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PEP timing — DFSRH MCQ

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ModerateSTIsPEP timingDFSRH

A 26-year-old presents 36 hours after condomless receptive anal sex with a partner later disclosed to have detectable HIV viral load. He is HIV negative on a point-of-care test. What is the most appropriate management?

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

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Correct answer: D — Urgent HIV PEP assessment and initiation if indicated

PEP should be assessed and started promptly, ideally within 24 hours and no later than 72 hours, when indicated. A negative test today does not exclude very recent acquisition but provides baseline status. PrEP discussion can follow after the acute episode.

Reference: BASHH Guidelines; NICE CKS; UKHSA STI guidance; BNF