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161437 Gynaecology & Obstetrics

A patient presents to your office for her annual examination. She admits to having intercourse with multiple sexual partners over the past year. Her only medication is an oral contra ceptive pill (O C P ) which she takes very regularly. She has no new symptoms or concerns. On physical examination, a painless punched-out ulcer is appreciated on the left labia.After appropriate testing and treatment, you counsel the patient to practice safer sex in the future. If this patient had not been treated, what would be the next sequelae?

AArgyll-Robertson pupil
BGummas on the skin and bones
CTabes dorsalis
DRash involving palms and soles
Gynaecology & Obstetrics
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