A young man with anorexia, nausea, and brown urine


Question Number 1193
Question:
A young man with anorexia, nausea, and brown urine is thought to have acute viral hepatitis following hepatitis B infection.Screening serologic studies show that IgM anti-HBV core AB is positive.
Which of the following mechanisms is likely to explain the hepatic injury in this patient?

a) Direct injury by viral surface antigen
b) hepatocyte lysis by IgM antibody to viral core antigen
c) obstruction of the microcirculation of the liver by B lymphocytes
d) disruption of the hepatocyte membrane by the hepatitis B virus
e) T lymphocyte-mediated lysis of infected hepatic cell


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