This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'Which of the following is not a feature of tertiary syphilis: \nSelect and explain. \nA. Gumma, B. Neurosyphilis, C. Cardiovascular syphilis, D. Nephrosyphilis', 'role': 'user'}, {'content': "Answer: D \nExplanation: a) Congenital syphilis:\n\nHutchinson's triad: Hypoplastic incisors and molars, interstitial keratitis, 8th nerve deafness.\nSaddle nose\nSabre tibia\nRhaghades (radiating scars around mouth, nose and \xa0anus) • Bossing of frontal and parietal bones\nHypoplastic maxilla\nSalt and pepper scars on retina.\n\nb) Primary syphilis:\n\nPainless chancre\nPainless palpable rubbery inguinal lymphnodes\n\nc) Secondary syphilis:\n\nThis stage is highly infectious\nStarts 6 - 8 weeks after the development of the chancre\nFever, malaise\nMaculopapular rash on the trunk and limbs.\nCondyloma lata (Papules coalescing to plaques)\nMucous patches in the genitalia, mouth, pharynx\n'Snail track' ulcers in mouth\n\nd) Late / tertiary, syphilis:\n\nCharacteristic granulomatous lesion called gumma.\nCardiovascular syphilis\nAortitis\nAortic aneurysm (mostly in ascending aorta)\nAortic incompetence\nNeurosyphilis (KCET-11)\nTabes dorsalis\nMeningovascular disease\nGeneral paralysis", 'role': 'assistant'}]