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Old 06-11-2011
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Question Rabies

An 85-year-old man is brought to the office by his daughter the same day that she discovered a bat in his bedroom. The bat was not noticed the night before and flew out the window this morning. The man is not aware of any bite.
On physical examination, his vital signs are normal. His skin shows no evidence of a bite, scratch, or puncture wound. Neurologic examination is normal.
Which of the following is the most appropriate prophylaxis for this patient?
( A ) Give rabies immune globulin only if he begins to behave abnormally
( B ) Give rabies immune globulin now
( C ) Begin a rabies vaccine series now
( D ) Give rabies immune globulin and begin a rabies vaccine series now
( E ) No prophylaxis is required
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Old 06-22-2011
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D...Give Immunoglobulin and vaccine!!!
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Infectious-Diseases, Step-3-Questions

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