abarusmle
Forum Junior
Topics: 17
Posts: 60
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Select the most likely set of serologic test results related to hepatitis B viral infection. (please give your reasons)
A. HBsAg (-), Anti HBs (+), IgG anti HBc (+), IgM AntiHBc (-),
HBeAg (-), antiHBe (+), HBV DNA (-)
B. HBsAg (+), Anti HBs (+), IgG anti HBc (-), IgM AntiHBc (-),
HBeAg (-), antiHBe (+), HBV DNA (-)
C. HBsAg (-), Anti HBs (+), IgG anti HBc (-), IgM AntiHBc (-),
HBeAg (-), antiHBe (-), HBV DNA (-)
D. HBsAg (+), Anti HBs (-), IgG anti HBc (-), IgM AntiHBc (+),
HBeAg (+), antiHBe (-), HBV DNA (+)
E. HBsAg (+), Anti HBs (-), IgG anti HBc (+), IgM AntiHBc (-),
HBeAg (-), antiHBe (+), HBV DNA (+)
1. Chronic Hepatitis B (pre core mutant)
2. Immunity as a result of vaccination
3. Acute hepatitis B
4. Immunity as a result of previous infection
5. Chronic hepatitis B
Abar USMLE
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| luckiest
Forum Senior
Topics: 12
Posts: 82
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A) HBsAg - (no persistent hep B infection) and the latest Anti body has rise Anti HBcIg so it would be resolve the Anti HBc > from previous infection
B)HBsAg + but how can Anti HBs rise (it will go up when the HBsAg fall!
C)HBsAg - > no persistent infection ,anti HBs + immune from vaccineD)
D) HBsAg + -persistent infection ,HBeAg high replicationIgM anti HBc +
So it's in acute hepatitis
E)HBsAg +,but the IgG already rise so it 's in chronic low replication state
Chronic Hepatitis B (pre core mutant) ?what does it mean?
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| mjl1717
Forum Hero
Topics: 958
Posts: 5,465
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a) immunity, previous infection, recovery?--immunity/ previous infection
b)viral envelope, immunity, recovery?-acute (looks like he recovered)
c)immunity--vaccine
d)viral envelope, distinct infectivity,--chronic
e)viral env., prev. infection, distinct infectivity---chronic precore mutant?-
*time check!
___________________
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