A 22-year-old woman comes to the emergency department for evaluation of a bite on her right arm by her neighbors’ dog. The neighbors
accompany the patient with their dog, which is not immunized against rabies but appears healthy. The patient has no other medical conditions and
takes no medications. Her last tetanus booster was 3 years ago. Temperature is 37 C (98.6 F), blood pressure is 110/70 mm Hg, pulse is 76/min,
and respirations are 12/min. On her right forearm is a shallow bite wound that is 1 cm long with no erythema or purulent drainage. The wound is
cleaned with soap, water, and povidone-iodine solution. Which of the following is the most appropriate next step in management of this patient?
- Q A. Euthanize the dog and examine its brain for rabies; provide immediate rabies prophylaxis for patient
- Q B. Euthanize the dog and examine its brain for rabies; provide prophylaxis for patient if positive
- Q C . Observe the dog for 10 days for signs of rabies; no immediate prophylaxis for patient
- Q D. Observe the dog for 10 days for signs of rabies; provide immediate prophylaxis for patient
- Q E. Release the dog without observation or testing; provide immediate rabies prophylaxis for patient
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