A 42-Year-Old Woman Comes to the Office with Worsening Fatigue

question 25

Multiple Choice

A 42-year-old woman comes to the office with worsening fatigue and dark yellow urine.  She also has anorexia, nausea, mild abdominal pain, and malaise.  The patient is uncertain as to when her symptoms began but felt normal during her vacation 4 weeks ago.  She has no known medical problems and does not take any medications.  The patient does not use alcohol, tobacco, or illicit drugs.  She has had unprotected sexual intercourse with 6 different partners within the past year.  The patient does not remember getting a hepatitis B vaccination.  Laboratory results are as follows: Which of the following is the most appropriate test to diagnose hepatitis B infection in this patient?

• A)HBcAg
• B)HBeAg
• C)HBsAg and anti-HBs
• D)HBsAg and IgM anti-HBc
• E)Hepatitis B virus DNA

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Definitions:

Group Polarisation

Describes the tendency of a group to make decisions that are more extreme than the initial inclination of its members, often leading to riskier or more conservative positions.

Prejudice

Preconceived opinion or bias against an individual or group without adequate knowledge, reason, or experience, often based on stereotypes.

Stereotype

A widely held but fixed and oversimplified image or idea of a particular type of person or thing.

Physical Appearance

The outward characteristics or look of a person or object, including features such as shape, color, and form.