A 40-Year-Old Man Comes to the Clinic After Having an Abnormal

question 288

Multiple Choice

A 40-year-old man comes to the clinic after having an abnormal laboratory evaluation during a blood donation program.  He had hepatitis B serologies as follows: The patient has the same results on repeat testing at the office.  He is concerned that he has a serious liver disease that needs to be treated.  What is the next best step in management of this patient?

• A)Measure IgM anti-HBc and liver enzyme levels
• B)Measure serum HBcAg
• C)Perform right upper quadrant ultrasound
• D)Reassure the patient that he is immune from prior hepatitis B vaccination
• E)Tell the patient that he has developed chronic hepatitis B infection

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Definitions:

Mediator

A third party in an employment dispute who meets with one party and then the other to suggest compromise solutions or to recommend concessions from each side that will lead to an agreement.

Collective Agreements

Legal contracts between employers and a group of employees, often represented by a union, that outline the terms of employment.

Economic Reasons

Justifications or motivations based on financial or economic factors that influence decisions or policies.

Organize

The act of arranging or structuring elements in a systematic way, often to achieve specific goals or efficiencies.