A 37-year-old man who emigrated from China 5 years ago presents for a periodic health examination. He has no symptoms and normal liver enzymes. There ...

Question

A 37-year-old man who emigrated from China 5 years ago presents for a periodic health examination. He has no symptoms and normal liver enzymes. There is no documentation of prior hepatitis B testing or vaccination. According to Canadian hepatitis B screening recommendations, what is the most appropriate next step?

Accepted Answer

Order hepatitis B surface antigen (HBsAg), anti-HBs and anti-HBc serology

Answer

No testing is required because he is asymptomatic

Answer

Order hepatitis B viral load (HBV DNA) alone

Answer

Give a full hepatitis B vaccine series without testing

Answer

Order liver ultrasound only

ca-mccqe1 MCQ (SBA): Hepatitis B screening in immigrants