Q86) A patient had a closed fist injury at a bar while trying to punch his friend who he later learnt was HIV positive. The patient tells you that there was only an abrasion on his hand and all he noted on his hand was his friend’s saliva. He is very concerned. What is your next step?
A. Give HIV prophylaxis with HAART
B. Clean and debride the wound and reassure that no need for prophylaxis
C. Call surgical consult
D. Close the wound with sutures
E. Check for HIV antibody
Filed under: USMLE Test Prep |
Archer USMLE Step 3 Blog 
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The answer is B. The risk of HI v infection for this patient is negligeable. There the treatment should be limited to local wound care and reassurance
b