A 25-Year-Old Man Is Hospitalized with Fever, Anorexia, and Fatigue

question 236

Multiple Choice

A 25-year-old man is hospitalized with fever, anorexia, and fatigue.  He admits to IV drug abuse and many episodes of unprotected sex over the past few years.  His condition is treated and he is discharged from the hospital.  The patient follows up with his physician regularly over the next 8 months, and the following serologic marker dynamics are obtained (see the graph below) . *Grey bars indicate the detectable presence of the specified serum marker.This patient most likely:

• A)Had acute hepatitis B and has successfully recovered
• B)Had an exacerbation of preexisting hepatitis B
• C)Had acute hepatitis B that has progressed to chronic hepatitis with low infectivity
• D)Had acute hepatitis B that has progressed to chronic hepatitis with high infectivity
• E)Was vaccinated against HBV during the hospitalization

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Definitions:

Adjunctive Therapy

A treatment used in conjunction with the primary treatment to assist in achieving the desired outcome.

Mood Stabilizer

A psychiatric medication used to treat mood disorders that helps balance mood swings.

SSRI

Short for Selective Serotonin Reuptake Inhibitors, a class of drugs commonly used to treat depression by increasing serotonin levels in the brain.

Interpersonal Therapy

A form of psychotherapy that focuses on improving interpersonal relationships and communication patterns as a way to alleviate depressive symptoms.