Question 3 / 30:  A 46 year old patient is referred for evaluation of abnormal liver function tests. The ALT is elevated at 115 U/l. His prior physician informed him that he has chronic hepatitis B

and C. The physician also said that the hepatitis B is inactive (not actively replicating) and therefore medical therapy is not indicated.

Which of the follow sets of viral hepatitis serologies is most likely in this patient?

Hepatitis BHepatitis BHepatitis B coreHepatitis B eHepatitis B eHepatitis C
surface antigensurface antibodyIgM antibodyantigenantibodyantibody
ANegativePositivePositivePositiveNegativePositive
BPositiveNegativePositivePositiveNegativePositive
CPositiveNegativeNegativeNegativePositivePositive
DPositiveNegativeNegativePositiveNegativePositive
ENegativePositiveNegativeNegativePositiveNegative

A  Negative Positive Positive Positive Negative Positive
B  Positive Negative Positive Positive Negative Positive
C  Positive Negative Negative Negative Positive Positive
D  Positive Negative Negative Positive Negative Positive
E  Negative Positive Negative Negative Positive Negative
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Gastrointestinal Pathophysiology Exam 2006

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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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