Hepatitis B 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 62-year-old man presents to the primary care office to be evaluated before his dermatologist starts him on immunosuppressive medications to treat psoriasis.  He has mild fatigue and occasional GI upset but no other concerns.  Past medical history is significant for psoriasis and diet-controlled type II diabetes mellitus.  His father recently died of hepatocellular carcinoma at age 83.  Temperature is 37.0°C (98.6°F), pulse is 60/min, respirations are 12/min, and blood pressure is 120/70 mmHg BMI is 28.  The skin has numerous scaly plaques.  Abdomen is soft and nontender with no masses.  Screening tests are ordered including a colonoscopy and hepatitis B serology.  Laboratory results show a positive HBsAg, negative HBsAb, and positive anti-HBc IgG.  Additional labs can be seen below.  Which of the following is the best next step in management?  

Laboratory value
Result
HBV DNA  
24,000 IU/mL  
HBeAg  
+
ALT
82 IU/L

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