Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  q 1 




 
Kaplan Qbank USMLE



Author7 Posts
  #1

A medical worker has a needle-stick accident involving an empty
syringe that had been previously used on a patient with a known hepatitis
B infection. Which of the following is the most probable outcome for the
medical worker?
A. Acute hepatitis followed by recovery
B. "Healthy" carrier
C. Persistent infection followed by recovery
D. Persistent infection progressing to chronic hepatitis
E. Subclinical disease followed by recovery

___________________
megha

  #2

A....just guessing.

  #3

D. Persistent infection progressing to chronic hepatitis

i guess that as HBV infection can be transmitted by one drop of infected blood

___________________
The way to America is too long, too hard and too expensive

  #4

E. Subclinical disease followed by recovery

HBV is more easily transmitted than HIV by needle stick injury but usually causes subclinical disease with recovery.

  #5

Theoritically, the health worker would be infected although according to CDC based retrospective research chance of infection is 0.42% (ref : www.Uptodate.com).

So once infected.....either B or D could be the consequence of the HBV.

  #6

hey guys ...its ..
.E. Subclinical disease followed by recovery
and explanation given is

The correct answer is E. Hepatitis B infection can produce a wide variety of clinical outcomes. The most common outcome (60% to 65%), however, turns out to be subclinical disease followed by complete recovery. The other choices listed show other possible outcomes, and their statistical impact is considered with the discussions of individual choices.
Approximately 20% to 25% of infected persons develop acute hepatitis (choice A), which is followed in 99% of these cases by recovery and in about 1% of cases by fulminant hepatitis.
Approximately 5% to 10% of cases become "healthy" carriers (choice B).
Approximately 4% of cases develop persistent infection, 67% to 90% of which then recover (choice C) and 10% to 33% of which have chronic hepatitis (choice D)

___________________
megha

  #7

Keeping this theme in mind.....child born to a Hep.B positive mother.....what eventually happens to the child??







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.