Q.

A backpacker returns from Thailand claiming to have been bitten by a dog in Bangkok the week before. There is a healing wound with scab on the right forearm ulnar aspect of the extensor surface. She cannot remember her vaccination status. Which statement is most correct

A. You should give 250U TIG, 0.5mL of ADT, commence oral antibiotic and refer back to the GP for further care – complete ADT vaccinations
B. There is a strong risk that cellulitis due to pasturella multocida will develop in the next week
C. ADT is contraindicated if she is either haemophilliac or pregnant
D. You should give 250U TIG, 0.5mL of ADT 3 x in the next 3 months, 20U/kg RIG once and 0.1mL HDCV 5 times in the next month
E. Her risk of contracting rabies would not be reduced if she had cleaned the initial wound thoroughly straight after the injury occurred
Answer» D. You should give 250U TIG, 0.5mL of ADT 3 x in the next 3 months, 20U/kg RIG once and 0.1mL HDCV 5 times in the next month

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Dermatology and Wounds

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