Zoonoses

1.A mother brings her 10-year-old son to the rabies clinic with a history of stray dog bite. There are lacerated bleeding wounds on the lower limbs and one wound on the face of the boy.

• a) What history will you ask from the mother.
• b) Describe the management of the case.
• c) What are the pre-exposure and post exposure strategies for rabies prevention

2.A 26 year old female was brought to the casualty with a history of unprovoked stray dog bite with a deep lacerated wound on the right calf region with active bleeding. Her body weight was 50 Kgs. As a Casualty Medical Officer how will you manage this case

3.Sasikumar, 26 years old man comes to you with a history of an unprovoked attack by a dog. On examination you find multiple bite marks and bleeding from some wounds. As medical officer how will you manage the situation

4.A mother brings her 8 years old son with history of stray dog bite to the community medicine clinic. The wound is lacerated and bleeding. As the medical officer • What all history will you ask • How will you manage the case • What are the pre-exposure and re-exposure strategies Problems

5.The district hospital reports a confirmed case of anthrax from one of the villages in your primary health center and you are instructed to investigate it. Answer the following. • Describe the steps you take for the investigation. • How will you manage the case • What are the preventive measures Problems

1.Post exposure prophylaxis for category III animal bite

2.Rickettsial zoonoses

3.Vaccination regimes for post exposure prophylaxis in rabies Differentiate between

1.Any two signs and symptoms of leptospirosis

2.Write the intradermal vaccine schedule for rabies post exposure prophylaxis

3.Street virus and fixed virus in rabies. Substantiate your answer with reasons

1.Calculate the dose of ERIG for this patient if the weight of the individual is 55 Kg

• a) 2200 IU
• b) 550 IU
• c) 1100 IU
• d) 1000 IU

2.In case of a pet dog bite with bleeding

• 1) The pet dog should be observed for 10 days
• 2) The wound should be washed for a minimum period of 10-15 minutes
• 3) No need for ARV (Anti rabies vaccine)
• 4) No need for RIG (Rabies immunoglobulin)
• a) 1, 2, 3 and 4 are correct
• b) 1, 2, 3 are correct
• c) 2, 3 and 4 are correct
• d) 1 and 2 are correct

3.What is the category of animal bite wound in this patient

• a) Category I
• b) Category II
• c) Category III
• d) Category IV

4.Which of the following are RIGHTLY matched?

• 1) Kalamazoo consensus
• 2) Rule of halves
• 3) Corpulence index
• a) 1, 2
• b) 1
• c) 1 and 3 are correct
• d) 2 and 3 are correct

5.Which of the following is not an indication for post exposure prophylaxis of Rabies

• a) Unprovoked bite by a dog
• b) Bite by a vaccinated dog
• c) Bite by cat
• d) Drinking milk from a rabies infected animal

6.Which of the following is not recommended

• a) Wash the wound thoroughly
• b) Give the first dose of PEP with ARV (Anti rabies vaccine)
• c) Infiltration of the wound with ARV (Anti rabies vaccine)
• d) Start antibiotics

7.Which of the following statement is not true regarding care of rabies wound

• a) Wash the wound with running tap water for at least 15 minutes
• b) If the patient present late after exposure the wound has to be washed
• c) Suturing of the wound should be avoided.
• d) If suturing is needed in lacerated wounds thermal cauterization is to be done