HIV Case Studies Quiz

A 32-year-old man with no comorbidities or medications. Just tested positive for HIV for the first time.

• TDF/3TC/DTG

• TAF/FTC/BIC

• TAF/FTC/DTG

• 3TC/DTG

A 52-year-old man with hyperlipidemia, pulmonary TB and newly diagnosed HIV.

PMH: Hyperlipidemia: on atorvastatin; TB: on IRZE

Just tested positive for HIV for the first time. Team is ready to start ART for HIV Viral load, CD4, and other information is pending.

• TDF/FTC/EFV

• TDF/FTC + DRV/r

• ABC/3TC + EFV

• TDF/3TC/DTG + DTG

A 48-year-old woman with viremia.

Last regimen: TDF/FTC/EFV.

She does not adhere due to dizziness.

• TDF/FTC + DRV/r

• TAF/FTC + DRV/r

• TDF/3TC/DTG

• TDF + AZT + DTG

A 68-year-old man with HIV, currently receiving TAF/FTC/DTG.

Multiple comorbidities: CAD (s/p STEMI and PCI in 2022), HTN, DLP, and DM.

Worried about his heart and wants to get “back on track”

• TAF/FTC/DTG

  • + lower MFM dose

• TDF/3TC/DTG

  + lower MFM dose

• TAF/FTC/BIC

  • + lower MFM dose

• TAF/FTC/DRV/c

Which of the following 2-drug regimens has NO supporting evidence for ART optimization?

• 3TC + DTG

• RPV + DTG

• DRV/r + DTG

• EFV + DTG