Viral hepatitis 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 47-year-old man presents to the emergency department with increasing abdominal girth. He reports he has gained approximately 6.8 kg (15-lb) over the past several weeks and has had difficulty passing stool. He reports he is otherwise healthy and does not take any medications daily. He was born in India and is unsure if he was ever fully vaccinated. Temperature is 37 °C (98.6°F), pulse is 73/min, respirations are 14/min and blood pressure is 147/82 mmHg. Physical examination is notable for scleral icterus. The liver is palpated 3 cm below the right costal margin. With the patient in a supine position, a wave is produced by tapping one side of the abdomen. Initial work up in the emergency department is notable for elevated liver enzymes and proteinuria. He is subsequently admitted and has the titers listed in the table below drawn the next day.

Which of the following indicates a poor prognosis for this disease process?

A table of lab results: Anti-HAV (IgM) Negative, Anti-HAV (IgG) Negative, HBsAg Positive, Anti-HBs Negative, HBcAg Positive, Anti-HBc (IgG) Positive, HBeAg Positive, Anti-HBe Negative.

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