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HPV-related Anal Dysplasia — SCE Infectious Diseases MCQ

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HardHIV MedicineHPV-related Anal DysplasiaSCE Infectious Diseases

A man with well-controlled HIV has persistent high-risk anal HPV but normal cytology and no symptoms. Which surveillance approach is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Continue DARE and pathway-directed cytology or high-resolution anoscopy

Explanation lettering: B = shown as A · D = shown as B · E = shown as C · C = shown as D · A = shown as E

D is correct: high-risk HIV care uses ongoing clinical screening and pathway-directed anoscopy. A is mutilating; B does not clear infection; C and E miss continuing risk.

Reference: BHIVA malignancy guideline: https://bhiva.org/clinical-guideline/malignancy-guidelines/