35-year-old Man in Medicine / Internal Medicine — 35yo Man | Hepatology | SMLE Q#1230

SMLE Question #1230

Medicine / Internal Medicine Hepatology

Objective: OBJ-HEP-01

Last updated: February 2026
A 35-year-old man is found to be HBsAg-positive on repeated testing over 6 months. He emigrated from an HBV-endemic region 10 years ago and has never had an HBV workup or treatment. He has no known cirrhosis, denies alcohol misuse, and is not taking antiviral therapy. Physical examination is unremarkable. What is the most appropriate next step in management?

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