### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. 23 yrs old Male. Went to a strip clup about 21 times in the last two years. Last time was on July 6 ,2014. No intercourse or high risk exposure of any kind whatsoever. Last time though , there was some petting , and the stripper spat on my penis. Was worried.Got a complete STD panel done yesterday. Everything came back negative (HSV,HIV,Chlamydia,gonorrhea,hep a,b,c) , EXCEPT RPR . It says RPR was reactive , for RPR titer 1:2. There have been no clinical presentations of syphilis on my body. No chancres or rashes. For the past 2 days iv had a mild cold with fever , slightly swollen lymph nodes on neck and little fatigue (have gotten very little sleep and not eating properly due to work .might be due to this.) . Wanted to confirm about RPR titer. Should I test further (specific tests)? , wait for more symptoms ? , anything else that can cause a false positive(that im likely to have and should test for) ? .Thank you for your time. Needless to say , my strip club days are over. Not worth it for a hypochondriac like me.

### output:

Helmont going in detail I will just discuss RPR. In your case it is 1:2, while a serum rapid plasma regain tier of 1;32 seems to be the best cutoff point to decide whether to perform lumbar puncture for CSF examination. Now about specific test because RPR is reactive, so I advise you get in these tests for confirmation. Nontreponemal:V Chat Doctor. Treponemal test :THAT TPA, EIA. These tests are more specific than RPR and mainly used FOR CONFIRMATION, so get in any if this specific test. Hope this will help you.RPR as I mentioned in detail so for confirmation get as mentioned above tests. Good luck.