Hepatitis B and Hepatitis D virus Quiz: Ace Your Exams

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A 37-year-old woman presents to her primary care provider for a routine check up. She reports that she is otherwise feeling well but has noticed that her urine is darker than usual. She has had no recent diarrhea, weight loss, or muscle pain. Past medical history is unremarkable, but she states she was born in India to a mother with “some liver disease” at the time of her birth. She has a glass of wine every Sunday night with dinner. She does not smoke cigarettes or use other illicit substances. Laboratory findings are demonstrated below:
A table displays blood count & liver function test results. Hemoglobin 11 g/dL, Hematocrit 40%, Leukocyte 9,100/mm3, Platelet 75,000/mm3. ALT 324 U/L, AST 221 U/L, Alkaline phosphatase 181 U/L.
Which of the following could have been used to prevent this patient’s clinical condition?

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