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: ENT
[{'content': 'About nasal syphilis the following is true: \nSelect and explain. \nA. Perforation occurs in septum, B. Saddle nose deformity may occur, C. In newborn, it presents as snuffles, D. Secondary syphilis is the common association', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Nasal syphilis may be: Acquired: - Primary, e.g. chancre in vestibule - Secondary, e.g. simple rhinitis, crusting and fissuring leading to atrophic rhinitis - Teiary, e.g. Gumma leads to septal perforation and saddle nose deformity (due to collapse of nasal bridge) Congenital: - Early (first 3 months): Presenting as snuffles, purulent nasal discharge, fissuring excoriation. - late (around pubey): Gumma in septum and other stigmatas. Teritary syphilis is a common association: primary and secondary syphilis are rare association in nasal syphilitis. Septal perforation occurs in bony pa in case of syphilis.', 'role': 'assistant'}]