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| Section | Objectives |
|---|---|
| Pain Management and Analgesia | - Pain assessment techniques - Analgesic drug use |
| 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 |
| Anesthesia | - Anesthetic protocols and equipment - Anesthetic monitoring |
| Dentistry | - Dental prophylaxis procedures - Oral anatomy and disease recognition |
| Diagnostic Imaging | - Image processing and interpretation basics - Radiography positioning and safety |
| Surgical Nursing | - Sterile technique and instrumentation - Preoperative and postoperative care |
| Animal Care and Nursing | - Nutrition and husbandry - Patient handling and restraint |
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NEW QUESTION # 20
Which of the following storage conditions does not adversely affect raw (unexposed, unprocessed) x-ray film?
Answer: B
Explanation:
*Radiographic film can be stored in a refrigerator or freezer. Storing at low temperatures is helpful in slowing the aging process.
*High humidity environments can cause fogging.
*Low humidity environments can result in static electricity between sheets of film. These show as a lightning bolt artifact.
*Storing film horizontally can cause pressure and creasing artifacts on the film emulsion.
*Ideal conditions for in-use film storage are 50-60°F degrees, upright (vertically oriented), and at 40-60% humidity.
Because the film is so sensitive to light, it is most likely to be damaged after the image is taken but before the film is processed. Veterinary technicians should be very careful when handling the film to not compromise the image. After the film is exposed, it should be kept in the cassette and taken into the darkroom, where it should be carefully and slowly removed and immediately processed.
NEW QUESTION # 21
Horses in respiratory distress may need a temporary tracheotomy to relieve upper airway obstructions. When taking care of a horse with a tracheostomy tube, all of the following must be ensured except?
Answer: C
Explanation:
Tracheostomy tubes must be well maintained. The patient needs to be closely monitored while the tube is in and for the first 24 hours after removal, watching closely for dyspnea. The tracheostomy tube must be devoid of debris, mucous, or other particulate matter and should be cleaned often. How often it is cleaned depends on the state of the horse, the location of the animal, and the environment's conditions (barn vs. hospital stall). Continually monitor for signs of infection, including swelling, discharge, erythema, and even pain around the tube. If noted, alert the veterinarian ASAP.
The tube will need to be maintained until the upper airway obstruction is relieved. Once relieved, the tube may be removed.
NEW QUESTION # 22
Which of the following would not be an indication for dental radiography?
Answer: A
Explanation:
Dental radiographs should no longer be an option for pet owners. They should be part of every comprehensive dental evaluation under general anesthesia. They are relatively easy to take with digital imaging, allow the veterinary team to learn what is occurring below the gum line, and help guide current and future therapy for each patient.
Radiographs should be taken on small animals, specifically:
*As part of the comprehensive assessment with every routine dental exam (at least annually is recommended, especially in breeds predisposed to advanced dental disease)
*Every 12-24 months when treating periodontal disease
*Before and after any tooth extraction
*When evaluating chipped teeth to determine pulp exposure and the degree of dentin protecting the pulp
*When evaluating fractured teeth with pulp exposure to determine the degree of periapical disease In addition, radiograph all teeth in patients with a history of resorptive lesions or gross evidence of current resorptive disease. Ideally, obtaining radiographs on young patients helps identify permanent dentition, especially in breeds where teeth can often be missing or fall out without the owner's knowledge, and can be helpful for reference in the future.
Regardless of species, however, dental radiography helps us plan and evaluate treatment successes and complications in dogs, cats, horses, and exotic species. They help tell the story below what the naked eye can see, below the gum line.
Radiographs help us to assess for:
*Tooth resorption
*Periodontal bone loss
*Retained root tips (either left behind by previous veterinarians or as a result of teeth falling out incompletely)
*Periapical radiolucencies (such as with tooth root abscesses)
*Teeth that failed to erupt normally or at all
*Bone infection
*Cancers
*Fractures (Teeth/jaw)
*Foreign material or foreign bodies
*Temporomandibular (TMJ) joint disease
NEW QUESTION # 23
Which cell type would new methylene blue help best identify on cytology?
Answer: D
Explanation:
Mast cells, round to oval cells with round to oval nuclei, often contain numerous blue to dark purple granules within the cytoplasm. New methylene blue effectively stains nuclei, mast cells, and many infectious agents. Typically, mast cells are found near blood vessels, allowing them to quickly release the contents of the granules (histamine and heparin). This allows them to be protective and guard against infection and abnormal proteins. When stimulated, they burst open, releasing the granules. When they proliferate in other places, however, they can become neoplastic. Knowing how to identify these cells is paramount. They can be identified with other stains such as Diff-Quik, but the granules stain much darker and clearer with new methylene blue.
The remaining cells can be identified by a variety of stains, most commonly, Diff-Quik.
NEW QUESTION # 24
The euthanasia process is hard on everyone. Emotions run higher during these appointments; people are often distraught, and no matter how much you prepare the client for what will happen, you cannot predict everything. Taking care to ensure the process runs smoothly, and that the owner is aware of how the process will work, is okay with it, and understands that the pet may take a few breaths after the heart has stopped, sigh, urinate, or defecate, helps them expect it. However, we cannot anticipate all reactions or complications.
All of the following contribute to dysthanasia or result from it, except:
Answer: D
Explanation:
Dysthanasia refers to suffering by either the client, pet, or both during the euthanasia process. It results from emotional trauma due to the procedure and what it represents to the client. It may also be impacted by problems such as a catheter that starts patent and no longer is or was not patent from the outset, or the extravasation of the euthanasia medication. Adverse patient responses to the medications administered (though normal), including vocalization, swimming (which owners may take to mean pain or distress), agonal breathing, and even abnormal head posture as death takes hold can contribute to dysthanasia.
Taking payment and completing all paperwork before the owners say goodbye isn't directly related to the death process. However, having them take care of the business side of things before the pet has passed permits them to say their goodbyes and then be able to depart, hopefully with a smoother experience. Taking payment and doing paperwork ahead of time makes the whole process less traumatic.
Dysthanasia is a mean driver pushing people to leave a practice. One bad experience can lead to a client seeking a new vet. The best way to prevent this is to be open with the owner from the beginning. Tell them what you will be doing, what meds you will be using and possible reactions, and include that they may take breaths even when the heart has stopped. Some people explain this as the diaphragm relaxing. In contrast, others may say something akin to the pet's energy or soul is leaving the body. Regardless, we want to leave owners with a good feeling despite the major loss they have just suffered. Show compassion and empathy to both the owners and the pets.
NEW QUESTION # 25
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