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Medical Question of the Day- 19

by Dr Ray Makar 28 Comments




An 18-year-old male complains of nausea and slight icterus for 2 weeks. Medical, surgical and family histories are unremarkable. Physical examination reveals slight jaundice and tenderness on the right upper side of the abdomen. Laboratory findings include positive IgM anti-HAV and marked elevation of ALT and AST levels.

What is the appropriate management of this patient at this time?

A- Acyclovir

B- Famciclovir

C- HBV vaccine

D- Interferon alfa

E- Supportive treatment

Answer




This is a 2-step question which is common in USMLE and other board examinations. The first step is to find the diagnosis which is viral hepatitis A, confirmed by positive IgM anti-HAV. The other step is management which is supportive treatment. Acute hepatitis A is a self-limited disease and complete recovery occurs in most patients. Other answer choices are not treatment options for acute hepatitis A infection.

The correct answer is E







Filed Under: Question of the Day Tagged With: medical, medicine, repeated usmle questions, usmle, usmle questions, usmle step 1

Reader Interactions

Comments

  1. Dr Ray Makar says

    December 27, 2019 at 9:58 pm

    Thank you Dr Neeraj

  2. Neeraj says

    December 27, 2019 at 9:53 pm

    E

  3. Dr Ray Makar says

    January 22, 2019 at 10:31 pm

    Thank you Mujahid

  4. MUJAHID ABBASI says

    January 19, 2019 at 1:06 am

    B

  5. Dr Ray Makar says

    October 27, 2018 at 8:55 am

    Thank you Zunaira

  6. Zunaira says

    October 27, 2018 at 4:52 am

    Supportive treatment

  7. Dr Ray Makar says

    October 26, 2018 at 10:48 pm

    Thank you Wai

  8. Dr Ray Makar says

    October 26, 2018 at 10:48 pm

    Thank you Maged

  9. Dr Ray Makar says

    October 26, 2018 at 10:48 pm

    thank you Miracle

  10. wai aung says

    October 26, 2018 at 10:02 pm

    E,supportive treatment

  11. Maged Amin says

    October 23, 2018 at 5:03 am

    E

  12. Miracle Oparah says

    October 21, 2018 at 10:00 pm

    E

  13. Dr Ray Makar says

    October 20, 2018 at 3:55 am

    Thank you Ayaz

  14. Ayaz says

    October 20, 2018 at 3:42 am

    E

  15. Dr Ray Makar says

    October 19, 2018 at 11:00 am

    Thank you Ayash

  16. Ayash says

    October 19, 2018 at 10:58 am

    E

  17. Dr Ray Makar says

    October 19, 2018 at 10:00 am

    Thank you Fahima

  18. Dr Ray Makar says

    October 19, 2018 at 10:00 am

    Thank you Ahmed

  19. Dr Ray Makar says

    October 19, 2018 at 10:00 am

    Thank you Kamal

  20. Fahima says

    October 19, 2018 at 7:49 am

    E

  21. Ahmed Elmaghawry says

    October 19, 2018 at 4:24 am

    The answer is E

  22. Kamal Ali says

    October 19, 2018 at 3:04 am

    E
    Hepatitis A

  23. Dr Ray Makar says

    October 19, 2018 at 2:02 am

    Thank you Gaurav

  24. Gaurav says

    October 19, 2018 at 1:40 am

    E.

  25. Dr Ray Makar says

    October 18, 2018 at 11:16 pm

    Thank you Kamel

  26. Kamel says

    October 18, 2018 at 10:23 pm

    E

  27. Dr Ray Makar says

    October 18, 2018 at 9:30 pm

    Thank you Mariam

  28. Mariam says

    October 18, 2018 at 9:22 pm

    E

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