Infections: congenital syphilis: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Infections: congenital syphilis

Sample item

An 8-year-old with untreated congenital syphilis has peg-shaped notched upper incisors, interstitial keratitis and eighth nerve deafness. What is this triad called?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Hutchinson triad

Hutchinson triad of late congenital syphilis is notched incisors, interstitial keratitis and eighth nerve deafness. Early signs include snuffles, rash and bone changes. Penicillin G is the treatment.

Option by option

  • A. Whipple triad

    Whipple triad refers to hypoglycaemia.

  • B. Charcot triad

    Charcot triad refers to cholangitis.

  • C. Hutchinson triad (correct)

    Correct. This is Hutchinson triad.

  • D. Beck triad

    Beck triad refers to cardiac tamponade.

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.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, Hutchinson triad. Hutchinson triad of late congenital syphilis is notched incisors, interstitial keratitis and eighth nerve deafness.

Why is "Whipple triad" not the answer?

Whipple triad refers to hypoglycaemia.

Why is "Charcot triad" not the answer?

Charcot triad refers to cholangitis.

Why is "Beck triad" not the answer?

Beck triad refers to cardiac tamponade.

What concept does this question test?

It tests Infections: congenital syphilis in Pediatrics. Early signs include snuffles, rash and bone changes. Penicillin G is the treatment.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infections: congenital syphilis?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.