A patient presents with a painless ulcer on the genital region and rubbery, non-tender lymphadenopathy. Dark-field microscopy of exudate from the ulce...

Question

A patient presents with a painless ulcer on the genital region and rubbery, non-tender lymphadenopathy. Dark-field microscopy of exudate from the ulcer shows spirochetes. What is the first-line treatment?

Accepted Answer

Benzathine penicillin single dose IM

Answer

Doxycycline for 14 days

Answer

IV ceftriaxone for 28 days

Answer

Erythromycin for 7 days

Answer

Acyclovir for 5 days

Syphilis — USMLE Step 2 CK MCQ

A patient presents with a painless ulcer on the genital region and rubbery, non-tender lymphadenopathy. Dark-field microscopy of exudate from the ulcer shows spirochetes. What is the first-line treatment?