q4 - guest1

[ArchivalUser]

A 55-year-old woman manager of a regional long-distance telephone office whom you examine for the first time feels well. You do a complete physical examination, which is normal except for a few very small palpable and moveable, nontender nodes in both cervical chains and occasional wheezes in the lungs. However, her laboratory studies show the following hepatitis B virus profile: negative HBsAg, positive anti-HBs, low levels of IgG anti-HBc, negative anti-HBeAg, and positive anti-HBe. Which of the following is the most likely diagnosis
A.
Acute HBV infection, high infectivity
B.
Late-acute HBV, low infectivity
C.
Recovered from HBV infection
D.
Chronic HBV infection, high infectivity
E.
Immunization with HBsAg vaccine

[ArchivalUser]

dd

[ArchivalUser]

B. Late-acute HBV, low infectivity

[ArchivalUser]

C?

[ArchivalUser]

oups sorry B

[ArchivalUser]

oh!!!!
i read it as positive HBe
sorry

[ArchivalUser]

BB

[ArchivalUser]

b?

[ArchivalUser]

The answer is: C

The serologic pattern in this case is a person who has recovered from HBV infection. They possess anti-HBs, the protective antibody in HBV infection, IgG anti-HBc, and anti-HBc. The anti-HBc may be positive or negative in persons who recover from HBV.