skip to main content

Primary syphilis — RACP Written MCQ

Instant feedback + full explanation. One question, done properly.

ModerateInfectious DiseasesPrimary syphilisRACP Written

A 31-year-old man has a painless penile ulcer and bilateral inguinal lymphadenopathy 3 weeks after unprotected sex. Dark-field microscopy is unavailable. Serology is positive with high RPR titre. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Treat as early syphilis and arrange partner notification

A painless chancre with positive serology is early syphilis. Treatment and partner notification are required.

Reference: Therapeutic Guidelines: Antibiotic; Australian infectious diseases practice principles