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NBME 21 Answers

nbme21/Block 1/Question#20 (28.6 difficulty score)
A 10-year-old girl develops fever, malaise, ...
Retrograde transport through nervesπŸ”
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 +6 
submitted by haliburton(209),
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abResi sttcaka hte cnitcinio ecolyielhcAnt ep,eorrtc and telrasv rrreeadgto via ndieny rmoots refta dbnnigi C,ARh rogadcnci ot .AF




 +3 
submitted by est88(17),
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ebRasi risVu ihrr(devaidabo)

F,ever ,eislptenhaci gorlndoi




 -14 
submitted by uslme123(57),
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eryv tspuid sunetq.oi The viurs asw diaenhl -- bsta hnag duipes wnhe ythe pslee adn rodlo. So it epdsasr ot hte nriab lryicted rmfo eht aofotlycr tysems vai rdteerroga tptsronar throuhg ervn.es

niboonsh  yea, aeresol transmission via bat poop in caves +  
len49  How do you know the virus was inhaled? Doesn't mention it. Moreover, non-bite/scratch transmission is extremely rare. +  
makinallkindzofgainz  You get rabies by being bitten, not by inhaling it +  
drzed  She was probably bitten by a bat; many times the bite is not recognized ('unapparent bites'), and thus the CDC recommends that even if you think you have been bitten by a bat (or that you COULD have been bitten), you should go and get active/passive immunization immediately. +  
mangotango  Sketchy (and Zanki) says you can get rabies via animal bites OR aerosol transmission. In the U.S. it's most commonly through bats. It could also be through skunks (Western U.S.) or foxes/raccoons (Eastern U.S.). I remember this by thinking about how skunks smell so bad! +