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Acute HIV Seroconversion — SCE Infectious Diseases MCQ

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HardSTIsAcute HIV SeroconversionSCE Infectious Diseases

A patient is diagnosed with acute HIV infection after a recent sexual exposure. Which additional baseline sexual-health assessment is required?

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

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Correct answer: C — Test for syphilis, hepatitis B virus and hepatitis C virus, and gonorrhoea/chlamydia at every exposed anatomical site while assessing partner-notification needs with review

The best answer is “Test for syphilis, hepatitis B virus and hepatitis C virus, and gonorrhoea/chlamydia at every exposed anatomical site while assessing partner-notification needs with review”. The exposure can transmit multiple infections simultaneously; anatomical-site testing and viral-hepatitis assessment affect immediate treatment, vaccination and partner care. “Test for syphilis alone because HIV excludes bacterial coinfection” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “Defer STI testing until viral suppression is achieved” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “Use urine NAAT alone across pharyngeal and rectal exposure” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “Omit hepatitis testing because antiretroviral therapy treats viral hepatitis” is less appropriate because it conflicts with the decisive clinical feature or cited guidance.

Reference: BHIVA adult HIV testing guideline: https://bhiva.org/clinical-guideline/hiv-testing-guidelines/