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: Pathology
The first consideration in the differential diagnosis of a painless palatal perforation would be 
Select and explain. 
A. Syphilis, B. Histoplasmosis, C. Scrofuloderma, D. Actinomycosis
A: Syphilis
Answer: A: Syphilis 
Explanation: None