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A 44-Year-Old Man Comes to the Office Due to Concern

question 299

Multiple Choice

A 44-year-old man comes to the office due to concern for hepatitis infection. The patient donated blood at an office blood drive event, and a few days later received a letter saying that hepatitis testing performed on his sample was positive. He has no chronic medical issues and feels healthy. He takes no medications. The patient does not smoke cigarettes and drinks alcohol at social events. He used injection drugs for several years in his 20s but not since then. He is in a monogamous relationship with his wife, who is also healthy. The patient works in a car dealership and is fairly active. Family history is significant only for hypertension in his father. Vital signs are normal. The sclerae are anicteric and mucous membranes are moist with no lesions. No lymphadenopathy is present. Lung fields are clear to auscultation and heart sounds are normal with no murmur. The abdomen is soft, nondistended, and nontender. There is no hepatomegaly or splenomegaly. He has no skin rash or extremity edema. Laboratory results are as follows: Which of the following is the best next step in management of this patient?

Definitions:

Complex Carbohydrates

Carbohydrates consisting of long chains of sugar molecules, including fiber and starches, which provide sustained energy and aid in digestive health.

Sugar Units

Basic building blocks of carbohydrates, consisting of simple sugars like glucose or fructose.

Lactose Sensitive

Lactose sensitive individuals have a reduced ability to digest lactose, a sugar found in milk and dairy products, often leading to gastrointestinal symptoms upon consumption.

Mild Intolerance

A condition characterized by a slight adverse reaction to certain foods, substances, or environmental factors, not typically as severe as an allergy.