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Syphilis pregnancy — DFSRH MCQ

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HardSTIsSyphilis pregnancyDFSRH

A 19-year-old pregnant woman has positive treponemal and non-treponemal serology on booking bloods. She has no prior treatment record. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Urgent referral to specialist sexual health and obstetric care

Syphilis in pregnancy requires urgent specialist management to prevent congenital infection. Doxycycline is unsuitable in pregnancy and not the standard regimen. Absence of symptoms does not mean absence of fetal risk.

Reference: BASHH Guidelines; NICE CKS; UKHSA STI guidance; BNF