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Sexually Transmitted InfectionsQuestion 5/20

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A 49-year-old transgender woman with chronic HIV was recently screened for sexually transmitted infections. Syphilis testing showed a positive treponemal enzyme immunoassay (EIA) and a rapid plasma reagin (RPR) titer of 1:128. The syphilis EIA result was negative on a screening test 8 months prior. She is asymptomatic and has a normal physical examination, including no genital lesions, no evidence of rash, and no abnormal neurologic findings.

Based on the information given, which of the following best characterizes her stage of syphilis infection?

Figure 1. Natural History and Staging of Syphilis
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Question Last Updated
September 29th, 2023

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