VTNE Probesfragen - VTNE PDF Testsoftware

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AAVSB VTNE Exam Syllabus Topics:

SectionWeightObjectives
Anesthesia15%- Anesthetic Procedures
  • 1. Anesthetic Monitoring
  • 2. Equipment Management
  • 3. Patient Recovery
Pharmacy and Pharmacology12%- Medication Preparation
  • 1. Drug Calculations
  • 2. Controlled Substance Handling
  • 3. Drug Administration
Animal Care and Nursing20%- Patient Care
  • 1. Animal Handling
  • 2. Hospital Nursing Care
  • 3. Nutrition
Surgical Nursing11%- Perioperative Procedures
  • 1. Patient Monitoring
  • 2. Instrument Sterilization
  • 3. Surgical Preparation
Laboratory Procedures12%- Diagnostic Testing
  • 1. Urinalysis
  • 2. Hematology
  • 3. Microbiology
Pain Management and Analgesia7%- Pain Control
  • 1. Pain Assessment
  • 2. Postoperative Pain Management
  • 3. Analgesic Administration
Emergency Medicine and Critical Care8%- Emergency Procedures
  • 1. Trauma Management
  • 2. CPR
  • 3. Critical Patient Monitoring
Diagnostic Imaging7%- Imaging Techniques
  • 1. Radiation Safety
  • 2. Image Processing
  • 3. Radiography
Dentistry8%- Dental Procedures
  • 1. Oral Examination
  • 2. Dental Prophylaxis
  • 3. Dental Radiography

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AAVSB Veterinary Technician National Exam VTNE Prüfungsfragen mit Lösungen (Q918-Q923):

918. Frage
With Cushing's disease, which of the following substances will be elevated in the blood?

Antwort: B

Begründung:
Cushing's syndrome, or hyperadrenocorticism, is caused by elevated cortisol produced by the pituitary or adrenal gland tumors. Cushing's disease has a higher incidence in dogs than in cats. Clinical signs include weight gain, a pot-bellied appearance, increased drinking and urination, lethargy, and muscle weakness.
High levels of glucose may indicate diabetes mellitus. High levels of thyroxine may indicate hyperthyroidism. High levels of luteinizing hormone occur prior to ovulation in intact female dogs.


919. Frage
Which medication is effective in the management of moderate levels of pain?

Antwort: A

Begründung:
Buprenorphine is a partial mu agonist which provides mild to moderate pain relief for six to eight hours with typical dosing.
NSAID medications, such as meloxicam, can treat low to moderate levels of pain associated with inflammation or prostaglandin production. Butorphanol is a mixed agonist-antagonist used to treat mild levels of pain of short duration and, more commonly, used for its sedative effects. Ketamine is a dissociative best used in conjunction with other analgesics to prevent wind-up (central-sensitization).


920. Frage
A healthy horse's plasma should be which of the following?

Antwort: B

Begründung:
A healthy horse's plasma should be clear and light yellow. The same is true for cows.
Dogs and cats should have clear and colorless plasma.


921. Frage
When considering the safety and comfort of a recumbent equine patient, all of the following are true about the use of slings, except:

Antwort: C

Begründung:
Slings like the Anderson sling are commonly used in down large animal patients. The sling can:
*Assist those patients who are recumbent but retain some ability to stand, just for short durations, or with limb injuries who aren't fully weight-bearing on one limb.
*Assist recumbent or weak patients with underlying illness to provide relief of muscles on the down side and improve circulation while relieving the weight-bearing load.
*Be used short term in a patient who cannot support any of their weight, because it can cause respiratory compromise over time if they heavily rely on the sling to maintain an upright position.
*In the short term, provide a patient with improved limb mobility and relieve muscle soreness/tension on dependent sides, regardless of the degree of recumbency.
*Be most useful in patients who still retain the ability to stand and support at least a portion of their own weight. In these patients, they can be used longer term, because respiratory compromise isn't usually of concern.
*Assist a patient in standing, stabilize once they are up, and aid in supporting body weight.
*Be primarily used to assess neurological and orthopedic status and disease progression and to improve circulation in the short term in fully recumbent animals who cannot stand at all in a sling. (Ideally, only 25% of an animal's weight should be supported for any duration.)


922. Frage
An alpaca presents to the hospital for a tibia-fibula fracture repair. You have evaluated this animal before and know that she is a bit flighty and a bit of a wimp when it comes to pain. You want to ensure that she has appropriate pain management once her epidural block wears off.
Which of the following would be your first choice for post-op pain management?

Antwort: D

Begründung:
The preference would be for the most inclusive pain management. An epidural catheter, when placed, provides pain management by inhibiting the pain signals transmitted directly at the nerve root. Morphine can be administered, and if the pain isn't sufficiently controlled, a local anesthetic could be added. This, in combination with an IV nonsteroidal anti-inflammatory (NSAID) followed by oral NSAIDs at discharge, would be ideal.
Pain management using a fentanyl patch may be feasible, although the use of this has not thoroughly been researched in the species. Studies in dogs show that during those 72 hours, there are periods of high blood levels and periods with no blood levels, leading to increased pain. However, if used with IV NSAIDs, it can be a viable option in some patients.
A CRI may provide adequate pain management; however, the patient would have to be placed on IV fluids, which could be costly in a patient of this size. It may also not be needed, and an epidural does not require IV fluid therapy. This would still need to include NSAIDs in the pain management plan.
Immediately post-op and in the first few days, oral NSAIDs would likely be insufficient to provide appropriate pain management.


923. Frage
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