Preventing HIV with antiretrovirals - Trip Gulick, MD/ Trip Gulick, MD

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IDBR Infectious Disease Board Review

John Bennett, MD / Henry Masur, MD

22 episodes

6 days ago

The Infectious Disease Board Review (IDBR) Course is designed to help physicians prepare for the American Board of Internal Medicine (ABIM) Infectious Disease certification/recertification exam. This comprehensive review features exam-focused lectures presented by the Nation’s leading infectious disease experts, case-based reviews, online practice exams featuring over 500 ABIM-style and photo-based questions, and additional study guides and primers. https://www.idbrcourse.org/

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Preventing HIV with antiretrovirals - Trip Gulick, MD/ Trip Gulick, MD

IDBR Infectious Disease Board Review

2 minutes 41 seconds

1 year ago

Preventing HIV with antiretrovirals - Trip Gulick, MD/ Trip Gulick, MD

A 58-year-old HIV- negative gay man is evaluated for PrEP. His past medical history is notable for hypertension, treated for over 10 years with an ACE inhibitor. He is asymptomatic and weighs 145 lbs.

He is sexually active with multiple partners but “usually” practices safe sex.

Lab studies reveal: HIV 4th generation test negative, HIV-1 RNA negative, CBC normal, creatinine 1.4 with a

calculated creatinine clearance of 48 ml/min.

What do you recommend for PrEP?

A. No PrEP

B. Tenofovir disoproxil fumarate/emtricitabine 1 pill daily

C. Tenofovir disoproxil fumarate/emtricitabine 1 pill every other day

D. Tenofovir alafenamide/emtricitabine 1 pill daily