A 32-year-old woman presents 24 hours after a condom break during receptive vaginal intercourse with a partner known to be HIV-positive with an unknow...

Question

A 32-year-old woman presents 24 hours after a condom break during receptive vaginal intercourse with a partner known to be HIV-positive with an unknown viral load. She has no contraindications to antiretroviral therapy. According to Canadian HIV PrEP/nPEP guidelines, what is the most appropriate management?

Accepted Answer

Offer non-occupational HIV post-exposure prophylaxis (nPEP) for 28 days and arrange baseline and follow-up HIV testing.

Answer

Reassure her that post-exposure prophylaxis is not indicated after vaginal intercourse.

Answer

Wait for the partner's viral load result before deciding on post-exposure prophylaxis.

Answer

Recommend HIV testing in 6 months only, without prophylaxis.

Answer

Offer HIV pre-exposure prophylaxis (PrEP) only and no post-exposure regimen.

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