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| Section | Objectives |
|---|---|
| Laboratory Procedures | - Urinalysis and microbiology - Hematology and clinical pathology |
| Animal Care and Nursing | - Patient handling and restraint - Nutrition and husbandry |
| Emergency Medicine and Critical Care | - Triage and stabilization - Shock management and CPR |
| Anesthesia | - Anesthetic monitoring - Anesthetic protocols and equipment |
| Pain Management and Analgesia | - Pain assessment techniques - Analgesic drug use |
| Diagnostic Imaging | - Image processing and interpretation basics - Radiography positioning and safety |
| Pharmacology | - Dosage calculations and administration - Drug classifications and uses |
| Surgical Nursing | - Sterile technique and instrumentation - Preoperative and postoperative care |
| Dentistry | - Dental prophylaxis procedures - Oral anatomy and disease recognition |
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NEW QUESTION # 252
A technician certified in physical rehabilitation is performing an assessment on a new patient, a 10-year-old dog. After explaining the components of the examination, the technician uses a Gulick tape to measure the dog's:
Answer: D
Explanation:
A Gulick tape is a tool used to measure muscle mass. It provides objective data about muscle atrophy and weight loss around the abdominal area and limbs. It is a calibrated tape measure that causes no pain or discomfort to the animal and can take measurements quickly.
Blood sugar is measured using a glucometer and is not part of a rehabilitation examination. Range of motion (ROM) is measured using a goniometer. Gait weight-bearing is measured by force plate or pressure mat analysis.
NEW QUESTION # 253
During intubation and extubation, airway safety is paramount. An improperly inflated endotracheal tube cuff after intubation, or failing to deflate the cuff sufficiently on extubation can lead to all of the following complications except which one?
Answer: B
Explanation:
Hypoxemia can be a complication of endotracheal intubation, but it usually occurs when the tube becomes kinked or obstructed. A loose, insufficiently inflated tube may become kinked and trigger this, but simply under or overinflating the tube should not prevent sufficient oxygen delivery to the patient, assuming all other anesthetic factors work properly.
The cuff of an endotracheal tube should be adequately inflated to create a seal for positive pressure ventilation, but overinflation of the cuff may lead to tracheal damage. The cuff on an endotracheal tube should be partially or fully deflated prior to extubation to avoid tracheal damage. Additionally, care should also be taken when rotating an intubated patient to disconnect them temporarily from the breathing circuit to prevent tracheal tears.
A loose cuff, while not likely to cause hypoxia, will not protect the airway from aspiration if the patient vomits or regurgitates, so it is important to check inflation pressure carefully.
Finally, loose cuffs allow the anesthetic to escape the patient and leak around the tube, leaching into the environment.
NEW QUESTION # 254
When helping to develop a pain management plan for a surgery or procedure, you should ask yourself all of the following questions, except:
Answer: C
Explanation:
When creating an initial pain management plan, you want to ask yourself several questions to help determine the level of pain control needed, the safety of various drugs in this specific patient, whether sedation and pain management will be required, and how far in advance. You want to assess the procedure being performed and the level of pain it will provide and choose a pain management plan that will appropriately manage the level of pain expected.
You need to know if the patient is high strung, anxious, easily agitated, or aggressive ahead of time and ensure you take that into account in your premedication and post-management of the patient. Finally, if your patient has underlying contraindications for specific drug classes, this must be known upfront. For example, alpha2-agonists would be contraindicated in patients with underlying heart disease.
Treat each patient as the individual they are. While it is nice to have a baseline, knowing what protocols work for what procedures, and what each veterinarian may be most comfortable using, each patient needs their own plan.
NEW QUESTION # 255
You are triaging a patient who was recently in a dog fight but appears stable. The wound is not actively bleeding, but the dog is still in the car. You have concerns that the dog is in pain and know that you will need to restrain him to obtain vitals and have the veterinarian evaluate him. The dog was bitten on a hind leg, and the head is right by the door. The dog is not lunging or biting and is licking your hand and wagging his tail like crazy when you go to his head. However, you want to ensure you get him safely out of the car without causing harm to you, your staff, the owner, the dog, or the veterinarian who will evaluate him when moving him to the stretcher.
Which of the following is the least acceptable option for an otherwise friendly dog?
Answer: A
Explanation:
The best option for a dog who is in pain, but who is friendly and allows gentle petting of the head, would be to fit an e-collar on the pet. While technically not a restraint device, it does provide a barrier between you and the body part causing pain. Additionally, some dogs resent having their snout closed or anything on their muzzle, even basket muzzles, which still allow panting. The e-collar will be necessary for wound licking prevention post-treatment and evaluation, and can provide safety with minimal restraint. Recall that the question clearly states the dog is friendly, and he is giving you kisses. A muzzle is potentially overkill and may stress the patient out. However, some dogs do not readily accept an e-collar, so a muzzle may be needed. It is never wrong for the technician to place a muzzle if safely placed.
Ideally, we do not recommend that the owners place muzzles, as that creates a liability for the practice if the pet parent were to get hurt putting the muzzle in place. However, some dogs will not allow staff to put on a muzzle, but are trained or readily accept them when placed by an owner.
Muzzles are not without risk. Basket muzzles allow a pet to pant and open their mouth slightly, and are ideal for brachycephalic facial structures, those with craniofacial injury, or those with tachypnea that need to open-mouth breathe. Basket muzzles are ideal for many different breeds, as they permit panting and allow treat administration.
Thus, the correct answer, in other words, what you would not want to do, would be to loop the leash through the choke chain. Not only are choke chains not restraint devices, but veterinarians do not recommend their use in general. Choke chains are theoretically used to correct unwanted behavior. However, they can pinch the skin, cause harm, and do not provide any protection from sharp teeth.
NEW QUESTION # 256
All of the following are crystalloid fluids, except:
Answer: B
Explanation:
Crystalloids and colloids are two classes of intravenous fluids. Hydroxyethyl starch (hestastarch)is a synthetic colloid fluid, not a crystalloid. Recently, concern has been raised about the safety of hydroxyethyl starch and the increased risk of renal injury and coagulopathies.
Examples of crystalloid solutions are 0.9% NaCl, Plasmalyte 148, and Normosol R.
NEW QUESTION # 257
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