North American Registry of Midwives (NARM) Practice Exam

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How is syphilis primarily transmitted?

  1. Airborne particles

  2. Direct contact with body fluids

  3. Through contaminated water

  4. Fomites

The correct answer is: Direct contact with body fluids

Syphilis is primarily transmitted through direct contact with body fluids, especially during sexual activity. This includes contact with syphilis sores, which can be present on the genitals, anus, or mouth of an infected person. The transmission occurs when these fluids come into contact with mucous membranes or breaks in the skin of another person. This mode of transmission aligns with the nature of syphilis as a sexually transmitted infection (STI), which is spread primarily through sexual interactions, including vaginal, anal, and oral sex. Understanding that syphilis does not spread through casual contact, airborne particles, or contaminated water is crucial. Unlike infections that are spread through respiratory droplets or surfaces (fomites), syphilis requires a more intimate form of contact for transmission.