VB
Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 17, 2026
**Core Concept**
The patient's symptoms are indicative of a sexually transmitted infection (STI) characterized by a painless, indurated ulcer and bilateral painless inguinal lymphadenopathy, which is a classic presentation of primary syphilis.
**Why the Correct Answer is Right**
The diagnosis of primary syphilis is confirmed by a serological test, specifically the Venereal Disease Research Laboratory (VDRL) test or the Rapid Plasma Reagin (RPR) test. These tests detect the presence of non-treponemal antibodies, which are produced in response to the infection. A positive result on one of these tests is a strong indication of syphilis, and further confirmation can be obtained through a treponemal test, such as the Treponema pallidum haemagglutination assay (TPHA) or the Fluorescent Treponemal Antibody Absorption (FTA-ABS) test.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not specified, so we cannot evaluate it.
**Option B:** This option is not specified, so we cannot evaluate it.
**Option C:** This option is not specified, so we cannot evaluate it.
**Option D:** This option is not specified, so we cannot evaluate it.
**Clinical Pearl / High-Yield Fact**
It is essential to note that syphilis can be asymptomatic in its early stages, and the only way to diagnose it is through serological testing. A high index of suspicion is necessary, especially in patients with a history of unprotected sexual intercourse.
**Correct Answer: A. VDRL test**