CHAPTER 65: Sexually Transmitted Infections

Sexually Transmitted Infections

What is the incubation period for syphilis?

a. 3–4 days

b. 7–10 days

c. 3–4 weeks

d. 7–10 weeks

c Pathogenesis and Transmission

A 29-year-old G3P2 presents at 22 weeks’ gestation for prenatal care. She has a past history of chlamydia and asthma. On her initial prenatal labs, her RPR returns 1:128. Her treponemal-specific test is positive. She denies a history of syphilis. Exam findings are depicted in the photo below. What is her stage?

a. Primary

b. Secondary

c. Late latent

d. Early latent

a Figure 65-1

A 29-year-old G3P2 presents at 22 weeks’ gestation for prenatal care. She has a past history of chlamydia and asthma. On her initial prenatal labs, her RPR returns 1:128. Her treponemal-specific test is positive. She denies a history of syphilis. Exam findings are depicted in the photo below. If the patient were to go untreated, how long would it take for the lesion depicted in the picture to resolve?

a. 5–7 days

b. 1–2 weeks

c. 2–8 weeks

d. It would not resolve without treatment

c Maternal Syphilis

A 29-year-old G3P2 presents at 22 weeks’ gestation for prenatal care. She has a past history of chlamydia and asthma. On her initial prenatal labs, her RPR returns 1:128. Her treponemal-specific test is positive. She denies a history of syphilis. Exam findings are depicted in the photo below. The patient declined treatment the day you saw her. She was upset by the news she had syphilis, and she insisted on leaving. Your staff attempts to get her to stay, but she does not. She returns to the office 2 months later. She is no longer with her husband, and she would like treatment. A photo of her perineum is provided below. What is her stage now?

a. Primary