Gastroenterology Question 92

A 25-year-old man is evaluated in follow-up after recently testing positive for hepatitis B surface antigen. He underwent testing as part of the immigration process from Somalia. Two other siblings also have hepatitis B virus (HBV) infection.

On physical examination, he is a young, healthy-appearing man. Vital signs are normal. No jaundice is noted, and the abdominal examination is unremarkable.

Ultrasound of the upper abdomen is normal.

Which of the following is the most appropriate management?

A Administration of hepatitis B vaccine

B Administration of pegylated interferon

C Administration of tenofovir

D α-Fetoprotein measurement every 12 months

E Ultrasound imaging of the liver every 6 months

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