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Microbiology · Bacteriology: Treponema
Sample itemA newborn has snuffles, hepatosplenomegaly and a rash on the palms and soles. The mother was untreated for syphilis. Which later finding is part of late congenital syphilis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Hutchinson teeth
Late congenital syphilis shows Hutchinson teeth, mulberry molars, saddle nose, interstitial keratitis and eighth nerve deafness. Koplik spots are in measles, cataract with PDA in congenital rubella, and periventricular calcification in CMV.
Option by option
A. Hutchinson teeth (correct)
Correct. Hutchinson teeth belong to the late congenital syphilis triad.
B. Cataract with patent ductus arteriosus
Cataract with PDA indicates congenital rubella.
C. Periventricular calcification
Periventricular calcification is typical for congenital CMV.
D. Koplik spots
Koplik spots are in measles.
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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