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| Section | Objectives |
|---|---|
| Animal Care and Nursing | - Patient handling and restraint - Nutrition and husbandry |
| Pharmacology | - Drug classifications and uses - Dosage calculations and administration |
| Emergency Medicine and Critical Care | - Shock management and CPR - Triage and stabilization |
| Laboratory Procedures | - Urinalysis and microbiology - Hematology and clinical pathology |
| Pain Management and Analgesia | - Analgesic drug use - Pain assessment techniques |
| Diagnostic Imaging | - Image processing and interpretation basics - Radiography positioning and safety |
| Surgical Nursing | - Sterile technique and instrumentation - Preoperative and postoperative care |
| Dentistry | - Dental prophylaxis procedures - Oral anatomy and disease recognition |
| Anesthesia | - Anesthetic monitoring - Anesthetic protocols and equipment |
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NEW QUESTION # 709
Which of the following anesthetic monitoring parameters suggests hypoxemia?
Answer: C
Explanation:
A pulse oximeter can estimate hypoxemia or low levels of oxygen in the blood. When a patient is on 100% oxygen on an anesthetic circuit, the SpO2 should not decrease below 97%. When breathing room air, this may decrease to 95%. Because of the oxygen-hemoglobin dissociation curve, subtle changes in SpO2 will occur despite prominent decreases in blood oxygen levels. A saturation level of less than 90% suggests hypoxemia.
A more accurate, though technically challenging and more expensive, way to monitor blood oxygen levels is via arterial blood gas analysis.
End tidal carbon dioxide (EtCO2) reflects hyper- and hypocapnia, which are measures of carbon dioxide and not oxygen.
NEW QUESTION # 710
Taking a good history is important in all species. When considering birds, the history may give you significant information above and beyond what the owner can contribute from physical observations. Since many of our medical concerns in exotic species arise due to poor husbandry practices, ensuring a complete history in all exotics is paramount.
When considering the diet and appetite of the bird, all of the following are key questions to ask, except:
Answer: A
Explanation:
When considering nutrition, we want to ask about food and water changes. Changes in water consumption can aid in differential diagnoses. Further, suppose the owner offered bottled water, ran out, and is now offering tap water. In that case, the bird may have stopped drinking sufficiently due to impurities or taste differences. It could also speak to hydration status.
When discussing food/water concerns, we want to know the following:
*What food do they feed? This includes the percentage of the diet that comes from commercially-prepared foods, seeds, nuts, vegetables, and/or fruits. All too commonly, we find that birds are fed seeds exclusively, increasing the risk of dietary deficiencies and potential disease states. Have there been any changes in the foods fed in the past one to two months?
*How often is the bird fed?
*How much food is fed at each sitting?
*Does the owner add any vitamins or minerals to the food?
*How often does the water get changed? What is the water source, and has that changed?
Asking about stool/feces/droppings is also critical to a good history-taking. Feces are indirectly tied to food/appetite. With decreased appetites, we would expect a drop in fecal quantity. However, if the bird is drinking excessively, we would expect an increase in the uric acid component of the droppings. The following information is important to know:
*Consistency of the droppings
*Color of the droppings
*Number of droppings daily
*If there is any noteworthy odor to the droppings
Other key information for avian history includes:
*Bird's origin
*Bird's age and related signalment information
*Environment, including cage dimensions, perches, substrates, and more
*Enrichment/exercise
*Other pets and exposure to those animals
*Sleep habits
*Molting cycle
*Behavior: What are normal behaviors, and how have the behaviors changed since the drop in appetite?
*Previous pertinent medical history
*Any medications
*Chief complaint/presentation/reason for appointment/visit
NEW QUESTION # 711
In the absence of surgery or trauma, causes of pain can include all except which of the following diseases?
Answer: D
Explanation:
Certain diseases can be associated with significant levels of pain, such as cancer (especially bone tumors), pancreatitis, blood clots, infection, glaucoma, etc. Veterinary technicians often recognize physiological and behavioral signs of pain in animals and are their best advocates for care.
Estrus is not considered a painful process but, with cats especially, some animals can display behaviors that owners may confuse for pain.
NEW QUESTION # 712
A stray dog is brought in by a good samaritan with respiratory distress and neurologic signs. We are concerned the dog may have distemper. He looks cachectic, and the people say they have seen him around on and off for a few years. They do not know of any owner. This was the first time they could get near him to even bring him to a vet because he was so debilitated.
What increases a dog's chance of contracting the distemper virus?
Answer: B
Explanation:
Exposure to wildlife can increase a dog's chance of contracting the distemper virus. Distemper is most commonly associated with domestic canines, but it may also affect other species. Distemper may be carried and spread by wild animals in the families Canidae, Mustelidae, Mephitidae, Hyaenidae, Ailuridae, Procyonidae, and Pinnipedia. The mode of transmission for canine distemper is the inhalation of the airborne virus or contact with urine, feces, or mucosal secretions.
Blood purchased from a blood bank is screened for various diseases and is unlikely to have the distemper virus.
An adult dog with multiple previous distemper virus vaccines (DHPP) a few months late with the booster will not increase the risk of disease. Distemper and parvovirus vaccinations have been shown with repeat bolstering, to last potentially well beyond the three-year booster window. Thus, being a few days or months late is only a theoretical concern.
Exposure to an indoor-outdoor cat will not increase a dog's risk of distemper. Distemper isn't transmissible to felids.
Note that distemper patients can mimic those with rabies, and vice versa, especially depending on what phase of rabies' clinical course manifests on presentation. Thus, even though one suspects distemper, all precautions should be taken and it should be treated as if the dog has rabies until proven otherwise.
NEW QUESTION # 713
Why are ketones often noted in the urinalysis results of emaciated or starving patients?
Answer: D
Explanation:
When the body lacks carbohydrates, it uses fat as an energy source. When this metabolic process overwhelms the liver, ketones are released into the blood and, subsequently, the urine.
NEW QUESTION # 714
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