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Continuing Medical Education Questions: September 2021

Aytaman, Ayse MD, FACG

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The American Journal of Gastroenterology: September 2021 - Volume 116 - Issue 9 - p 1831
doi: 10.14309/ajg.0000000000001418
  • Free



After this activity, the participant will be able to understand the initial evaluation of a patient with chronic hepatitis B infection and identify factors that impact surveillance and follow up of patients with chronic hepatitis B infection.


As defined by the article, which of the following is considered the most optimal initial evaluation of hepatitis B (HBV) infection?

Abbreviations: AFP, α-fetoprotein; ALT, alanine aminotransferase; anti-HAV, hepatitis A virus antibody; anti-HCV, hepatitis C virus antibody; CBC, complete blood count; HBeAb, hepatitis B e antibody; HBeAg, hepatitis B e antigen; HBV DNA, hepatitis B virus deoxyribonucleic acid; PT/INR, prothrombin time/international normalized ratio.

  • A) ALT, CBC, HBV DNA, HBeAg, HBeAb, liver imaging, and AFP testing during the first year of follow up
  • B) ALT, CBC, HBV DNA, HBeAg, anti-HCV, anti-HAV, liver imaging, and AFP testing during the first year of follow up
  • C) ALT, CBC, PT/INR, HBV DNA, HBeAg, liver imaging, and AFP testing during the first year of follow up
  • D) ALT, HBV DNA, HBeAg, and HBeAb during the first 6 months of follow up


Based on the article's statistics, which demographic in this cohort was most likely to undergo ALT, HBV DNA testing, or both, every 6–12 months?

  • A) 50-year-old man
  • B) 40-year-old woman
  • C) 70-year-old man
  • D) 65-year-old woman


Based on this article's data, which of the following chronic hepatitis B patient groups had the highest rate of hepatocellular carcinoma surveillance?

  • A) Patients with compensated cirrhosis
  • B) Patients without cirrhosis
  • C) Patients with decompensated cirrhosis
  • D) Patients over the age of 65

© 2021 by The American College of Gastroenterology