1. According to the 2021 Centers for Disease Control and Prevention (CDC) Updated PrEP Guidelines with which of the following sexually active individuals should you discuss preexposure prophylaxis (PrEP) for HIV prevention?

2. Ricardo is a 55-year-old MSM who has been coming to your pharmacy for years. While picking up some over-the-counter medication he tells you that he has recently started dating again. You engage him in a conversation about HIV prevention and PrEP. Ricardo is interested and says that the last time he had blood work done his lipids looked good and his creatinine was 55 (he says that he remembered the number because it was the same as his age, ie, 55 mL/min/1.73 m2). If this is true once you perform the lab work necessary prior to initiating oral PrEP, which of the following medications will you recommend for Ricardo?

3. According to the 2021 CDC Updated PrEP Guidelines, for a patient participating in receptive vaginal/front hole sex, should be advised that the time from beginning treatment to protection (maximum concentration) with oral TDF/FTC PrEP therapy is:

4. The recently FDA-approved, injectable PrEP medication cabotegravir, has an administration schedule (direct to injection; ie, without oral lead in) of:

5. Kevin is a 28-year-old man MSM from Portland, Oregon, who has recently started daily oral TAF/FTC PrEP therapy. His baseline labs at treatment initiation were all normal. He returns to your clinic for routine monitoring every 3 months. He asks you what lab tests you plan to do today. You explain to him that according to the 2021 CDC Updated PrEP Guidelines, every 3 months you need to obtain which of the following lab test(s) before refilling his 90-day prescription?

6. Janine, who has been injecting drugs for 5 years, comes to the pharmacy on Tuesday afternoon. She is worried that she might have been exposed to HIV. While answering your risk-assessment questions, she explains that on Friday evening she shared needles with someone she did not know very well. On Tuesday morning a woman told her, “Everyone knows that guy has HIV.” Based on CDC guidelines for postexposure prophylaxis (nPEP) initiation, do you recommend nPEP for Janine?

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