AANP Lightning Round Practice Test 2026 - Free AANP Practice Questions and Study Guide

Hepatitis A is spread primarily through the fecal-oral route, meaning the virus is ingested via contaminated food or water. This often occurs when food handlers with poor hand hygiene contaminate food, or when people consume water or shellfish sourced from contaminated waters. Because the main route is ingestion of virus from fecal matter, contaminated food and water is the best description. It is not typically spread through blood or sexual activity, nor via airborne droplets or simple direct skin contact. Vaccination is available and provides strong protection.