MKSAP: 25-year-old man positive for hepatitis B surface antigen

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection. On physical examination, he is a young, healthy-appearing man. Vital signs are normal. No jaundice is noted, and the abdominal examination is unremarkable. Laboratory studies: Alanine aminotransferase Normal Aspartate aminotransferase Normal α-Fetoprotein Normal Hepatitis B surface antigen Positive Hepatitis B e antibody Positive Hepatitis B e antigen Negative HBV DNA 896 IU/mL Ultrasound of the upper abdomen is normal. Which of the following is the most appropriate management? A. Administration of hepatitis B vaccine B. Administration of pegylated interferon C. Administration of tenofovir D. α-Fetoprotein measurement every 12 months E. Ultrasound imaging of the liver every 6 months Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Gastroenterology Oncology/Hematology Source Type: blogs