This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'All of the following should be included during preliminary evaluation of a case of suspected Acute viral hepatitis except: \nSelect and explain. \nA. Hbs Ag, B. IgM anti HBc, C. Anti-HCV, D. IgM anti HBe', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Answer is D (IgM anti HBe) If a clinical diagnosis of acute viral hepatitis (of any type) is suspected, the patient should undergo the following four serological tests. HBsAg - To detect hepatitis B infection IgM Anti HBc - To detect whether the hepatitis B infection is acute or chronic. IgM Anti HAV - To establish the presence of acute hepatitis A infection. Anti HCV - To establish the presence of acute hepatitis C infection. Simplified Diagnostic Approach in Patients Presenting with Acute Hepatitis - Harrison HbsAg IgM Anti-HAV IgM Anti-HBc Anti-HCV Diagnostic Interpretation 4- - + Acute hepatitis B + - - Chronic hepatitis B + 4- - Acute hepatitis A superimposed on chronic hepatitis B + + + - Acute hepatitis A and B - + - Acute hepatitis A and B (HBs Ag below detection threshold) - + - Acute hepatitis B (HbsAg below detection threshold) - - + Acute hepatitis C', 'role': 'assistant'}]