1st April 2022

A 30-year-old female presents to her GP with symptoms of a fever, malaise and a maculopapular rash

A 30-year-old female presents to her GP with symptoms of a fever, malaise and a maculopapular rash. She has no relevant past medical history. Her social history includes having a 10 pack-year smoking history, drinking 30 units of alcohol per week and occasionally using recreational drugs. On further questioning, she discloses that she began injecting drugs during the past month and sharing needles with friends. On examination, you find right upper quadrant tenderness. You decide to request initial blood tests suspecting a diagnosis of acute hepatitis B infection.

Select the SINGLE most appropriate liver function test result which would most likely suggest a diagnosis of hepatitis B from the list below. Select ONE option only.