08-11-2016, 01:27 PM
NBME Q
A 20-month-old girl is brought to the emergency department by her parents after the mother found a bat flying around the bedroom in which the child was sleeping. The girl was not crying and appeared undisturbed. The mother removed the child and shut the bat in the room. Vital signs and physical examination of the child are normal. No bite marks are seen. The girl has been generally healthy and is up-to-date with vaccinations. Which of the following is the most appropriate step at this time?
A) Advise the parents to clean the girl's room and have it treated for fleas and ticks
B) Order cerebrospinal fluid analysis for rabies studies
C) Reassure the parents that the girl will be fine
D) Request that the bat be observed for 10 days for signs of rabies
E) Request that the bat be tested for rabies
A 20-month-old girl is brought to the emergency department by her parents after the mother found a bat flying around the bedroom in which the child was sleeping. The girl was not crying and appeared undisturbed. The mother removed the child and shut the bat in the room. Vital signs and physical examination of the child are normal. No bite marks are seen. The girl has been generally healthy and is up-to-date with vaccinations. Which of the following is the most appropriate step at this time?
A) Advise the parents to clean the girl's room and have it treated for fleas and ticks
B) Order cerebrospinal fluid analysis for rabies studies
C) Reassure the parents that the girl will be fine
D) Request that the bat be observed for 10 days for signs of rabies
E) Request that the bat be tested for rabies