Infection Control · single question

A patient who has been VACCINATED against Hepatitis B (immune, never infected) shows which serology?

  1. Anti-HBs positive (HBsAg negative, anti-HBc negative)
  2. HBsAg positive
  3. Anti-HBc positive
Show answer and explanation

Correct answer: A. Anti-HBs positive (HBsAg negative, anti-HBc negative)

  • A. Correct. Vaccination produces isolated anti-HBs (surface antibody) positivity, with HBsAg and anti-HBc (core antibody) negative — indicating immunity without prior infection.
  • B. Incorrect. HBsAg (surface antigen) positivity indicates active infection, not vaccination.
  • C. Incorrect. Anti-HBc (core antibody) indicates natural infection/exposure; it is NOT produced by the vaccine.

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