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Jess is about to start nursing school. She needs a blood test to see if she still has immunity from her childhood hepatitis B immunizations. Which test would you order for Jess?

Hepatitis B Blood Tests

Immune Due to Hep B Vaccination

Immune Due to Natural Infection

Acutely Infected

HBsAg—Negative

Anti-HBc—Negative

Anti-HBs—Positive

HBsAg—Negative

Anti-HBc—Positive

Anti-HBs—Positive

HBsAg—Positive

Anti-HBc—Positive

IgM Anti-HBc—Positive

1 Answer

5 votes

Final answer:

The test that would be ordered for Jess is the one that is positive for Anti-HBs and negative for the other markers. These results indicate that Jess still has immunity from her childhood hepatitis B immunizations.

Step-by-step explanation:

To determine Jess's hepatitis B immunity status, specific blood tests are crucial. If Jess received Hepatitis B vaccinations and has maintained immunity, her test results would likely show HBsAg (Hepatitis B surface antigen) as negative, Anti-HBc (antibodies to Hepatitis B core antigen) as negative, and Anti-HBs (antibodies to Hepatitis B surface antigen) as positive. These results indicate immunity due to Hepatitis B vaccination. If she had a natural infection, the results might show HBsAg as negative, Anti-HBc as positive, and Anti-HBs as positive. However, if Jess is acutely infected, her results may reveal HBsAg as positive, Anti-HBc as positive, and IgM Anti-HBc (IgM antibodies to Hepatitis B core antigen) as positive. Interpretation depends on the specific combination of these markers.

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