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AAVSB VTNE Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacy and Pharmacology | 12% | - Medication Preparation
- 1. Drug Calculations
- 2. Controlled Substance Handling
- 3. Drug Administration
|
| Topic 2: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
- 1. Trauma Management
- 2. Critical Patient Monitoring
- 3. CPR
|
| Topic 3: Surgical Nursing | 11% | - Perioperative Procedures
- 1. Surgical Preparation
- 2. Patient Monitoring
- 3. Instrument Sterilization
|
| Topic 4: Anesthesia | 15% | - Anesthetic Procedures
- 1. Patient Recovery
- 2. Equipment Management
- 3. Anesthetic Monitoring
|
| Topic 5: Dentistry | 8% | - Dental Procedures
- 1. Oral Examination
- 2. Dental Radiography
- 3. Dental Prophylaxis
|
| Topic 6: Animal Care and Nursing | 20% | - Patient Care
- 1. Hospital Nursing Care
- 2. Nutrition
- 3. Animal Handling
|
| Topic 7: Laboratory Procedures | 12% | - Diagnostic Testing
- 1. Hematology
- 2. Urinalysis
- 3. Microbiology
|
| Topic 8: Diagnostic Imaging | 7% | - Imaging Techniques
- 1. Radiation Safety
- 2. Image Processing
- 3. Radiography
|
| Topic 9: Pain Management and Analgesia | 7% | - Pain Control
- 1. Postoperative Pain Management
- 2. Pain Assessment
- 3. Analgesic Administration
|
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AAVSB Veterinary Technician National Exam VTNE Prüfungsfragen mit Lösungen (Q177-Q182):
177. Frage
Diclofenac sodium is a topical nonsteroidal anti-inflammatory drug (NSAID) used in horses. The Food and Drug Administration (FDA) has approved this drug for which of the following purposes?
- A. Pain associated with colic
- B. Joint pain and inflammation
- C. Pain associated with equine osteoarthritis
- D. Spasmodic, flatulent, or impaction colic in horses
Antwort: B
Begründung:
Diclofenac sodium is an FDA-approved NSAID for joint pain and inflammation in horses. This drug may be administered every 12 hours, no more than a 5-inch ribbon of cream, for up to ten days.
Firocoxib is an FDA-approved NSAID for pain associated with equine osteoarthritis. Butorphanol is used in horses for pain associated with colic and is an opioid. Ketamine is a dissociative drug used for spasmodic, flatulent, or impaction colic in horses.
178. Frage
When developing an anesthetic plan for a 1-hour procedure, all of the following would be examples of commonly used drug combinations for TIVA for a horse, except for which of the following?
- A. Ketamine + dexmedetomidine
- B. Propofol
- C. Ketamine + a benzodiazepine
- D. Ketamine
Antwort: D
Begründung:
TIVA, or total intravenous anesthesia, allows general anesthesia sans inhalant. Rather than maintain an animal on gas such as isoflurane and provide intermittent boluses of IV anesthetics/sedatives such as xylazine or ketamine intraoperatively, all injectable medications are used.
Combinations commonly used for TIVA include a dissociative such as ketamine with a variety of alpha2-agonists +/- guaifenesin, ketamine, and a benzodiazepine or a propofol CRI or intermittent boluses of propofol.
Ketamine alone would be insufficient for total anesthesia because, while it provides some somatic analgesia, it does not produce any muscle relaxation, simply a state of immobilization or catalepsy. When given alone, it can increase the risk of excitement on recovery or induce prolonged or unreliable recoveries. When used alone, dissociatives do not produce a state of general anesthesia and thus, would not be sufficient for a TIVA protocol. Additionally, dissociatives increase muscle tone and sensitivity to sound and light, maintain intact reflexes, and can increase both heart rate and blood pressure. By giving other medications, you can balance out these effects to reach a normal steady-state for the heart and body.
179. Frage
All of the following elements are needed to create an x-ray beam except:
- A. Radioactive isotope
- B. A filament to accelerate electrons
- C. A cathode source and anode target
- D. Vacuum environment
Antwort: A
Begründung:
There are several components of an x-ray tube:
*The cathode provides the source of electrons, while the anode receives them.
*An electrified wire filament to accelerate electrons
*A vacuum within the tube envelope
Gamma rays are produced by radioactive isotopes and used in nuclear scintigraphy studies, not radiography. Both x-rays and gamma rays generate ionizing radiation but differ in their energy level and part of the atom from which they originate. X-rays come from outside the nucleus, and gamma rays from inside the nucleus.
180. Frage
Which term describes a radiographic artifact?
- A. Attenuation
- B. Ionization
- C. Rectification
- D. Summation
Antwort: D
181. 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?
- A. Place a fentanyl patch for up to 72 hours
- B. Oral nonsteroidal anti-inflammatory pain medications
- C. Place an epidural catheter for morphine administration q 12 hours for 2-3 days
- D. Use a CRI of lidocaine-ketamine
Antwort: C
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.
182. Frage
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