QQQ.............................................1a - ariadnac06 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: QQQ.............................................1a - ariadnac06 (/showthread.php?tid=484380) |
QQQ.............................................1a - ariadnac06 - ArchivalUser - 02-14-2010 A 28 years old intravenous drug user patient came to your office complaining of fever and fatigue. When reviewing his chart you find out that his Anti-HBcAg IgM was positive, and now after 10month is negative, his Anti-HBcAg IgG and Anti-HBsAg IgG were positive and now after 10moth are still positive. The patient most likely: a) Had acute hepatitis B and successfully recovered b) Had an exacerbation of the preexisting hepatitis B c) Had acute hepatitis B that progress to chronic hepatitis with low infectivity d) Had acute hepatitis B that progressed to chronic hepatitis with high infectivity e) Was vaccinated against HBV during t 0 - ArchivalUser - 02-14-2010 aa 0 - ArchivalUser - 02-14-2010 a... 0 - ArchivalUser - 02-14-2010 a.... 0 - ArchivalUser - 02-14-2010 U r right..aaaaa Anti-HBcAg IgMIt is produce after 2 month of the infection, after months the IgM is replaced for IgG (Anti-HBcAg IgG). The Anti-HBsAg IgG it show when HBsAg has disappear, meaning the acute phase is done. More examples........ Chronic Hepatitis with high infectivity.HBsAg, HBeAg with low levels of anit-HBcAg, anti-HbsAg and anti-HBeAg Vaccination..anti-HBsAg with no antiHBcAg, anti-HBeAg or viral antigens If you know more examples, it will be nice if you share it. PS Happy Valentines Day |