A 32-year-old man presents with a 4-day history of painless penile lesions (Figure 1). His sex partners are men, and he has had 2 partners in the last 6 months. Physical examination reveals 3 nontender ulcers on the lateral aspect of the penile shaft and firm lymphadenopathy in the right inguinal region that is nontender. Oral examination and skin inspection are normal. He has no neurologic symptoms. A clinical diagnosis of syphilis is strongly suspected; nontreponemal and treponemal serologic tests for syphilis are ordered.
Based on the information at this point, how would you clinically stage syphilis in this man?
Figure 1. Nontender Ulcers on Penile Shaft
Photograph credit: Negusse Ocbamichael, PA; Public Health—Seattle & King County STD Clinic
Figure 2. Syphilis: Natural History and Staging
Illustration: David H. Spach, MD
Sign In or Register Progress Not Saved!
Since you are not signed in, your progress won't be saved.
Since you are not signed in, your progress won't be saved.
Question Last Updated
February 4th, 2025
February 4th, 2025
Steps to Acquire CE for this Question Bank Topic:
1
Answer
Answer all questions
2
Score 80%+
Answer correctly
3
Claim CE
Choose CNE or CME+MOC
4
Give Feedback
Complete survey
5