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NBME 21 Answers

nbme21/Block 1/Question#20 (25.7 difficulty score)
A 10-year-old girl develops fever, malaise, ...
Retrograde transport through nerves🔍

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 +6  upvote downvote
submitted by haliburton(191),
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saeiRb tstcaak teh intoccini eleytcihoAcnl o,tcrrepe dan altsrev redtogrrae avi neiynd motsor ftera gdninbi h,RAC oncradcig to F.A

 +3  upvote downvote
submitted by est88(15),
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aRiseb Virsu eavo)dridb(arhi

reev,F s,iltiehecnap lrnogiod

 -14  upvote downvote
submitted by uslme123(40),
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rvye idputs tqnuoesi. The iruvs asw lneaihd -- abst hnga despui wehn they leeps nda .dorol oS it dsarsep to het ianrb licytrde rmof hte tylaofcro tsesym aiv tredegaror tsrntropa orthghu ne.evsr

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! +