This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: AIIMS 2017, Subject name: Medicine
Asymptomatic hep B is common in 2-3% normal population, but there is increased risk of transmission into hepatocellular carcinoma. Why? 
Select and explain. 
A. Inability to induce inflammation to remove the organism, B. High level of transaminases, C. High rate of proliferation of virus, D. Integration of viral DNA with host DNA
D: Integration of viral DNA with host DNA
Answer: D: Integration of viral DNA with host DNA 
Explanation: Option A- Explanation for carrier stage Option C- Refers to high infectivity of the virus so basically higher chances of infection but not cancer. Option D- This leads to inhibition of apoptosis so might cause cancer of liver (HCC)