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WorksheetsRabies and it's Prevention
Total questions: 40
Worksheet time: 12mins
What is the structure of the rabies virus?
The rabies virus has a spherical structure and contains double-stranded DNA.
The rabies virus has a cube-like structure and contains a segmented RNA genome.
The rabies virus has a bullet-shaped structure, is enveloped, and contains a single-stranded RNA genome.
The rabies virus is rod-shaped and lacks an envelope.
How is rabies primarily transmitted to humans?
Via consumption of undercooked meat from infected animals.
Through bites from infected animals.
By inhaling infected air particles.
Through contact with contaminated water.
What are the initial symptoms of rabies infection in human?
Chest pain, shortness of breath, and fatigue.
Nausea, vomiting, and diarrhea.
Cough, sore throat, and runny nose.
Fever, headache, and general weakness.
How does the rabies virus enter the nervous system?
The rabies virus enters via the respiratory system.
The rabies virus enters through the skin.
The rabies virus enters through the bloodstream.
The rabies virus enters the nervous system via peripheral nerves.
What are the late-stage symptoms of rabies?
Skin rash, itching, pustules, ulcers, shock and death
Cough, shortness of breath, runny nose, hypoxia, coma and death
Nausea, vomiting, dysentery, spasticity, paralysis and death
Confusion, agitation, hallucinations, paralysis, hydrophobia, coma, and death.
What is the recommended schedule for Pre exposure rabies vaccination?
2 doses for pre-exposure (0, 14 days)
4 doses for pre-exposure (0, 7, 14, 21 days)
3 doses for pre-exposure (0, 7, 21/28 days)
3 doses for pre-exposure (0, 14, 28 days)
What should be done immediately after a potential rabies exposure?
Apply ice to the wound and wait for symptoms to appear.
Wash the wound with soap and water and seek medical attention immediately.
Take over-the-counter pain medication and monitor the wound.
Ignore the wound and continue with daily activities.
What is the incubation period for rabies in humans?
3 to 5 days
6 months to 1 year
1 to 2 weeks
1 to 3 months
How does rabies affect the brain and nervous system?
Rabies affects the brain and nervous system by causing inflammation, dysfunction, and severe neurological symptoms.
Rabies only causes mild headaches and fatigue.
Rabies enhances brain function and improves coordination.
Rabies has no effect on the brain or nervous system.
PEP (Post Exposure Prophylaxis) is the name for rabies treatment given to a person who has already been bitten and consists of the following:
Only a course of rabies vaccination at the healthcare facility
Only wound washing and disinfection.
Wound washing and disinfection, a course of rabies vaccination, and sometimes RIG.
Use anti inflammatory and anticholinergic drugs
Children are more likely to be exposed to rabies because of the following reasons:
They are less likely to report bites or scratches to their parents
They do not recognize or avoid threatening behavior in dogs
They are less capable of protecting themselves when they are attacked
They are immunocompromised
If a dog attacks you and you are on the ground, you should do the following.
Pretend to be a rock
Shout at the dog
Try to attack the dog.
Get up and run away from the dog.
What can a vaccinator do to desensitize a vaccination site prior to injecting a dog?
Rub the skin where the vaccine will be administered for 5 seconds.
Desensitizing the site of vaccination is a waste of time.
Pinch the dog to ensure that it won’t react to the injection.
None of these
Rabies vaccines should always be kept within a constant temperature range of:
4 – 8 °C
-4 - 0 °C
room temperature
10 – 15 °C
The recommended dosage for RIG is as follows:
HRIG: 40 IU/kg; ERIG: 40 IU/kg body mass of the patient
HRIG: 20 IU/kg; ERIG: 40 IU/kg body mass of the patient
HRIG: 20 IU/kg; ERIG: 20 IU/kg body mass of the patient
HRIG: 40 IU/kg; ERIG: 20 IU/kg body mass of the patient
What is the minimum WHO-recommended antibody titre for rabies to ensure adequate protection?
15 IU/ml
1 IU/ml
0.2 IU/ml
0.5 IU/ml
How long is the observation period of a suspected rabid animal?
7 days
10 days
21 days
30 days
Intramuscular rabies vaccines should be administered in the ______________ for all adults and children above the age of 2.
Deltoid muscle
Suprascapular muscle
Gluteal region
None of these
Ante-mortem laboratory confirmation relies on the detection of viral RNA in the following recommended samples
Cerebrospinal fluid
Nasal Swab
Saliva
Urine & Feces
Which of the following virus cause rabies
Coronavirus
Adenovirus
Lyssa virus
Ebola virus
Which of the following is the confirmatory lesion of rabies
Negri bodies
Tiger heart
Zebra stripes
Synovitis
Intramuscular rabies vaccines should be administered in the ______________ for infants and and children aged less than 2 years.
Deltoid muscle
Anterolateral thigh muscle
Suprascapular region
None of these
What is the recommended schedule for Post exposure rabies vaccination?
4 doses for Post exposure (0, 7, 21, 28 days)
5 doses for Post exposure (0, 7, 14, 21, 28 days)
5 doses for Post exposure (0, 3, 7, 14, 28 days)
4 doses for Post exposure (0, 3, 7, 21 days)
Which of the following symptoms is NOT associated with encephalitic rabies?
Hydrophobia
Rigidity of the axial jaw muscles
Aerophobia
Behavioural change
What is the appropriate course of action when an immunocompromised patient has been exposed to a potentially rabid animals
Only thorough wound washing should be applied in the case of immunocompromised individuals.
Thorough wound washing and full course of rabies vaccine. RIG should not be provided to immunocompromised individuals.
Thorough wound washing, a full course of rabies vaccine, and RIG (for category II and III exposures) administered directly into the wound.
Thorough wound washing and RIG administered directly into the wound site. Rabies vaccine should not be provided to immunocompromised individuals.
What often causes “blow-back” to occur?
A syringe that is too big.
A needle that is too small
A needle that is not placed firmly on the syringe.
None of these
Which of the following country is free from rabies?
China
India
Thailand
Fiji
According to WHO, how many deaths are caused by rabies worldwide each year?
55,000 - 60,000 human deaths approximately
80,000 - 90,000 human deaths approximately
200,000 - 250,000 human deaths approximately
15,000 - 30,000 human deaths approximately
The time it takes for the rabies symptoms to appear is determined by the following:
Where the bite is located on the person’s body
How much rabies virus is deposited into the wound during the bite
Immunity of the individual
Type of the animal
Who was the first person to be cured of rabies?
Jeanna Giese
Louis Pasteur
Dr. Grancher
Joseph Meister
The first rabies vaccine was created by
Joseph Lister
Louis Pasteur
Robert Koch
Antoni van Leeuwenhoek
What specific amino acid substitution in the rabies virus glycoprotein that confers resistance to neutralizing antibodies?
Arginine-to-lysine a position 333
Glutamic acid-to-aspartic acid at position 456
Tyrosine-to-phenylalanine at position 272
Asparagine-to-threonine at position 189
Which of the following is the differential diagnosis for rabies in animals?
Babesiosis
Mycobacterium paratuberculosis
Vestibular syndrome
Listeriosis
What is the function of rabies immunoglobulin (RIG) ?
Rabies immunoglobulin prevents the onset of secondary infections.
Rabies immunoglobulin enhances the patient’s antibody titres.
Rabies immunoglobulin provides passive immunization by neutralizing RABV at the wound site.
Rabies immunoglobulin enhance the wound healing
What is the incubation period for fixed virus
6-7 days
10-14 days
21-28 days
60-90 days
The intracytoplasmic inclusion bodies produce by rabies virus are
Heinz bodies
Negri bodies
Councilman bodies
Guarnieri bodies
The test/procedure for the detection of rabies antigen is
Histopathology
Cytological smears
Mouse inoculation test
Immunoperoxidase test
Which of the following is used to produce rabies vaccination
Street virus
Fixed virus
Lab virus
Intermittent virus
Which of the following drug has been found to give good response against rabies virus in experimental animals.
Phenobarbital
Vincristine
Remdesivir
Clindamycin
Sexual excitement is the remarkable symptom of rabies in
Cat
Cattle
Sheep
Pig
