• Card 27 / 34: A 45 year old man has a life insurance exam, and blood tests show a mildly elevated ALT of 65. His hepatitis C antibody is positive. Which of the following most likely explains how he acquired hepatitis C?
    1.) Blood transfusion in 2003
    2.) Nasal cocaine use 25 years ago
    3.) Intravenous drug use 25 years ago
    4.) Unprotected sexual intercourse
    5.) Ingesting contaminated shellfish

    Answer:
    3.) Intravenous drug use 25 years ago

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Explanation:

The blood supply has been screened for hepatitis since 1992. The likelihood of transmission by transfusion is low. The risk of acquiring Hepatitis C is more likely via IV drug use then sexual contact or nasal cocaine use. Hepatitis C is not transmitted by a fecal-oral route.

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Gastrointestinal Pathophysiology Self-Assessment

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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