Virology USMLE Step 1 Practice Question
A 19-year-old army recruit presents with jaundice and malaise. Vital signs show BP 118/76 mmHg, HR 88 bpm, RR 16/min, temperature 37.2°C, SpO2 98% on room air. Serum analysis reveals elevated ALT 520 U/L, total bilirubin 3.2 mg/dL, HBsAg positive, anti-HBc positive, and HBeAg positive. Anti-HBs is negative. Abdominal ultrasound shows no cirrhotic changes. What is this recruit's hepatitis B status?
Answer choices
- AFulminant hepatitis B
- BVaccinated against HBV
- CAsymptomatic carrier
- DRecovered from acute self-limited HBV
- EActive carrierCorrect answer
- FChronic hepatitis B with resolved infection
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