At the time of Annual examination, a patient expresses concern over exposure to sexually transmitted diseases. During your pelvic examination, a singular, indurated, Nontender ulcer is noted on the vulva. VDRL and FTA tests are positive. Without treatment, the next stage of this disease is clinically characterized by:
Optic nerve atrophy and generalized paresis Tabes dorsalis Gummas Macular rash over the hands and feet