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HIV and STI screening — DFSRH MCQ

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HardSTI diagnosis and managementHIV and STI screeningDFSRH

A 24-year-old with a new partner attends for contraception, requests STI testing and has never had an HIV test. Which investigation should be offered?

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Correct answer: D — Offer HIV testing with exposure-site bacterial STI tests

The best answer is “Offer HIV testing with exposure-site bacterial STI tests”. NICE recommends offering and recommending HIV testing to everyone attending a specialist sexual health service for testing or treatment. The sexual history guides chlamydia and gonorrhoea sampling. Cervical cytology, urine culture, pregnancy testing and herpes serology do not substitute for an HIV test or a site-appropriate STI screen.

Reference: NICE NG60, HIV testing: increasing uptake among people who may have undiagnosed HIV: https://www.nice.org.uk/guidance/ng60