A 28-year-old man presents to a Designated STI/RTI Clinic (DSRC) under NACP. He is HIV-negative on point-of-care testing. His partner was recently diagnosed with HIV. The MOST appropriate next step per NACP guidelines is:
- A Offer HIV Pre-Exposure Prophylaxis (PrEP) with TDF/FTC ✓
- B Repeat HIV testing after 6 months only
- C Initiate Post-Exposure Prophylaxis (PEP) for 28 days
- D Vaccinate for HPV and hepatitis B only
Correct answer: A. Offer HIV Pre-Exposure Prophylaxis (PrEP) with TDF/FTC
Explanation
Under NACP guidelines, HIV PrEP (Pre-Exposure Prophylaxis) with Tenofovir Disoproxil Fumarate + Emtricitabine (TDF/FTC) is recommended for HIV-negative individuals at substantial ongoing risk, including those with HIV-positive partners (serodiscordant couples). PEP is for acute post-exposure situations within 72 hours. PrEP significantly reduces HIV acquisition risk by >90% with adherence.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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