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Review Question - QID 106730

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QID 106730 (Type "106730" in App Search)
A 33-year-old woman comes to her primary care physician with complaints of fatigue and nausea. She has also noticed that her skin tone is darker than it used to be. On exam, the physician notes that the woman appears to be jaundiced and obtains liver enzymes which demonstrate an elevated AST and ALT. Further testing subsequently confirms the diagnosis of hepatitis B (HBV). The woman is extremely concerned about transmitting this disease to her loved ones and ask how HBV is transmitted. By which of the following routes can HBV be spread? (I) blood, (II) sexual contact, (III) maternal-fetal, and/or (IV) breastfeeding?