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  #1  
Old 09-11-2012
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Question Rabies vaccination needed or not ????

During a hunting trip, a young man is bitten by a coyote. The animal is captured and brought to the authorities alive. Which of the following is the most important criterion to determine the patient's need for rabies prophylaxis?

A. The patient's history of previous immunizations
B. The patient's clinical course over the next few weeks
C. Observing the animal's behavior over the next few days
D. Killing the animal and examining the brain
E. The events that took place have already established the need to proceed with rabies immunization
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Old 09-11-2012
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Would go with A
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D. killing the animal and examine the brain.
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Answer C ....
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yes ans is C .......
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yes answer is C...observe the animal for 10 days i guess
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Matched!!!
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The correct answer is
D. Examination of the animal's brain for signs of rabies will determine whether the painful and risky process of rabies passive and active immunization is required. History of previous immunizations (choice A) is used to determine what to do for tetanus prophylaxis, but it has no application for rabies, because virtually no one has ever received such immunization in the past. Waiting for signs of rabies to appear in the patient (choice B) would be a death sentence. We can prevent rabies, but once established we cannot cure it. Observation of the animal's behavior (choice C) is applicable when dealing with provoked bites by domestic pets. The behavior of a wild animal gives no clues to the presence or absence of rabies. If the animal had escaped, choice E would have been correct.
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Old 09-11-2012
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Observation of the animal's behavior (choice C) is applicable when dealing with provoked bites by domestic pets. The behavior of a wild animal gives no clues to the presence or absence of rabies.
This is cool actually.

============
Is the ethics on killing animal vary from fact that this one has bitten a man?
It seems kinda odd to just go ahead and kill it...
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Quote:
Originally Posted by DocSikorski View Post
This is cool actually.

============
Is the ethics on killing animal vary from fact that this one has bitten a man?
It seems kinda odd to just go ahead and kill it...
it is not the correct ans , i remember doing a similar qs on uw and it says observe the animal for 10 days ..... if your neighbour's dog bites you , you just cannot kill it to see if it had rabies ........
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Quote:
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it is not the correct ans , i remember doing a similar qs on uw and it says observe the animal for 10 days ..... if your neighbour's dog bites you , you just cannot kill it to see if it had rabies ........
I do to remember that q with a hood dog, but this one is a coyote...

How do you determine that caged coyote acts normal or crazy? =)
you cant...
thats the smart point of this question K06100 posted.
Just not sure if its ethical to kill that coyote...
Though its not a vet exam lol
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Quote:
Originally Posted by DocSikorski View Post
I do to remember that q with a hood dog, but this one is a coyote...

How do you determine that caged coyote acts normal or crazy? =)
you cant...
thats the smart point of this question K06100 posted.
Just not sure if its ethical to kill that coyote...
Though its not a vet exam lol
well all animals can be determined if the have rabies or not ..... they salivate lot more and go crazy .. dont remember where i read this but no matter what its not justified to kill any animal , its USA and animal have their rights ... just becoz its a coyote you dont kill it ......
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Quote:
Originally Posted by Hitman View Post
it is not the correct ans , i remember doing a similar qs on uw and it says observe the animal for 10 days ..... if your neighbour's dog bites you , you just cannot kill it to see if it had rabies ........

UW says only for provoked bites, observation of animal is done.........this is unprovoked bite.......

This is a type of WTF question......
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Old 09-16-2012
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Star definitely D

u observe the animal for 10 days only if its domestic, cz u don't wanna brutally kill someone's pet dog over a "possibility"...but in case of a wild animal, u can kill it as soon as u capture it, and send the brain to the lab for an early diagnosis (no need to wait for 10 days)...
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from what i hav read and understood whenever a patient comes with a history of animal bite( dog/cat/bat/whatever) u should proceed with the vaccination and immunoglobulin.i doesnt matter whether the animal is infected or not. doctor's goal is to save the patient not the animal..so i would go with E.
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Old 09-11-2014
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Automatic vaccination is with bats and raccoon.
Since the animal in CAGED (makes a huge difference) Observation for 10 days w/o post exposure prophylaxis if previously vaccinated.
Now like DocSikorski said, PETA will go and destroy your office if you cut its head open with out proper evidence. If it said "crazy acting coyote" or "bizarre behavior" then yea, cut into it.
Would still like more information though.
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