Q:

For each of the features of syphilis listed on the left select the most appropriate association from those on the right

waelhammad
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2022-12-21
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For each of the features of syphilis listed on the left select the most appropriate association from those on the right.

a. Primary sore.

b. Secondary lesions.

c. Tertiary lesions. 

  1. Degeneration of posterior columns of spinal cord.
  2. Destruction of the nasal bones.
  3. Miliary gummas.
  4. Rash on the soles of the feet.
  5. Pale brown nodules on the penis.
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waelhammad
2022-12-21
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The answer is E, D, B. The primary sore occurs after an incubation period of 3-4 weeks during which period Treponema pallidum is spreading in the blood.

The secondary lesions occur 2-3 months after infection and are characterized by skin rashes, alopecia and general malaise.

The typical lesions of the tertiary phase occur many years after infection and cause necrosis of internal organs, liver, testis and bones. The gumma is a necrotic granuloma.

Tabes dorsalis (A) occurs in the late quaternary phase of neurosyphilis. Miliary gummas (C) are present in congenital syphilis.

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