Don't get bit by raccoons or woodchucks

Question 1

Fatal viral encephalitis of mammals

Answer 1

Rabies

Question 2

How is rabies transmitted?

Answer 2

Saliva of infected animals

Question 3

Common animals to spread rabies?

Answer 3

Raccoons, skunks, foxes, bats, cats, woodchuck (LOL)

Question 4

When direct contact occurs with an animal that could be infected with rabies, what should you dO?

Answer 4

Capture and submit for testing

Question 5

The rabies virus must replicate in ____ BEFORE it enters salivary glands

Answer 5

CNS

Question 6

Where does rabies live in infected animals?

Answer 6

Saliva
Brain
Spinal cord

Question 7

Can you get rabies from petting an infected animal

Answer 7

No, but you shouldn’t be petting raccoons anyways you crazy person

Question 8

What is the principal vector of human rabies cases?

Answer 8

Bats

Question 9

How do you know if you should test a person for rabies or not when they are exposed to a bat?

Answer 9

Any direct physical contact with a bat should be considered a possible rabies exposure

Question 10

When do you not need PEP when a person is in close contact with a bat?

Answer 10

If the bat is available and tests negative for rabies

Question 11

Overt signs of rabies will always develop within ____ days of presence of virus in saliva

Answer 11

10

Question 12

What is the incubation period for human rabies?

Answer 12

4-12 weeks

Question 13

How long is the prodrome phase of human rabies?

Answer 13

2-10 days

Question 14

What are the prodrome symptoms of rabies?

Answer 14

Paresthesias at site of wound, nonspecific constitutional illness (fever, headache, anorexia)

Question 15

How long does the acute neurologic phase of rabies last?

Answer 15

2-7 days

Question 16

Signs of encephalitis (MS changes, paresis and paralysis, hyperactivity, aphasia), hyper salivation, myoclonus, agitation and anxiety occur within what phase of human rabies infection?

Answer 16

Acute neurologic phase

Question 17

Coma, dysrythmias, DIC, and death occur within which phase of a human rabies infection?

Answer 17

Late stage

Question 18

What is the post-exposure immunization immune globulin?

Answer 18

Human Rabies Immune globulin (HRIG)

Question 19

Who needs PEP

Answer 19

1. Persons bitten by animal known to be rabid
2. Persons bitten by an animal likely to be rabid but unavailable for testing
3. Persons bitten by a raccoon, skunk, fox, bat or other carnivore that could not be tested
4. Certain other “non bite” exposures

Question 20

What are the per protocols for patients who are bitten and have not been previously vaccinated?

Answer 20

1. Cleansing and irrigation of wound
2. Vaccine (IM Deltoid) on days 0, 3, 7, 14
3. HRIG infiltrated in and around the wound with residual in gluteus

Question 21

If a patient has been previously vaccinated for rabies, what do you do differently if they are bitten again?

Answer 21

Don’t give them HRIG

Question 22

What type of staining is done to test an animal that could possibly have rabies?

Answer 22

Direct fluorescent antibody stains