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CME/CE Test

Answers From the Experts: Pre-Exposure Prophylaxis in Primary Care -- An Interview Series

  1. A 32-year-old heterosexual, cisgender female patient presents at a primary care clinic complaining of burning during urination and yellow vaginal discharge. During the exam, she reports that while she is monogamous, she suspects her boyfriend may have multiple sexual partners. She states that she and her boyfriend do not use condoms during sexual encounters, and she is unsure whether her boyfriend uses condoms in other situations. In addition to providing treatment for the sexually transmitted infection (STI), which of the following is the best initial course of action to protect patient sexual health during her visit?
    Refer the patient to a sexual health clinic for treatment
    Counsel the patient to always use condoms
    Order tests for STIs only because the patient is cisgender and heterosexual
    Order tests for STIs and HIV and discuss the benefits of pre-exposure prophylaxis (PrEP)
  2. Which action represents the best team-based strategy for engaging with patients who might benefit from PrEP in a primary care setting?
    At the beginning of a session, delegate all discussions about sexual history to medical assistants
    At the beginning of a session, provide patients with pamphlets about safe sex and types of protection
    At the end of a session, refer patients in at-risk categories to an infectious disease specialist to discuss PrEP
    At the end of a session, provide a bridge to a provider on your team who is knowledgeable about PrEP
  3. Which patient is not a potential candidate for PrEP?
    A 14-year-old male patient with a recent negative STI test and unknown sexual history
    A 23-year-old female patient who has controlled HIV and multiple sexual partners
    A 31-year-old transgender female patient with a recent negative HIV test and 1 sexual partner
    A 62-year-old male patient with controlled herpes infection and 1 sexual partner