Assignment task:
A 23-year-old man is seen in a sexual health clinic with a new rash. Results from his evaluation return, and he has a positive serum Rapid Plasma Reagin (RPR) titer of 1:256. He is called to return to clinic to receive treatment, at which time the clinician will evaluate him for any signs or symptoms of ocular, otic, or neurosyphilis. For persons diagnosed with syphilis, which one of the following is recommended regarding performing a lumbar puncture with cerebrospinal fluid analysis? A lumbar puncture should be performed in all persons diagnosed with secondary syphilis, regardless of neurologic symptoms The presence or absence of neurologic symptoms should determine whether lumbar puncture with cerebrospinal fluid analysis is performed A lumbar puncture should be performed if ocular syphilis is diagnosed, regardless of neurologic symptoms A lumbar puncture should be performed if otic syphilis is diagnosed, regardless of neurologic symptoms