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MJ is a 27-year-old male who presents to a sexual health clinic requesting HIV pre-exposure prophylaxis (PrEP). He tested HIV-negative on a fourth-generation HIV test performed today. He reports approximately 300 lifetime sexual partners (both male and female) and inconsistent condom use. He was treated for gonorrhea 8 months ago and chlamydia 18 months ago.
He currently lives with a male roommate who is HIV-positive (on suppressive ART with undetectable viral load) and is a former heroin user who has been in recovery for 2 years on oral naltrexone.
No significant medical history, no current substance use.
None
BP 118/74 mmHg, HR 66 bpm, weight 76 kg, height 180 cm
| HIV Ag/Ab | negative |
| HBsAg | negative |
| Anti-HBs | >100 IU/L |
| SCr | 78 µmol/L |
| eGFR | >90 mL/min |
| RPR | non-reactive |
MJ is a 27-year-old male who presents to a sexual health clinic requesting HIV pre-exposure prophylaxis (PrEP). He tested HIV-negative on a fourth-generation HIV test performed today. He reports approximately 300 lifetime sexual partners (both male and female) and inconsistent condom use. He was treated for gonorrhea 8 months ago and chlamydia 18 months ago.
He currently lives with a male roommate who is HIV-positive (on suppressive ART with undetectable viral load) and is a former heroin user who has been in recovery for 2 years on oral naltrexone.
No significant medical history, no current substance use.
None
BP 118/74 mmHg, HR 66 bpm, weight 76 kg, height 180 cm
| HIV Ag/Ab | negative |
| HBsAg | negative |
| Anti-HBs | >100 IU/L |
| SCr | 78 µmol/L |
| eGFR | >90 mL/min |
| RPR | non-reactive |
Which of the following represents MJ’s highest risk factor for acquiring HIV?
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