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Questions and Answers
What is the best diagnostic test to perform to rule in rabies as a cause of the patient's illness?
What is a common reservoir for rabies virus in the United States?
Which of the following statements about rabies incubation periods is correct?
Which statement correctly describes the virulence mechanisms of the rabies virus?
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What is a likely explanation for the treatment failure in this rabies case?
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What is the usual incubation period for rabies in dogs?
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How can rabies antibodies be identified in infected individuals?
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What is the primary method for diagnosing rabies in euthanized animals?
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What tissue samples can be used for rabies virus isolation?
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What is the significance of Negri bodies in rabies diagnosis?
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What factor makes rapid growth of rabies virus possible in specialized laboratories?
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How are rabies antibodies developed during infection?
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What is a characteristic of bat rabies in humans regarding the infection recall?
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What is a characteristic of new variant CJD regarding its transmission?
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How is chronic wasting disease primarily spread among deer and elk?
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Which treatment is effective in rapidly destroying the rabies virus?
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What polymorphism influences susceptibility to certain prion diseases?
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Which of the following is a method to assess the presence of the prion protein in brain tissue?
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What is a common aspect between CJD and Alzheimer's disease?
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What is a characteristic feature of prion pathogenesis?
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What structurally characterizes neurons affected by rabies?
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Which method is least effective in destroying prions?
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Which of the following is a commonly recognized method of virus transmission?
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What type of immune response typically occurs against virus infections?
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What is a notable factor of chronic wasting disease in terms of its environmental impact?
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What prevents the experimental transmission of Alzheimer's disease to primates?
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Which factor can influence the incubation period of a virus?
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Which diagnostic method is generally used for detecting viral infections?
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Which mechanism is involved in the virulence of certain viruses?
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What is a fundamental characteristic of viruses during transmission?
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What type of antibody response is generally observed in the early phases of infection?
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Which of the following factors is least likely to affect the virus incubation period?
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What is generally a critical aspect of diagnostic methods for viral infections?
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Which disease is characterized by widespread neuronal degeneration and a spongy appearance of the brain without inflammation or evidence of virus particles?
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What is a common transmission method for rabies?
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What is the typical antibody response associated with viral infections?
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What is the usual incubation period for rabies before symptoms appear?
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Which diagnostic method is commonly used to confirm a viral infection?
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Which group of viruses is known for causing severe neurological damage?
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What is a typical characteristic of progressive multifocal leukoencephalopathy?
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Which antibody is primarily produced shortly after a viral infection?
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How does the absence of inflammation in a degenerative brain disease help narrow down the diagnosis?
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Which of the following is NOT a common symptom of rabies?
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Study Notes
Rabies Transmission and Incubation
- Bat rabies often afflicts individuals without any memory of being bitten.
- The typical incubation period for rabies in dogs is between 3 to 8 weeks but can be as short as 10 days.
- Infected persons develop serum antibodies after the vaccination process, contrasting with gradual antibody production during disease progression.
Clinical Diagnosis of Rabies
- Rabies diagnosis in humans is unfeasible before clinical symptoms appear.
- Diagnosis in euthanized animals involves direct fluorescent antibody testing on brain tissue.
- The detection of Negri bodies and rabies antigens aids in confirming rabies in laboratory settings.
Laboratory Testing Methods
- Rapid identification of rabies involves immunofluorescence staining using anti-rabies monoclonal antibodies.
- Skin biopsies from the neck or corneal tissue can be tested.
- Definitive rabies diagnosis relies on finding Negri bodies in the brain/spinal cord.
Chronic Wasting Disease
- Chronic wasting disease, similar to scrapie, affects mule deer and elk in North America.
- High transmission efficiency is noted among these deer, but it is not transmitted to humans.
- The infectious agent persists in soil and can be ingested by other ungulates.
Alzheimer's Disease Connection
- Neuropathological similarities exist between Creutzfeldt-Jakob disease (CJD) and Alzheimer's disease, including the presence of amyloid plaques.
- Prion-related proteins PrPSc are not found in Alzheimer's brain tissue.
Neurological Implications of Prions
- Over 150 cases of new variant CJD were diagnosed in England, most resulting in death, with disease susceptibility linked to a specific prion protein polymorphism.
- Symptoms of prion infections can manifest as progressive neurologic diseases with long incubation periods.
Treatment and Prognosis
- Treatment failures in rabies cases may occur due to the timing of intervention, notably if treatment begins post-symptom onset.
- A case involving a suspect rabies patient illustrated the urgency of rabies immune globulin and vaccine administration.
Laboratory and Testing Techniques
- Essential tests for rabies include direct fluorescent antibody stains and brain biopsy for definitive analysis.
- A range of methods exists for the viral detection including tissue inoculation in mice and cell line cultures for rabies virus.
Key Insights on Rabies Virus
- The rabies virus comprises a lipoprotein envelope and single-stranded RNA.
- The virus has one primary antigenic type, with the domestic dog being the main reservoir in the U.S.
- The rabies incubation period typically spans several weeks, contrary to some beliefs it may be shorter.
Review Questions on Rabies
- Rabies virus is rapidly destroyed by various methods including ultraviolet radiation and heating at certain temperatures.
- Prions are resistant to many conventional disinfection measures and are not easily destroyed by boiling or formaldehyde.
- Negri bodies are specifically associated with rabies infections in the central nervous system.
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Description
Test your knowledge on rabies transmission, particularly from bats, and understand the clinical aspects of the disease. This quiz covers the incubation period, symptoms, and antibody detection methods related to rabies. Get ready to explore important facts about this viral infection!