A 27-year-old man has sex with men and was treated twice for rectal gonorrhea in the past year. HIV antigen-antibody testing is negative, creatinine

Question

A 27-year-old man has sex with men and was treated twice for rectal gonorrhea in the past year. HIV antigen-antibody testing is negative, creatinine is normal, and hepatitis B serologies show immunity. Which of the following is the most appropriate next step in management?

Accepted Answer

Prescribe HIV preexposure prophylaxis

Answer

Recommend condom counselling without medication

Answer

Repeat HIV testing in 5 years

Answer

Start antiretroviral therapy for HIV infection

Answer

Give single-dose azithromycin monthly

HIV prevention — USMLE Step 3 MCQ

A 27-year-old man has sex with men and was treated twice for rectal gonorrhea in the past year. HIV antigen-antibody testing is negative, creatinine is normal, and hepatitis B serologies show immunity. Which of the following is the most appropriate next step in management?