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ANSWER 11
(3) Treat with 3 doses of benzathine penicillin
SALIENT POINTS:
While this patient reports that he was treated for syphilis in the past, his RPR should fall to less than 1:4 within 5 years.
His titer is above 1:4, so it must be presumed that he has either been re-infected or was inadequately treated.
This patient thus has syphilis of undetermined duration: he could have early latent syphilis (syphilis acquired in the past one year) or late latent syphilis (syphilis acquired at least one year previously).
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