Is PrEP Right For Me?

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| By Nycdrjoe

Nycdrjoe

Community Contributor

Quizzes Created: 1 | Total Attempts: 498

Questions: 5 | Attempts: 498 | Updated: Mar 21, 2023

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Questions and Answers

1.

PrEP (Pre-Exposure Prophylaxis) is an additional tool, together with regular condom use, to help prevent transmission of HIV. The medication currently FDA approved for PrEP is TRUVADA, a single tablet combination of 2 antiretroviral medications (tenofovir and emtricitabine) that is a cornerstone in the treatment of HIV. Several studies (e.g. iPrex and Partners PrEP) have demonstrated a substantially lower risk of HIV transmission among HIV-negative patients taking PrEP compared to HIV-negative patients not taking PrEP who each had a similar risk for exposure to HIV. Currently, no health insurance has denied coverage for PrEP but different insurances may have different prescription co-payment rates. Contact your insurance company directly to find out the monthly cost you may expect. Gilead, the pharmaceutical manufacturer of Truvada, does offer a copay assistance program to help lower the monthly cost of Truvada for patients both with and without insurance. Think you know PrEP? Time to find out……. Disclaimer: Dr. Arcuri is not a paid spokesman for Truvada or for Gilead pharmaceuticals and he has no financial disclosures to report. The information contained in this tutorial is for informational purposes only and is neither intended nor recommended to replace the advice of any individual’s primary care physician.
2.

Any of the following might happen when I take PrEP:
- A.
  
  Nausea
- B.
  
  Kidney damage
- C.
  
  Headache
- D.
  
  All of the Above
- E.
  
  None of the Above
Correct Answer
D. All of the Above

Explanation
PrEP may cause serious liver or kidney damage, but only rarely. More commonly, you may have nausea when you start PrEP that tends to get better after a week or two. You may also experience headache, stomach upset or discomfort, loose stools or some weight loss. People taking PrEP rarely have to stop because of side effects. Tell your doctor if you have these or other symptoms after starting PrEP.

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3.

Once I start taking PrEP, how often should I have STI/STD testing?
- A.
  
  Once a year
- B.
  
  Twice a year
- C.
  
  Once a month
- D.
  
  Every 3 months
Correct Answer
D. Every 3 months

Explanation
You should expect blood testing before starting PrEP, including liver and kidney function and HIV antibody. You should not start PrEP if you are newly diagnosed with HIV. Your doctor may counsel you on the pros and cons of PrEP. You should meet with your doctor about every 3 months while you’re taking PrEP. Your doctor may do regular blood tests including liver and kidney function and a comprehensive panel of STI/STD’s.

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4.

PrEP works by keeping HIV from “setting up shop” in my body if I’m exposed.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
It takes 7 days for Truvada to reach effective levels in the bloodstream. When taken daily, the medication lowers the amount of HIV in the body by stopping the HIV virus from reproducing. Some HIV can resist the effects of Truvada. The National Institutes of Health recommends consistent use of BOTH PrEP AND condoms to most effectively reduce the risk of HIV transmission.

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5.

If I take my PrEP every day, I’m 100% protected against getting HIV.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
When taken consistently, PrEP is 92-99% effective at preventing the transmission of HIV after a SIGNIFICANT HIV EXPOSURE. If you choose to stop PrEP, you should continue taking it for at least 4 weeks after your most recent significant HIV exposure. Information from the iPrex OLE (Open Label Extension) study reported at the 2014 World AIDS Conference suggests that missing even up to 3 doses of PrEP a week still offers 96% protection against HIV. Daily PrEP use increases that number to 99%. Missing more than 3 doses a week results in a considerably higher risk of getting HIV.

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6.

Everyone at high risk for HIV should take PrEP.
- A.
  
  True
- B.
  
  False
- C.
  
  I don't know
Correct Answer
C. I don't know

Explanation
There is no right answer to this question. The Centers for Disease Control has specific RECOMMENDTIONS for the use of PrEP. Nothing should replace a discussion with your doctor to determine if the potential benefits of PreP outweigh the potential risks for you.

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Current Version
Mar 21, 2023

Quiz Edited by
ProProfs Editorial Team
Jul 25, 2014

Quiz Created by
Nycdrjoe

Is Prep Right For Me?

Any of the following might happen when I take PrEP:

Once I start taking PrEP, how often should I have STI/STD testing?

PrEP works by keeping HIV from “setting up shop” in my body if I’m exposed.

If I take my PrEP every day, I’m 100% protected against getting HIV.

Everyone at high risk for HIV should take PrEP.