Hepatitis A and Hepatitis E virus Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 23-year-old man presents to his primary care physician with several days of malaise, nausea, and vomiting. He recently returned from a trip to Thailand one week ago where he was staying in crowded hostels and eating seafood from local vendors. He reports a new sexual partner while abroad, and they did not use protection. He is otherwise healthy and does not take medications daily. He smokes 3-4 cigarettes per day, although he reports he has not felt like smoking since onset of symptoms. Temperature is 37.8°C (100°F), pulse is 72/min, respirations are 16/min and blood pressure is 130/82 mmHg. Physical examination is notable for scleral icterus and right upper quadrant tenderness on palpation. Laboratory findings are demonstrated below:
A table lists lab values & results: Anti-HAV (IgM) is Positive, Anti-HAV (IgG) is Negative, HBsAg is Negative, Anti-HBs is Positive, others are Negative.

Which of the following describes the mechanism of transmission resulting in this patient’s clinical presentation?

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