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A 40-Year-Old Man Comes to the Office with Concern of HIV

question 679

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A 40-year-old man comes to the office with concern of HIV infection.  The patient had unprotected anal intercourse with a new partner during a business trip a month ago.  A few days after the encounter, the patient learned that the partner was HIV positive.  The patient immediately visited an urgent care clinic and was tested for HIV using a combination p24 antigen/HIV-antibody immunoassay.  Although the test was negative and he has no symptoms, the patient feels anxious about the possibility of infection.  He has no prior medical problems and takes no medication.  The patient drinks alcohol on social occasions but does not use tobacco or illicit drugs.  Temperature is 37.1 C (98.8 F) , blood pressure is 130/70 mm Hg, and pulse is 80/min.  No oropharyngeal erythema, exudate, or ulcers are present.  Lung auscultation is unremarkable and heart sounds are normal.  The abdomen is soft and nontender with no organomegaly.  Bowel sounds are normal.  No anal ulcers are present and genital examination is normal.
Which of the following is the most appropriate next step in management of this patient's concern about HIV infection?


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A marketing strategy that focuses on spreading information and opinions about a product or service from person to person, especially by using unconventional means such as the Internet or email, to influence.

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A business strategy that combines mass customization with personalized marketing to meet the specific needs of individual customers.

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A pricing strategy where prices are adjusted in real-time based on supply and demand, market conditions, and customer behavior.

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