromes associated with HCV-related cryoglobulinemia
  • Describe the renal extrahepatic manifestations associated with chronic HCV infection
  • Recognize the most common dermatologic extrahepatic manifestations associated with chronic HCV infection
  • Explain the relationship of chronic HCV infection and lymphomas
Topic 1 
 
 
 
 
 
 
Topic 2 
 
 
 
 
 
 
Topic 3 
 
 
 
 
 
 
Topic 4 
 
 
 
 
 
 
Topic 5 
 
 
 
 
 
Topic 6 
 
 
 
 
 
Topic 7 
 
 
Topic 8 
 
 
Topic 9 
CE Quiz 
 
 
 
 
 
 

Self-Study Module Progress Tracker - 1st Edition

1st Edition. There is a newer edition of this Self-Study Module.
Lesson 1Initial
Evaluation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe key aspects of the medical history to obtain in a new evaluation of persons with HCV infection
  • Identify key abnormal physical examination findings that may be present in a person with HCV and cirrhosis
  • Summarize recommended laboratory studies to obtain for a person with HCV at the initial evaluation visit
  • List immunizations that should be administered to persons with chronic HCV infection
  • Discuss the evaluation of secondary causes of liver disease in persons with chronic HCV infection
Lesson 2Natural
History
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize spontaneous viral clearance versus persistent infection following initial HCV acquisition
  • Describe the variable outcomes that can occur in persons with chronic HCV infection
  • List factors that influence the rate of progression of fibrosis in persons with chronic HCV infection
  • Discuss the impact of alcohol intake on fibrosis progression in persons with chronic HCV infection
Lesson 3Counseling
Patients
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Determine which common liver health counseling messages should be addressed in persons with chronic HCV infection
  • Explain recommendations for intake of acetaminophen and nonsteroidal antiinflammatory medications in persons with chronic HCV infection
  • Discuss key counseling messages related to coffee, diet, and complementary medications in persons with chronic HCV infection
  • Clarify guidance related to alcohol and marijuana use in persons with chronic HCV infection
Lesson 4Evaluation and Staging of Liver Fibrosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Explain the indications, risks, and histologic assessment for liver biopsy in persons with chronic HCV infection
  • Discuss noninvasive Indirect and direct tests of liver fibrosis and examine the potential clinical utility of these tests
  • Summarize key radiologic methods that can estimate hepatic fibrosis
Lesson 5Evaluation and Prognosis of Persons with Cirrhosis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate compensated cirrhosis from decompensated cirrhosis
  • Explain the classification and prognostic systems for cirrhosis
  • Summarize important aspects of the medical history and physical examination in persons with cirrhosis
  • Describe key manifestations and complications associated with decompensated cirrhosis
Lesson 6Surveillance for Hepatocellular Carcinoma
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the incidence of hepatocellular carcinoma (HCC) in persons with chronic HCV
  • Describe major risk factors for developing HCC
  • Explain the rationale for HCC surveillance in persons with chronic HCV infection
  • Summarize the American Association for the Study of Liver Diseases (AASLD) recommendations for HCC surveillance indications
  • List recommended HCC surveillance methods
Lesson 7Extrahepatic
Conditions
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Identify the most common clinical syndromes associated with HCV-related cryoglobulinemia
  • Describe the renal extrahepatic manifestations associated with chronic HCV infection
  • Recognize the most common dermatologic extrahepatic manifestations associated with chronic HCV infection
  • Explain the relationship of chronic HCV infection and lymphomas
Topic 1 
 
 
 
 
 
 
Topic 2 
 
 
 
 
 
 
Topic 3 
 
 
 
 
 
 
Topic 4 
 
 
 
 
 
 
Topic 5 
 
 
 
 
 
Topic 6 
 
 
 
 
 
Topic 7 
 
 
Topic 8 
 
 
Topic 9 
CE Quiz 
 
 
 
 
 
 

Since you've received 80% or better on this quiz, you may claim continuing education credit.

You seem to have a popup blocker enabled. If you want to skip this dialog please Always allow popup windows for the online course.