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MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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Answer 66

Rabies vaccination
True a. should be given annually to dogs in endemic areas
True b. may usefully be given many months after exposure

False c. Post-exposure vaccination is unnecessary if pre-exposure vaccination has been given
True d. Specific rabies immunoglobulin for human use may be prepared from horse serum
False e. is unnecessary after cat bites


Vaccine should be given annually to all domestic animals.
Vaccine should be given as soon as possible after the bite.
Pasive immunisation with immunoglobulin derived from horse serum may result in serum sickness. Immunoglobulin derived from human serum also has this problem but to a lesser extent.
Dogs are the main source of infection but cats, bats racoons and others may also carry rabies.

Copyright: Rob Skelly 2006