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Pharmacology · single question

Does a patient who is HIV-positive but otherwise stable require antibiotic prophylaxis solely because of HIV status before routine dental treatment?

  1. No; HIV status alone does not require antibiotic prophylaxis unless there is severe immunosuppression/neutropenia or another specific indication
  2. Yes, always, before every procedure
  3. Yes, but only nonsteroidal medication
  4. Prophylaxis is determined by the patient's age only
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Correct answer: A. No; HIV status alone does not require antibiotic prophylaxis unless there is severe immunosuppression/neutropenia or another specific indication

Routine antibiotic prophylaxis is not indicated for HIV infection by itself; it is considered only with severe neutropenia/immunosuppression or other recognized indications (e.g., certain cardiac conditions), guided by physician consultation and lab values.Other options: Universal prophylaxis, NSAID-only regimens, and age-based rules do not reflect current guidance for HIV patients.Key exam takeaway: HIV alone does not mandate antibiotic prophylaxis; base it on immune status (e.g., neutropenia) and specific indications.

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