Chapter 170 :: Syphilis

Question 1

Early symptomatic neurosyphilis

Answer 1

meningitis, resulting in meningismus, fever, or cranial nerve abnormalities (especially cranial nerves II, III, IV, VI, VII, and VIII), or meningovasculitis, resulting in meningitis with stroke, usually affecting the portion of the brain supplied by the middle cerebral artery

Question 2

Primary or secondary syphilis

Answer 2

Pen G 2.4 mu IM single dose

Question 3

Late latent (1yr) or latent of unknown duration

Answer 3

Pen G 3 doses 2.4 mu IM given at 1 week intervals

Question 4

diagnostic test of choice in chancres

moist lesions of secondary syphilis (condylomata lata and mucous patches

Answer 4

darkfield microscopic