Try it
Dermatology · STI: early latent syphilis
Sample itemA blood donor has reactive VDRL and TPHA with no symptoms. A negative test was documented 8 months ago. How is the stage classified?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Early latent syphilis
Latent syphilis is seroreactivity without symptoms. If infection was acquired within the past year, which is shown here by a documented negative test, it is early latent syphilis. Late latent disease is acquired more than a year ago or of unknown duration.
Option by option
A. Tertiary syphilis
Tertiary disease needs gummatous, cardiovascular or neurological lesions.
B. Early latent syphilis (correct)
Correct. Documented seroconversion within 1 year defines early latent disease.
C. Primary syphilis
Primary syphilis requires a chancre.
D. Late latent syphilis
Late latent requires infection longer than one year or unknown duration.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Dermatology questions
- Blistering disordersA patient has flaccid blisters that rupture easily and a positive Nikolsky sign. Which c…
- LeprosyIn which type of leprosy is the lepromin test strongly positive?
- Pigmentary disordersA man has well-demarcated chalk-white macules on his hands and around his mouth. A skin…
- Drug reactionsWhich of the following drugs is a well-recognised trigger of Stevens–Johnson syndrome an…