question: Q:A 47-year-old woman comes to the physician because of a 3-week history of generalized fatigue, mild fever, abdominal pain, and nausea. She attended the state fair over a month ago, where she tried a number of regional foods, and wonders if it might have been caused by something she ate. She has also noticed darkening of her urine, which she attributes to not drinking enough water recently. She has type 2 diabetes mellitus. She drinks 1–2 beers daily. She works as nursing assistant in a rehabilitation facility. Current medications include glyburide, sitagliptin, and a multivitamin. She appears tired. Her temperature is 38.1°C (100.6°F), pulse is 99/min, and blood pressure is 110/74 mm Hg. Examination shows mild scleral icterus. The liver is palpated 2–3 cm below the right costal margin and is tender. Laboratory studies show:
  Hemoglobin 10.6 g/dL
  Leukocyte count 11600/mm3
  Platelet count 221,000/mm3
  Serum
  Urea nitrogen 26 mg/dL
  Glucose 122 mg/dL
  Creatinine 1.3 mg/dL
  Bilirubin 3.6 mg/dL
  Total 3.6 mg/dL
  Direct 2.4 mg/dL
  Alkaline phosphatase 72 U/L
  AST 488 U/L
  ALT 798 U/L
  Hepatitis A IgG antibody (HAV-IgG) positive
  Hepatitis B surface antigen (HBsAg) positive
  Hepatitis B core IgG antibody (anti-HBc) positive
  Hepatitis B envelope antigen (HBeAg) positive
  Hepatitis C antibody (anti-HCV) negative
  Which of the following is the most likely diagnosis?"? 
  {'A': 'Inactive chronic hepatitis B infection', 'B': 'Acute hepatitis B infection', 'C': 'Active chronic hepatitis B infection', 'D': 'Resolved acute hepatitis B infection', 'E': 'Alcoholic hepatitis'},