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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Surgical Nursing | 13% | - Surgical preparation, instrumentation, aseptic technique - Wound management, suture materials and techniques - Intraoperative and postoperative care |
| Topic 2: Emergency Medicine / Critical Care | 7% | - Toxicology, trauma, first aid procedures - Triage, shock, respiratory/cardiac emergencies |
| Topic 3: Diagnostic Imaging | 6% | - Image quality assessment and documentation - Radiography: positioning, safety, technique - Ultrasound, other imaging modalities |
| Topic 4: Animal Care and Nursing | 20% | - Husbandry, nutrition, fluid therapy - Physical examination, patient assessment - Specialized care for exotic, large or neonatal patients - Infection control, sanitation, isolation |
| Topic 5: Dentistry | 7% | - Dental cleaning, polishing, radiography - Dental anatomy, disease recognition - Periodontal care and patient education |
| Topic 6: Communication and Veterinary Professional Support Services | 5% | - Medical records, ethics, legal and regulatory compliance - Practice management, team collaboration - Client education, communication techniques |
| Topic 7: Anesthesia | 13% | - Recovery and emergency management - Anesthetic agents, equipment, monitoring - Pre-anesthetic assessment and preparation |
| Topic 8: Laboratory Procedures | 9% | - Sample collection, handling and processing - Parasitology, microbiology, cytology - Hematology, clinical chemistry, urinalysis |
| Topic 9: Pain Management / Analgesia | 7% | - Multimodal analgesia protocols - Pain assessment, pharmacologic and non-pharmacologic control |
| Topic 10: Pharmacy and Pharmacology | 13% | - Preparation, dispensing, storage, safety and disposal - Anatomy, physiology, pathophysiology related to agents - Drug classification, dosage calculation, administration routes - Controlled substance management |
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NEW QUESTION # 857
A bird is coming in for a beak trim that you will be performing. This bird seems to need beak trims often, which concerns you. When obtaining the history, you ask the owner if the bird feaks often.
What behavior does this describe?
Answer: D
Explanation:
To feak means to rub (the beak) on rough surfaces, allowing them to properly clean the beak and maintain the appropriate shape. Birds in the wild perform natural daily activities that provide proper shaping and wear and tear to beaks and claws. However, in captivity, some birds, especially birds of prey and psittacines, have limited access to appropriate surfaces to achieve this wearing down and maintenance behavior. As a result, some birds may develop the need for frequent coping (trimming and reshaping) of the beak and or nails.
Birds who develop issues with their beaks may have trouble eating, paw at the mouth or drop food, and could potentially feather pick due to pain or inability to eat properly. But feak means rubbing the beak or claws on rough surfaces to help shape and maintain them.
Remember that beak trimming should never be done without a veterinarian first evaluating the bird. While birds may develop issues due to improper rubbing of the beak, overgrown beaks can also be secondary to trauma, infection, or metabolic disturbances. Simply trimming the beak will not address any underlying health concerns. Only technicians properly trained in beak trimming should be performing it, or permanent malocclusion could result.
NEW QUESTION # 858
You are practicing veterinary medicine in the U.S. and discussing the new monoclonal antibody pain medication (anti-nerve growth factor), Librela, for use in dogs with your client. The veterinarian prescribed it. The pet has stage II kidney disease and is not a candidate for non-steroidal anti-inflammatory medications (NSAIDs). Still, the pet's arthritis is negatively affecting the animal's quality of life. The owner is willing to give the drug a try. You are explaining how you will administer it and any side effects to watch out for as well.
You state that it is well-tolerated overall, but reported side effects based on studies (not necessarily seen in practice) have included all of the following, except:
Answer: B
Explanation:
Librela (bedinvetmab) is a monoclonal antibody directed against nerve growth factor, a key player in the pain pathway. It has been shown to be very safe and effective at controlling osteoarthritis pain. Studies suggest pain control is comparable to that of NSAIDs in dogs, but it is considered safer than NSAIDs in dogs with underlying kidney disease.
You want to explain to your client that what is listed on the package label as possible side effects include any abnormal findings in an animal in the study, regardless of whether it was from the drug. The drug has been used for several years in Europe with minimal side effects. You explain that most dogs show no abnormalities or pain at the injection site, and some may develop elevated BUN levels. However, other reported side effects in the research include bacterial skin infections, urinary tract infections, and inflammation at the injection site (swelling and heat).
The elevated BUN was not associated with kidney dysfunction or clinical signs, and the drug has minimal metabolism pertaining to either the liver or kidneys; thus, it can be used safely in animals with underlying diseases.
Be sure to explain to clients that-while new in the U.S. as of 2023-it has been used in Europe much longer, so more real-time results show that it is very well-tolerated. Remind the client that drug companies in the U.S. must put on the label information any negative/adverse effects that happened while the clinical trials were ongoing, regardless of whether the drug had anything to do with it or not.
Clearly communicate possible risks to the owner, but note the difference between commonly seen side effects (e.g., pain at the injection site) vs. those uncommonly seen (e.g., a rise in BUN but not creatinine, lethargy, or anorexia) makes this a viable option for a pet with stage 2 kidney disease.
NEW QUESTION # 859
During arthroscopic surgery, a blunt probe is commonly used. What is the purpose of its use?
Answer: C
NEW QUESTION # 860
The oxygen flush valve delivers pure oxygen at what rate directly to the breathing system? What is it bypassing when you use this?
Answer: B
Explanation:
The oxygen flush valve delivers pure oxygen to the breathing circuit, bypassing the flowmeter and the vaporizer. It is designed to rapidly fill an empty reservoir bag with fresh oxygen. However, when doing so, this dilutes the concentration of any inhalant within the circuit. The flush valve also functions as an oxygen delivery method for a critically ill patient or to push the inhalant out of the circuit once recovery is initiated or during a crisis.
To flush the circuit properly, turn off the vaporizer, using gentle manual pressure on the reservoir bag. Then, press the valve to refill the bag. Never use more than short bursts when using the valve. You must avoid overinflation of the bag and prevent damage to the patient's lungs secondary to barotrauma (pressure buildup).
NEW QUESTION # 861
Which term refers to the portion of the tooth closest to the inside of the cheek?
Answer: B
Explanation:
Buccal refers to the portion of the tooth closest to the inside of the cheek.
Palatal is the portion of the tooth closest to the palate and is typically used for maxillary teeth. Lingual is the portion of the tooth closest to the tongue and is typically used for mandibular teeth. Apical (towards the apex) is the portion of the tooth closest to the root.
NEW QUESTION # 862
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