Acute Hepatitis A

You answered:

D The degree of the elevation in her hepatic aminotransferase levels suggests she is at risk for chronic hepatitis A infection.

This answer is incorrect. Hepatitis A is an acute illness without a carrier state or chronic phase. Peak AST and ALT levels are commonly greater than 500 units/L.

Choose another answer:

A Because serologic testing for hepatitis A antibody is likely to be negative this early in the illness, a stool or serum PCR test for HAV would best confirm a diagnosis of acute HAV infection.
B Her children are a highly unlikely source of her exposure to HAV since they have not shown any signs of jaundice.
C It is probable that her exposure to HAV occurred within the last 30 to 50 days.

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