1. A 30-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-hepatitis A virus (HAV) antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
2. A 25-year-old woman presents with 2 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
3. A 40-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
4. A 35-year-old woman presents with 3 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
5. A 45-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
6. A 30-year-old woman presents with 2 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
7. A 40-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
8. A 35-year-old woman presents with 3 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
9. A 45-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
10. A 30-year-old woman presents with 2 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
11. A 40-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
12. A 35-year-old woman presents with 3 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
13. A 45-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine
14. A 30-year-old woman presents with 2 days of fever, malaise, and dark urine. Physical examination is notable for jaundice. Laboratory testing reveals elevated bilirubin and transaminases. IgM anti-HAV antibodies are positive. Which of the following is the most likely source of infection?
A. Contaminated food or water
B. Intravenous drug use
C. Unprotected sexual contact
D. Occupational exposure
E. Travel to endemic area
15. A 40-year-old man presents with 1 week of nausea, vomiting, and abdominal pain. Physical examination reveals scleral icterus and hepatomegaly. Laboratory testing shows elevated transaminases and positive IgM anti-HAV antibodies. Which of the following is the most appropriate management?
A. Initiate treatment with pegylated interferon and ribavirin
B. Initiate treatment with lamivudine
C. Recommend hospitalization and supportive care
D. Recommend hepatitis A vaccine
E. Recommend hepatitis B vaccine