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Case 9

Results of Gina’s blood tests from Case 8
Rubella serology = negative
HBsAg, and anti-HBc= positive; anti-HBs= negative
VDRL= negative
HIV- reverse transcriptase PCR = negative
CMV serology = positive
Toxoplasma serology= negative
VZV serology= positive


After questioning her further you discover she had jaundice about 4 years ago. Her old chart reveals she was positive for HBsAg and anti-HBc and negative for anti-HBs.

Which stage of Hepatitis B infection is Gina currently experiencing?

  1. acute hepatitis
  2. the window period of hepatitis
  3. convalescense
  4. chronic hepatitis
  5. she never had hepatitis


After discussing Gina’s tests further she mentions being very concerning about giving her baby hepatitis. Which test, if positive, would indicate that she is more likely to give her child hepatitis?

  1. HBsAg
  2. anti-HBs
  3. anti-HBc
  4. HBeAg
  5. anti-Hbe

You are also concerned about her negative Rubella titer and suggest she receive a vaccine to prevent problems in her future child. What vaccine would you suggest she receive?

  1. DTaP
  2. Hib
  3. Hep B
  4. MMR
  5. VZV vaccine

About how long should she wait before getting pregnant after receiving this vaccine (from above) and why should she wait?

  1. no wait needed; it is not a live vaccine
  2. no wait needed; it is a live vaccine
  3. 2 weeks; it is not a live vaccine
  4. 2 weeks; it is a live vaccine
  5. 4 weeks; it is not a live vaccine
  6. 4 weeks; it is a live vaccine

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Site Last Revised 11/12/13
Neal Chamberlain, PhD. A. T. Still University of Health Sciences/Kirksville College of Osteopathic Medicine.

Take Care and Think Microbiologically!