Mr Adam is 29 years old. You are his GP - Dr. Jo. Mr Adam has been married for 6 years to his wife, Maria, and has two children – Sarah aged 1, and Amanda aged 5.

Today, Mr Adam presents with a sore throat. He also has multiple rashes all over his body. You examine him and find that his mouth and pharynx are covered in what appears to be white plaques. You suspect Candida. He also has a vesicular rash in three different dermatomes on his chest. You explain about the possible causes of the vesicles and that the likely diagnosis is shingles.

You are also concerned that Mr Adam may have HIV, and you need to question Adam based on its risk factors. You explain about HIV generally. He admits that he sometimes has sex with sex workers, and that he does not always use condoms. You offer to give Mr Adam a HIV test, and after counselling him, he agrees. You explain how HIV is transmitted and tell Mr Adam that his sexual partners, including his wife, may be at risk. He agrees not to have unprotected sex until the test results come back.