Rabies pre-exposure vaccination — DTM&H MCQ

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ModerateTravel medicine and vaccinationRabies pre-exposure vaccinationDTM&H

A veterinary student will spend 4 months handling dogs and bats in rural Tanzania where access to biologics is limited. What is the most appropriate prophylaxis?

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Correct answer: B — Rabies pre-exposure vaccination

Rabies pre-exposure vaccination is the single best answer because pre-exposure rabies vaccination is appropriate for prolonged high-risk animal contact or remote travel. Tetanus vaccine as rabies substitute is plausible in a related presentation, but it is less appropriate because it does not fit the key discriminator in this vignette. The teaching point is that it simplifies but does not eliminate the need for post-exposure management after a bite.

Reference: CDC Yellow Book 2026; UKHSA/NathNaC travel health guidance; BNF