Hepatitis B screening — DRCOG MCQ

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HardAntenatal CareHepatitis B screeningDRCOG

A 37-year-old woman is newly booked at 11 weeks and has no prior antenatal blood tests documented. What is the most appropriate investigation?

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Correct answer: E — Offer hepatitis B, HIV and syphilis screening

Offer hepatitis B, HIV and syphilis screening is the best answer because the vignette is testing Hepatitis B screening and the recommended approach is consistent with NICE NG201. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, 75 g oral glucose tolerance test; Serum prolactin; Urine pregnancy test; Full blood count would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE NG201