A 28-year-old woman in her first trimester of pregnancy is diagnosed with syphilis (VDRL 1:32, TPHA positive). She reports penicillin allergy with previous anaphylaxis. What is the most appropriate management?
ADoxycycline for 14 days
BErythromycin for 14 days
CAzithromycin single dose
DPenicillin desensitization followed by benzathine penicillin
What is the most cost-effective screening strategy for STIs in resource-limited settings according to WHO guidelines?
ARisk-based screening
BPeriodic mass treatment
CSyndromic management
DUniversal screening
A district reports increasing syphilis cases despite standard interventions. Which program response is most appropriate?
AMass treatment campaign
BEnhanced surveillance with targeted outreach and screening
CIncreasing clinic hours only
DPublic awareness campaign only
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