Aashi
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A 45-year-old woman recently emigrated from Israel presents to the clinic with nasal discharge, weakness, nausea and vomiting, and decreased appetite for 3 weeks. She has had a low-grade temperature for a few days and has decided to come to the clinic today for antibiotics. On further questioning, she has had mild, diffuse, abdominal pain for the last month and has lost 5 lb as a result of having no appetite. She states that the abdominal pain is relieved by lying down and increases on exertion. She denies use of alcohol and smokes 1 pack of cigarettes per day but has had no desire for cigarettes over the past week. On physical examination, she is a healthy-appearing woman. Her temperature is 39.5 F, blood pressure is 135/75 mm Hg, heart rate is 78/min, and respirations are 18/min. She is anicteric and in no acute distress. There is some cervical lymphadenopathy, and the abdomen is mildly tender in the right upper quadrant.
Laboratory tests reveal the following: WBC 5,600/mm3, hemoglobin 10.8 mg/dL, hematocrit 38,8%, platelets 274,000/mm3, PT 28 seconds, INR 3.8, PTT 31 seconds, sodium 138 mEq/L, potassium 4.0 mEq/L, chloride 112 mEq/L, CO2 22 mEq/L, BUN 14 mg/dL, creatinine 0.8 mg/dL, and calcium 105 mg/dL. ALT is 382 U/L, AST is 327 U/L, and alkaline phosphatase is 121 U/L. Testing for hepatitis-C antibody is positive, hepatitis B e antigen (HbeAG) is negative, hepatis B e antibody (HbeAb) is negative, hepatitis B surface antigen (HbsAG) is negative, and hepatitis C virus (HCV) RNA is 580,000. What is the best treatment for this patient?
(A) Interferon--2b for six months
(B) Hepatitis B immunoglobulin (Ig) followed by hepatitis B virus (HBV) vaccine series
(C) Corticosteroids with morphine sulfate for pain relief
(D) Lamivudine
(E) Observation
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| robin082006
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Hepatitis C----> interferon alpha and ribavirin
Choice A
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| fox
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agree with robin
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| Aashi
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yep A 
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| DrPak
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Hep C is treated with interferon AND ribavirin. That's not there in the answer choices...
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