Deciding to Initiate Antiviral Treatment in Patients with Chronic Hepatitis B Virus Infection

You answered:

B Liver biopsy is necessary before making a decision about initiating treatment

This answer is incorrect. Although some experts may opt to perform a liver biopsy on this patient before initiating treatment, liver biopsies are most useful in guiding treatment decisions on patients with normal serum ALT.

Choose another answer:

A Current treatment guidelines suggest that treatment is indicated for this patient.
C If the patient has compensated cirrhosis, antiviral treatment would not be indicated because it could precipitate hepatic decompensation.
D The patient should not be treated for hepatitis B, but should be periodically tested for spontaneous HBeAg seroconversion (loss of HBeAg and development of anti-HBe).

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