HY USMLE Q #1114 – Hepatitis serology

A 49-year-old man comes to the physician for a health maintenance examination. Laboratory studies are shown:

HepA IgM                                                                                         Negative
HepA IgG                                                                                          Positive
HepB surface antigen                                                               Negative
HepB surface antibody                                                            Negative
HepB core antibody                                                                   Positive

Which of the following is the most likely explanation for these findings?

  Hepatitis A infection
  Hepatitis B acute infection
  Hepatitis B chronic infection
  Immune to hepatitis B due to clearance
  Immune to hepatitis B due to vaccination