Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            s users, medical
  staff , homosexual, haemodyalisis  Pt., CLD Pt. due
  to other causes ,close  contacts of infected Pt..
To prevent vertical transmission from infected
  pregnant mother to new born, immediate 
  immunoglobulin & vaccination.
Hepatitis D (delta Virus)
RNA virus , requires HBV for replication, same 
route of transmission (blood born),with more 
severe presentation, acute & chronic forms of 
liver D.
Investigation; serology (IgM & IgG  Ab).
Treatment; same antiviral used for HBV.
Prevention; vaccination against HBV.
Hepatitis C (HCV)
RNA  virus ,commonly asymptomatic in both acute
&chronic phase.80% of acute infection develop
chronic hepatitis with 20% resolution.
No active (vaccine) or passive (immunoglobulin)
  protection methods.
Mode of transmission ; blood born (like HBV).
If untreated (undiagnosed) progress to cirrhosis
  & liver cancer (HCC), takes 20-50y.
Hepatitis C (HCV)
Investigation/serology (HCV Ab) & virology (PCR)
 liver blood tests, imaging, liver biopsy to assess
 severity of inflammation & fibrosis.
Treatment/ new antiviral therapy eradicate the 
 virus within 3m in 100%  of cases.
Liver transplantation for end stage liver disease
 & its complications.
Hepatitis E
RNA virus , mode of transmission, clinical, tests,
  treatment, similar to Hepatitis A.
Chronicity in immunosuppressed Pt. respond to 
  antiviral therapy.
In pregnant women is very severe with high 
  mortality due to acute liver failure.
Non Alcoholic Fatty Liver 
Disease(NAFLD)
Fat accumulation in the liver in absence of high
  alcohol intake .
Start by fatty liver (Steatosis) then progress to
  inflammation(Steatohepatitis) then progress to
  fibrosis (Cirrhosis) & its complications. 
NAFLD commonly associated with hypertension,
  T2DM, central obesity, dyslipidemia, polycystic
  ovary syndrome (Metabolic syndrome). 
NAFLD
Common risk factors; sedentary lifestyle & diet.
Investigations/commonly asymptomatic but
 screening of Pt. by blood tests, imaging in obese
 Pt. & associated diseases lead to the diagnosis.
Management/lifestyle intervention & Wt. loss,
 by diet & exercise , at least 7-10% reduction ,will 
improve the associated metabolic syndrome.
Treat  the hypertension,T2DM,dyslipidemia.
Liver Cirrhosis
Characterized by diffuse liver fibrosis & nodules 
  formation, occurs at any age with significant 
  morbidity & mortality.
Causes/
-Alcohol                     -Autoimmune liver diseases
-Chronic HBV & HCV infection
-NAFLD                      -Biliary disease (PSC)
-Genetic (Haemochromatosis, Wilson’s disease)
-Chronic hepatic venous outflow obstruction.
Liver Cirrhosis
Clinical features/
-Small liver size  -Bleeding tendency (purpura,
-Jaundice                  bruises,epistaxis)
-Ascitis                 -Portal hypertension (varices,
-Finger clubbing       splenomegally)
-Skin pigmentation             -Circulatory (cyanosis,
-Hepatic encephalopathy     palmar erthyma,
                                                  spider nevaei)
Liver Ci

            Quiz: