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Which one of the following individuals should have postvaccination testing for
levels of antibody to HBsAg (anti-HBs)? - ANSWER ✓ A 22-year-old man who
was diagnosed with HIV 18 months ago and has suppressed HIV RNA levels on
antiretroviral therapy
A 41-year-old man is seen with nausea, vomiting, fatigue, and jaundice. His main
sex partner has chronic hepatitis B virus (HBV) infection, and they regularly have
condomless sex. After an extensive evaluation, this 41-year-old is diagnosed with
acute HBV infection, but he does not have any clinical or laboratory evidence of
liver failure.
Which one of the following is recommended for the routine management of acute
HBV infection? - ANSWER ✓ Supportive care with clinical and laboratory
monitoring
A 36-year-old woman who intermittently injects methamphetamine is diagnosed
with acute hepatitis B infection. She is otherwise healthy and denies alcohol or
drug use. She asks her medical provider if she is going to have hepatitis B for the
rest of her life.
Approximately what percentage of healthy adults who acquire hepatitis B virus
(HBV) will develop chronic HBV infection? - ANSWER ✓ 5%
A 23-year-old woman recently tested positive on a pregnancy test and is seen for
her initial prenatal visit. Based on the dates of her last menstrual period, she is
estimated to be 18 weeks pregnant.
Which one of the following is recommended regarding screening for hepatitis B
virus (HBV) in pregnant people? - ANSWER ✓ All pregnant persons should be
,screened HBV screening during each pregnancy, preferably in the first trimester,
regardless of vaccination status or prior screening history.
A 34-year-old transgender woman presents to a sexual health clinic after receiving
a call today from a man she had condomless sex with 2 days ago. The man notified
her that he was just diagnosed with hepatitis B infection. The transgender woman
who has come to the sexual health clinic for evaluation has not previously received
any doses of hepatitis B vaccine.
Which one of the following should be recommended for hepatitis B virus
postexposure prophylaxis for this 34-year-old transgender woman? - ANSWER ✓
Give one dose of hepatitis B immune globulin and administer the hepatitis B
vaccine series, with the first dose of the vaccine series given now
In the United States, approximately what percentage of persons with HIV are
unaware of their HIV infection? - ANSWER ✓ 13%
Which one of the following best describes the current Centers for Disease Control
and Prevention (CDC) recommendations for HIV testing in the United States? -
ANSWER ✓ Perform routine HIV screening for all persons 13-64 years of age in
all health care settings
A 26-year-old cisgender woman is seen for her initial pregnancy visit. Based on
the dates of her last menstrual period, she is estimated to be at 16 weeks of
gestation. She is currently in a sexual relationship with a cisgender man and reports
6 lifetime sexual partners, all of whom were cisgender men.
Which one of the following is most consistent with recommendations from the
Centers for Disease Control and Prevention (CDC) regarding HIV testing in
pregnant persons? - ANSWER ✓ HIV testing should be performed in all pregnant
persons; the test should be done at the first pregnancy visit
A 32-year-old man is seen in a sexual health clinic for evaluation of purulent
urethral discharge. As part of the evaluation, the clinician recommends HIV
testing.
Which one of the following best describes Centers for Disease Control and
Prevention (CDC) recommendations regarding consent and counseling for HIV
testing? - ANSWER ✓ Written consent and counseling are not required
A 23-year-old transgender woman is seen by her primary medical care provider
for a routine visit. She has no active symptoms and no known medical problems
, other than mild eczema. She is not taking any medications. During the visit, the
medical provider suggests ordering a routine HIV screening test.
Based on Centers for Disease Control and Prevention (CDC) recommendations,
which one of the following tests is recommended as the initial HIV screening test?
- ANSWER ✓ HIV-1/2 antigen-antibody assay
A 24-year-old cisgender man is evaluated in an urgent care clinic for fever,
cervical lymphadenopathy, and a faint erythematous rash on his chest and back. He
reports condomless receptive anal sex with two male partners approximately 2
weeks prior. Tests for syphilis and mononucleosis are negative. The initial HIV-1/2
antigen-antibody immunoassay is positive, but the HIV-1/2 antibody
differentiation immunoassay is negative.
What is the most appropriate next test to order? - ANSWER ✓ HIV-1 nucleic acid
test (HIV-1 RNA assay)
A 29-year-old man is evaluated in an urgent care clinic with a 3-day history of
fever, fatigue, and lymphadenopathy. After an extensive work-up, he is diagnosed
with acute HIV infection and has an initial HIV RNA level of 887,000 copies/mL.
Additional baseline HIV laboratory studies are ordered, including a CD4 cell count
and an HIV genotypic drug resistance genotype assay.
Which one of the following strategies is recommended regarding the timing of
initiating antiretroviral therapy in this man who is diagnosed with acute HIV
infection? - ANSWER ✓ Promptly initiate antiretroviral therapy
A 19-year-old cisgender man who has sex with men is diagnosed with HIV. He is
started on antiretroviral therapy with dolutegravir plus tenofovir alafenamide-
emtricitabine. After 8 weeks, his HIV RNA level is less than 50 copies/mL. During
the next year, HIV RNA levels are consistently less than 50 copies/mL.
Which one of the following best summarizes the impact of a persistently
undetectable plasma HIV RNA level on the risk of HIV transmission through
sexual contact? - ANSWER ✓ Reduces the risk of HIV transmission to virtually
zero in heterosexual couples and in same sex male couples
A 32-year-old cisgender woman presents with a diffuse rash, fever, fatigue, and
lymphadenopathy. After a series of tests, she is diagnosed with acute HIV
infection.
Which one of the following statements is TRUE regarding the Centers for Disease
Control and Prevention (CDC) recommendations regarding HIV partner services? -