Q. A 26-year-old woman presents to your clinic with symptoms of fatigue, abdominal discomfort, and jaundice for the past 2 weeks. She has no history of blood transfusions or intravenous drug use. She is sexually active and recently changed her sexual partner a few months ago. Her vitals are normal except for a slight in temperature at 99°F (37.2°C). The physical examination shows a marked scleral icterus and tenderness in the right upper quadrant of her abdomen on palpation. Liver function tests show elevated bilirubin and liver enzymes. Serology confirms Hepatitis B infection. Based on these findings, which of the following serological patterns indicate a high infectivity state in her Hepatitis B infection?