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NBME 21 Answers

nbme21/Block 1/Question#20

A 10-year-old girl develops fever, malaise, and ...

Retrograde transport through nerves

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submitted by est88(13),

Rabies Virus (rhabdoviridae)

Fever, encephalitis, drooling

Rabies attacks the nicotinic Acetylcholine receptor, and travels retrograde via dynein motors after binding AChR, according to FA.

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submitted by uslme123(9),

very stupid question. The virus was inhaled -- bats hang upside when they sleep and drool. So it spreads to the brain directly from the olfactory system via retrograde transport through nerves.

niboonsh  yea, aeresol transmission via bat poop in caves +