Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults

Case Study Questions * According to the U.S. Preventive Services Task Force (USPSTF), which one of the following screening recommendations is appropriate for this patient? * A. Screen for HBV infection because he is at high risk. * B. Do not screen for HBV infection, but provide the first dose of the HBV vaccination series. * C. Do not screen for HBV infection because he was born in the United States. * D. Screen for HBV infection because he is at high risk of developing chronic HBV infection and dying from cirrhosis or hepatocellular carcinoma. * E. Screen for HBV infection each year because there is adequate evidence supporting an annual screening interval. * Which of the following are considered major risk factors for HBV infection? * A. Being born in a country with a prevalence of HBV infection of 2% or greater. * B. Being born between 1945 and 1965. * C. Lack of vaccination in infancy in U.S.-born persons with parents from a country or region with a high prevalence of HBV infection. * D. Moderate alcohol intake. * Which one of the following countries has a very high prevalence (8% or greater) of HBV infection? * A. China. * B. Cyprus. * C. France. * D. Hungary. * E. New Zealand. [...]this patient should be screened for HBV infection. The Centers for Disease Control and Prevention recommends that susceptible persons who are screened for HBV infection may, if indicated, receive the first dose of the HBV vaccination at the same medical visit.