Rabies

Question 1

Incubation period

Answer 1

20-90 days

Question 2

Prodromal stage (day 0 - 10)

Answer 2

fever, malaise, headache, paresthesia at bite site

Question 3

Encephalitic (Furious Rabies)

Answer 3

combativeness, seizures, autonomic dysfunction (hypersalivation, goose flesh, cardiac arrhythmia, priapism)

hydrophobia

Question 4

Paralytic (Dumb rabies)

Answer 4

early and prominent flaccid muscle weakness

Question 5

Gold standard of diagnostic of rabies

Answer 5

Fluorescent antibody techniques

Question 6

WHO Classification Rabies Category I

Answer 6

feeding/touching an animal
licking of intact skin
exposure to px with signs of rabies by sharing or drinking utensils
casual contact w/ patients w/ signs of rabies
routine delivery of health care to a patient w/ manifestations of rabies

Question 7

Category I treatment

Answer 7

NO vaccine of RIG needed

Question 8

WHO Classification Category II

Answer 8

nibbling or sucking skin of uncovered skin w/ or w/o bruising
minor scratches/ abrasions w/o bleeding (includes wounds that are induced to bleed)

Question 9

Category II treatment

Answer 9

start rabies vaccine immediately

Question 10

WHO Classification Category III

Answer 10

single or multiple transdermal bites or scratches w/ spontaneous bleeding

licks on broken skin or mucous membrane

exposure to rabies patient through bites, contamination of mucous
membrane or open skin lesions w/ body fluids through splattering or mouth-to-mouth resuscitation

handling of infected carcass or ingestion of raw infected meat

suspected contact w/ bats

all category II exposures on the head and neck are considered as category III

Question 11

Category III treatment

Answer 11

start rabies vaccine and RIG immediately