HIV in Primary Care

Question 1

When is the viral load of HIV the highest?

Answer 1

Acute Phase and Without Treatment

Question 2

Everyone in what age range should get test for HIV at least once as part of routine health care.

Answer 2

13 - 64

Question 3

What approach to HIV test has proven to be highly effect because it reduces stigma, fosters early diagnosis and treatment, reduces the chances of transmission, and is cost-effective.

Answer 3

Opt-Out Approach

Question 4

What is the preferred test that looks for the actual RNA of the virus and can detect HIV sooner than any other types of tests?

Answer 4

Nucleic Acid Tests (NAT)

Question 5

Anti-retroviral medication used to prevent HIV

Answer 5

Pre-Exposure Prophylaxis (PreP)

Question 6

What baseline assessments are required for individuals who are beginning PrEP?

Answer 6

HIV Testing
STI Testing
Kidney Function
Hepatits B Serology
Lipid Profile

Question 7

What PrEP medications are recommend to prevent HIV among all people with sex or drug injection risk factors?

Answer 7

Emtricitabine (F) + Tenofovir Disoproxil Fumarte (TDF)
(Truvada)

Question 8

What PrEP medications are recommended to prevent HIV in men who have sex with men?

Answer 8

Emtricitabine (F) + Tenofovir Alafenamide (TAF)
(Descovy)

Question 9

What PrEP medication is recommended to patients at risk of HIV via injection and to prevent HIV among all people at risk through sex?

Answer 9

Cabotegravir (CAB)
(Apretude)

Question 10

How often should patients taking PrEP should receive a HIV Nucleic Acid Test and be assessed for signs and symptoms?

Answer 10

Every 3 months

Question 11

How often should patients taking PreP have their eCrCl monitored if they are or 50 years old or who had a eCrCL of less than 90mL/min when they started PrEP?

Answer 11

Every 6 months

Question 12

How often should all patients continuing to take PrEP be monitored for their eCrCl and Triglyceride and Cholesterol levels?

Answer 12

Every 12 months

Question 13

How do you manage a patient who gets HIV while taking PrEP?

Answer 13

Once Lab Tests have confirmed HIV:
- Initiate treatment or refer for comprehensive care
- Counsel the patient about how to prevent transmission
- Report the new infection to the local health department

Question 14

What is the treatment for patients with HIV?

Answer 14

Antiretroviral Therapy:
Bictegravir + Emtricitabine + Tenofovir alafenamide
(Biktarvy)

Question 15

When should you check the Viral Load of a Patient with HIV that is Initiating ART?

Answer 15

Before Initiation
Within 2 - 4 weeks of treatment initiation
Every 4 - 8 weeks until it is undetectable

Question 16

When should you check Viral Load of a Patient with HIV after they had their ART Medications modified?

Answer 16

Within 2 - 4 weeks of modification
Every 4 - 8 weeks until it is undetectable

Question 17

When should you check the Viral Load of a Patient with HIV after they had a regimen change in their ART medications due to toxicity or need for simplification?

Answer 17

Within 4 - 8 weeks of changing the therapy

Question 18

When should you check the Viral Load of a patient on stable, suppressive, ART regimen?

Answer 18

Every 3 - 4 months
or
Every 6 months if virally suppressed for more than 2 years

Question 19

Medication used to prevent HIV after a potential exposure.

Answer 19

Post-Exposure Prophylaxis (PEP)

Question 20

How soon after exposure to HIV can it establish infection?

Answer 20

24 - 36 hours

Question 21

How many hours do you have after an HIV exposure to start PEP?

Answer 21

72 hours

Question 22

What tests should you obtain for a patient that you will be prescribing Post-Exposure Prophylaxis for HIV?

Answer 22

HIV Rapid Test
Pregnancy Test
Liver Enzyme
Blood Urea Nitrogen and Creatinine
STI
Hepatitis B and C