TEGO (FEBRASGO AMB) Practice Questions - Exame De Suficiência Para Obtenção Do Título De Especialista Em Ginecologia E Obstetrícia (TEGO - FEBRASGO AMB) Exam

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A 24-year-old primigravida at 14 weeks of gestation has a confirmed reactive VDRL titer of 1:32 and a positive treponemal test (FTA-ABS). She has no history of previous treatment or clinical lesions. According to the Brazilian Ministry of Health and FEBRASGO guidelines for gestational syphilis (Sífilis na Gestação), which treatment regimen constitutes adequate maternal and fetal therapy?

Oral Doxycycline 100 mg twice daily for 14 days, with sexual partner treatment being optional. Benzathine Penicillin G (Benzilpenicilina benzatina) 2.4 million IU IM weekly for 3 consecutive weeks (total 7.2 million IU), with concurrent partner evaluation and treatment. A single dose of oral Azithromycin 2 g, repeated after 14 days if the non-treponemal titer remains elevated. Intravenous Ceftriaxone 1 g daily for 7 days followed by oral Erythromycin base for 30 days.

Correct Answer:

Benzathine Penicillin G (Benzilpenicilina benzatina) 2.4 million IU IM weekly for 3 consecutive weeks (total 7.2 million IU), with concurrent partner evaluation and treatment.

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