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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacy and Pharmacology | 13% | - Preparation, dispensing, storage, safety and disposal - Drug classification, dosage calculation, administration routes - Anatomy, physiology, pathophysiology related to agents - Controlled substance management |
| Topic 2: Surgical Nursing | 13% | - Surgical preparation, instrumentation, aseptic technique - Intraoperative and postoperative care - Wound management, suture materials and techniques |
| Topic 3: Laboratory Procedures | 9% | - Hematology, clinical chemistry, urinalysis - Sample collection, handling and processing - Parasitology, microbiology, cytology |
| Topic 4: Animal Care and Nursing | 20% | - Specialized care for exotic, large or neonatal patients - Infection control, sanitation, isolation - Husbandry, nutrition, fluid therapy - Physical examination, patient assessment |
| Topic 5: Communication and Veterinary Professional Support Services | 5% | - Medical records, ethics, legal and regulatory compliance - Practice management, team collaboration - Client education, communication techniques |
| Topic 6: Pain Management / Analgesia | 7% | - Multimodal analgesia protocols - Pain assessment, pharmacologic and non-pharmacologic control |
| Topic 7: Dentistry | 7% | - Dental cleaning, polishing, radiography - Periodontal care and patient education - Dental anatomy, disease recognition |
| Topic 8: Diagnostic Imaging | 6% | - Ultrasound, other imaging modalities - Radiography: positioning, safety, technique - Image quality assessment and documentation |
| Topic 9: Anesthesia | 13% | - Recovery and emergency management - Anesthetic agents, equipment, monitoring - Pre-anesthetic assessment and preparation |
| Topic 10: Emergency Medicine / Critical Care | 7% | - Toxicology, trauma, first aid procedures - Triage, shock, respiratory/cardiac emergencies |
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1230. Frage
When evaluating cytology and determining if a cell population is cancerous or not, we monitor for signs of malignancy. All of the following are general criteria of malignancy, except:
Antwort: B
Begründung:
We characterize benign neoplasia or hyperplasia of a homogeneous population of the same cell type that lacks criteria of malignancy. General characteristics of malignancy include anisocytosis (varying red blood cell sizes) and macrocytosis (cells that are larger than they should be), increased or hypercellularity, and pleomorphism, except when evaluating lymphoid tissue (variability in size, shape, and staining of cells and the nuclei).
Additionally, when evaluating for malignancy, we can evaluate characteristics of the nucleus, including:
*Macrokaryosis
*Increased nucleus-to-cytoplasm ratio
*Anisokaryosis
*Presence of multiple nuclei
*Abnormal mitosis
*Increased mitotic figures
*Nuclear molding
*Coarse chromatin, ropy or cordlike in appearance
*Macronucleoli
*Anisonucleosis
*Angular nucleoli
Neoplastic cells can be epithelial in origin, spindle cell (mesenchymal) in origin, or discrete round cell tumors.
1231. Frage
You need to take blood from an iguana today, and you want to ensure you only take what is necessary to run your blood panels. What is the maximum blood volume you can collect from your reptilian patient?
Antwort: B
Begründung:
When taking blood from neonates, birds, and reptiles, the rule of thumb is to ensure you take no more than 1% of the pet's body weight and only take what is absolutely necessary to run the required tests.
In this answer, we do not give the animal's weight, so a specific volume cannot be chosen, making 1 mL and 2.5 mL both incorrect. 0.5% of the animal's body weight, while an acceptable volume, may be insufficient to run all tests and isn't the maximum safe allowable volume.
1232. Frage
When storing a urine sample to be sent to the lab, which of the following is not critical?
Antwort: A
Begründung:
While it is important to note the pet's current diet, as it can affect properties in the urine, it isn't key to urinalysis evaluation unless the sample is specifically post-prandial, but then just the time is important, exactly what it ate is not critical to evaluation.
Factors that are critical include:
1. No exposure to light
2. Proper storage - refrigerate if not being used immediately and return to room temperature before evaluating
3. Store a maximum of 24 hours
4. Ensure leak-proof containers and non-breakable containers with tight lids to prevent spillage
5. Note the time of urine collection: this includes first-urine of the morning, post-prandial sample (3-6 hours post may be more reflective of diet, while immediately after eating, the urine is usually more acidic)
6. Note if the urine timing was random vs. timed, or singular vs. serial
7. Ensure proper tube labeling with patient's name, unique identifier, and if being sent to an outside lab, clinic information
1233. Frage
Which of the following hand instruments is used to remove subgingival dental calculus?
Antwort: B
Begründung:
Curettes have a cutting edge and rounded tip, so can be used both above (supragingivally) and below the gumline (subgingivally). Scalers are similar to curettes in that they have also have a cutting edge. In contrast to curettes, they have a sharp tip that can damage delicate gingiva, so should only be used supragingivally.
Probes are used to examine the periodontal tissues for pocket depth, recession, and hyperplasia. They are smooth on all sides with a blunt tip.
Explorers have smooth sides with a sharp tip. They can be used to detect subgingival calculus, but do not have a sharp edge for removal.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 682-684.
1234. Frage
Various types of lasers (Light amplification by stimulated emission of radiation) are utilized in veterinary medicine. As a result of their thermal effects, lasers can allow various actions, including welding, cutting, vaporizing, or coagulating. Knowing how lasers work and the hazards associated with their use can help you maintain the surgical environment and the safety of all personnel.
Which of the following is the most critical to ensure all staff knows when using lasers?
Antwort: B
Begründung:
Lasers and related equipment come with an emergency shutdown button. By knowing where the emergency button is, both in aberrant situations and during normal operations, we can maintain the safety of everyone involved in the surgery. Additionally, regardless of function within the practice, all personnel need to understand the risks of laser use and what to do in an emergency.
Once the equipment has been shut off, the appropriate contact can be made to let them know the situation and decide the next course of action.
Always ensure that the technicians assisting the surgeon, setting up the laser, taking it down, and cleaning it are fully trained in the unit's operation, use, and care.
Finally, ensure proper hospital SOPs are in place; also ensure that all staff members have read them and understand the inherent risks of lasers and what to do in an emergency.
1235. Frage
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