A 19-year-old university student presents 36 hours after condomless receptive anal intercourse with a partner whose HIV status is unknown. He has no s...

Question

A 19-year-old university student presents 36 hours after condomless receptive anal intercourse with a partner whose HIV status is unknown. He has no symptoms and normal renal function. According to the Canadian guideline on HIV PrEP and nPEP, what is the best management?

Accepted Answer

Initiate a 28-day course of triple-drug non-occupational PEP as soon as possible and arrange follow-up testing

Answer

Reassure him; post-exposure prophylaxis is ineffective after 24 hours

Answer

Wait for the partner to undergo HIV testing before prescribing anything

Answer

Offer a single dose of antiretrovirals in the emergency department

Answer

Offer only HIV pre-exposure prophylaxis (PrEP) starting in 1 month

ca-mccqe1 MCQ (SBA): HIV post-exposure prophylaxis

A 19-year-old university student presents 36 hours after condomless receptive anal intercourse with a partner whose HIV status is unknown. He has no symptoms and normal renal function. According to the Canadian guideline on HIV PrEP and nPEP, what is the best management?