Family Nurse Practitioner Exam

All of the following findings are associated with the secondary stage of an infection by Treponema pallidum except?

1. Condyloma acuminata

2. Maculopapular rash of the palms and soles

3. Lymphadenopathy

4. Condyloma lata

The correct answer is: Condyloma acuminata

The secondary stage of an infection caused by Treponema pallidum, which is the bacterium responsible for syphilis, is characterized by systemic manifestations as the bacteria spread throughout the body. The correct answer highlights findings that are not associated with this stage of infection. Condyloma acuminata, also known as genital warts, are not a manifestation of secondary syphilis. They are caused by the human papillomavirus (HPV), not Treponema pallidum. In contrast, relevant findings associated with the secondary stage of syphilis include a maculopapular rash that typically appears on the palms and soles, lymphadenopathy (swollen lymph nodes), and condyloma lata, which are broad warty lesions that can develop during this stage. In summary, the presence of condyloma acuminata indicates an infection related to HPV rather than syphilis, making it the correct answer to indicate the finding not associated with the secondary stage of Treponema pallidum infection.