A 36-year-old woman presents with a painless vulval ulcer. She reports recent travel to sub-Saharan Africa. Dark-ground microscopy is unavailable. Whi...

Question

A 36-year-old woman presents with a painless vulval ulcer. She reports recent travel to sub-Saharan Africa. Dark-ground microscopy is unavailable. Which serological tests should be ordered to investigate syphilis?

Accepted Answer

Treponemal test (e.g. EIA or TPHA) and non-treponemal test (e.g. RPR) - both should be requested

Answer

RPR/VDRL only

Answer

TPHA only

Answer

No serological test is needed if dark-ground microscopy is unavailable

Answer

A urine test for syphilis

uk-dfsrh MCQ (SBA): Syphilis Serology Both Treponemal and Non-Treponemal

A 36-year-old woman presents with a painless vulval ulcer. She reports recent travel to sub-Saharan Africa. Dark-ground microscopy is unavailable. Which serological tests should be ordered to investigate syphilis?