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
True regarding hepatitis E virus is: 
Select and explain. 
A. Seen in Post transfusion cases, B. Associated with increased moality in pregnant female, C. Associated with hepatitis B virus, D. All
B: Associated with increased moality in pregnant female
Answer: B: Associated with increased moality in pregnant female 
Explanation: Answer is B (Associated with increased moality in pregnant women) Hepatitis E is associated with increased moality in pregnant women and is acquired by fecooral route. Hepatitis E is not associated with transfusion with Hepatitis B virus infection. Most common virus associated with transfusion associated hepatitis is HCV Hepatitis E is associated with increased moality in pregnant females A unique feature of Hepatitis E virus is the clinical severity and high case fatality rate of 20-40% in pregnant women, especially in the last trimester of pregnancy. Hepatitis D is associated with Hepatitis B infection and not Hepatitis E