<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 47-year-old woman comes to the physician because of a 3-week history of generalized fatigue, mild fever, abdominal pain, and nausea. She attended the state fair over a month ago, where she tried a number of regional foods, and wonders if it might have been caused by something she ate. She has also noticed darkening of her urine, which she attributes to not drinking enough water recently. She has type 2 diabetes mellitus. She drinks 12 beers daily. She works as nursing assistant in a rehabilitation facility. Current medications include glyburide, sitagliptin, and a multivitamin. She appears tired. Her temperature is 38.1C 100.6F, pulse is 99min, and blood pressure is 11074 mm Hg. Examination shows mild scleral icterus. The liver is palpated 23 cm below the right costal margin and is tender. Laboratory studies show:Hemoglobin 10.6 gdLLeukocyte count 11600mm3Platelet count 221,000mm3SerumUrea nitrogen 26 mgdLGlucose 122 mgdLCreatinine 1.3 mgdLBilirubin 3.6 mgdLTotal 3.6 mgdLDirect 2.4 mgdLAlkaline phosphatase 72 ULAST 488 ULALT 798 ULHepatitis A IgG antibody HAV-IgG positiveHepatitis B surface antigen HBsAg positiveHepatitis B core IgG antibody anti-HBc positiveHepatitis B envelope antigen HBeAg positiveHepatitis C antibody anti-HCV negativeWhich of the following is the most likely diagnosis?? A: Inactive chronic hepatitis B infection, B: Acute hepatitis B infection, C: Active chronic hepatitis B infection, D: Resolved acute hepatitis B infection, E: Alcoholic hepatitis,  <response>: Based on the information provided in the question stem, the key findings are:- 47-year-old woman with 3 weeks of fatigue, fever, abdominal pain, nausea - Attended state fair 1 month ago, ate regional foods- Noticed dark urine, attributes to not drinking enough water- Has type 2 diabetes mellitus - Drinks 1-2 beers daily- Works as nursing assistant in rehab facility- On glyburide, sitagliptin, multivitamin- Appears tired, has fever, mild scleral icterus- Tender hepatomegaly - Lab shows: anemia, leukocytosis, thrombocytopenia, elevated liver enzymes and bilirubin, positive HAV IgG, HBsAg, anti-HBc, HBeAg, negative anti-HCVThe key finding is the positive serology showing:- HAV IgG: indicates past hepatitis A infection- HBsAg, anti-HBc, HBeAg: indicates active hepatitis B infectionThe history, physical exam, and lab findings are consistent with acute exacerbation of chronic hepatitis B infection.C: Active chronic hepatitis B infection 