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10 Exercises

  1. Pain does not occur in poliomyelitis as it is the motor nerves that are affected. Correct?
  2. Gabon. An eight-year-old child is brought to hospital because of acute paralysis of the left side of the body. The child has a short trunk, long limbs, a chronic ulcer on the right shin and a protruding forehead. What do you think?
  3. Because of the presence of an animal reservoir, poliomyelitis can probably never be entirely eradicated. What do you think?
  4. Liberia. How do you distinguish between flaccid and spastic paralysis?
  5. Poliomyelitis is associated with fever in the initial stage. Correct?
  6. Benin. During a mass vaccination campaign, a child already vaccinated with Salk vaccine is revaccinated with Sabin vaccine. What complications and risks may possibly be associated with this? Is this of importance in planning a mass vaccination campaign?
  7. Burma (Myanmar). Give a number of diagnostic possibilities in a patient with descending paralysis. Likewise for ascending paralysis.
  8. Ivory Coast. In the Tai Natural Park, an epidemic of paralysis suddenly occurs in chimpanzees. Can there theoretically be any possible relationship with the recent arrival of large groups of people in this area? Even if none of these people has clinical poliomyelitis?