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A 24-Year-Old Hospital Phlebotomist Comes to the Occupational Health Clinic

Question 131

Multiple Choice

A 24-year-old hospital phlebotomist comes to the occupational health clinic after sustaining a needlestick injury while drawing blood from a hepatitis B-positive patient.  She has no medical history and received the complete hepatitis B vaccination series prior to her hospital employment a year ago.  She is closely monitored over the next 6 months with repeat hepatitis B serologies and does not develop clinical or laboratory evidence of infection.  Which of the following mechanisms most likely explains her immunity?


A) Activated CD8+ T-lymphocyte-mediated clearance
B) Disrupted replication of the viral genome
C) Expression of interferon from infected cells
D) Impaired virion entry into hepatocytes
E) Reduced assembly of virions within the cytosol

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