NURS 6501: Final Exam Question 19 / NURS-6501N Advanced Pathophysiology
  NURS 6501: Final Exam: Please contact Assignment Samurai for help with NURS 6501: Final Exam or any other assignment. Email: assignmentsamurai@gmail.com In which population group is the incidence of syphilis particularly high, according to recent data from the United States? Group of answer choices
  • Elderly individuals
  • Men who have sex with men
  • Postmenopausal women
  • Heterosexual teenagers
The correct answer is: Men who have sex with men (MSM)   Explanation: Recent CDC surveillance data (2022-2023) highlights that syphilis rates are disproportionately high in:
  • Men who have sex with men (MSM), particularly those with multiple partners, HIV coinfection, or inconsistent condom use.
  • Congenital syphilis has also risen sharply, but the question focuses on incidence (new cases), which is highest in MSM.
Why Not the Others?
  • Elderly individuals: Syphilis is uncommon in this group (though underdiagnosis occurs).
  • Postmenopausal women: Very low incidence; hormonal changes reduce sexual activity/risk.
  • Heterosexual teenagers: Gonorrhea/chlamydia are more prevalent; syphilis is rarer in this group.
Key Statistics:
  • MSM account for ~50% of primary/secondary syphilis cases in the U.S.
  • HIV coinfection further increases risk due to overlapping risk behaviors.
Thus, MSM are the highest-risk group for syphilis in the U.S.