A pregnant women presents for prenatal care. Her past medical history is significant for a severe illness 3 years ago characterized by fatigue, nausea, anorexia, vomiting, jaundice, joint pains, and generalized skin lesions that slowly disappeareD. She has felt well recently. Which lab test should be ordered to investigate the patient's past illness?
The woman had acute hepatitis in the past. To determine whether it is resolved or persisted, one should test for HbsAg. Definition of chronic hepatitis is presence of HBsAg for >6months.
Hepatitis B surface antigen (HBsAg)
IgG cytomegalovirus (CMV) antibody levels
IgM antibody to HBsAg
IgM antibody to hepatitis B core antigen