]> 2026-07-31T07:51:07+00:00 WBR0706 0 en Urine culture Incorrect Urine culture is done in suspected genitourinary infection with urological manifestations. Lumber puncture Correct This patient present with HIV infection and syphilis of unknown duration, according to CDC recommendation, CSF examination should be done before starting the treatment even in asymptomatic cases, to exclude neurosyphilis Chest X-Ray Incorrect Chest X-Ray is done only if there are respiratory symptoms Liver function test Incorrect Liver function test can be done to control the side effect of the antiretroviral treatment Echocardiography Incorrect Echocardiography can be done to confirm the diagnosis of cardiovascular syphilis According to the current CDC recommendation, CSF should be examined before the start of treatment in case of patients diagnosed with syphilis of unknown duration, or late latent syphilis. Patients with CD4 < 350 mm3, and RPR titer greater than 1:32 considered high risk patients for neurosyphilis. Neurosyphilis can present early with CSF changes without neurological manifestations.<br/> '''Educational Objective:''' <br/> '''References:''' Primary Care Office 30 years old white male come to clinic for new hire routine check-up. He has no significant complain. He admits having multiple sexual partners, not using condoms frequently. He didn’t have HIV test before. His past medical history is insignificant. He doesn’t smoke but drink alcohol regularly. His physical examination is insignificant. You ordered HIV and RPR test which turned to be positive. His CD4 is 300 mm3 and RPR titer 1:70. What is the best next step in the management of this patient? B Infectious Disease 2020-10-28T01:27:07Z 2459150.5604977 WBR0706