Infections: rabies prophylaxis: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Infections: rabies prophylaxis

Sample item

A 5-year-old has a deep bite on the face from a stray dog with bleeding. Which management is most appropriate?

AAntibiotics aloneBSuturing tightly and observing the dogCThorough wound washing, rabies immunoglobulin infiltration and vaccineDVaccine alone

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Thorough wound washing, rabies immunoglobulin infiltration and vaccine

A bleeding bite is a category III exposure and needs prompt wound washing with soap and water, infiltration of rabies immunoglobulin in and around the wound, and a full vaccine course. Facial bites have a short incubation and are high risk. Wounds should not be sutured tightly.

Option by option

A. Antibiotics alone
Antibiotics do not prevent rabies.
B. Suturing tightly and observing the dog
Tight suturing traps the virus.
C. Thorough wound washing, rabies immunoglobulin infiltration and vaccine (correct)
Correct. Washing, RIG and vaccination for category III.
D. Vaccine alone
Vaccine alone omits the passive protection needed.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, Thorough wound washing, rabies immunoglobulin infiltration and vaccine. A bleeding bite is a category III exposure and needs prompt wound washing with soap and water, infiltration of rabies immunoglobulin in and around the wound, and a full vaccine course.

Why is "Antibiotics alone" not the answer?

Antibiotics do not prevent rabies.

Why is "Suturing tightly and observing the dog" not the answer?

Tight suturing traps the virus.

Why is "Vaccine alone" not the answer?

Vaccine alone omits the passive protection needed.

What concept does this question test?

It tests Infections: rabies prophylaxis in Pediatrics. Facial bites have a short incubation and are high risk. Wounds should not be sutured tightly.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infections: rabies prophylaxis?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.