A 20 year old Primigravida woman visited ANC clinic for the first time. Initial assessment by you identifies that she might be at high risk for acquiring STIs.

Answer the following in relation to your assessment for her

a) Define syphilis and explain guideline for testing and management of syphilis during pregnancy

b) Discuss treatment regimen for syphilis for her and her partner.

c) List the criteria for repeat test.

a) Syphilis is a sexually transmitted infection (STI) caused by the bacterium *Treponema pallidum*. It progresses through primary, secondary, latent, and tertiary stages if left untreated. In pregnancy, untreated syphilis can lead to congenital syphilis, miscarriage, stillbirth, or neonatal complications.  

Guideline for Testing and Management:  
- Testing: All pregnant women should be screened for syphilis ______ ____ _____ _________ ___ _______ _______.
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