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Low-Risk Needlestick — RACP Adult Medicine MCQ

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EasyInfectious DiseasesLow-Risk NeedlestickRACP Adult Medicine

A 50-year-old healthcare worker sustains a superficial scratch (no bleeding) from a needle used on a patient with undetectable HIV viral load on ART. Her baseline HIV test is negative. What is the most appropriate management?

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Correct answer: E — No PEP required

A superficial scratch with no significant exposure (no deep penetrating injury, no visible blood) from a source patient with undetectable viral load represents negligible risk. PEP is not recommended in this scenario. Wound care and reassurance are appropriate. Follow-up testing may be offered for reassurance.

Reference: ASHM – 2024 – HIV PEP Guidelines