A 32-year-old man who has sex with men requests HIV prevention. HIV Ag/Ab test today is negative; CrCl 95 mL/min; hepatitis B immune. Best next step?...

Question

A 32-year-old man who has sex with men requests HIV prevention. HIV Ag/Ab test today is negative; CrCl 95 mL/min; hepatitis B immune. Best next step?

Accepted Answer

Start daily oral TDF/FTC after confirming negative HIV test and CrCl ≥60 mL/min

Answer

Start TAF/FTC (Descovy) on-demand before each exposure

Answer

Start TDF/FTC without HIV testing

Answer

Start raltegravir monotherapy

Answer

Defer PrEP; risk counseling only

us-usmle-step-2 MCQ (SBA): HIV PrEP