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| Section | Weight | Objectives |
|---|---|---|
| Pain Management and Analgesia | 7% | - Pain Control
|
| Animal Care and Nursing | 20% | - Patient Care
|
| Dentistry | 8% | - Dental Procedures
|
| Diagnostic Imaging | 7% | - Imaging Techniques
|
| Surgical Nursing | 11% | - Perioperative Procedures
|
| Laboratory Procedures | 12% | - Diagnostic Testing
|
| Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Anesthesia | 15% | - Anesthetic Procedures
|
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NEW QUESTION # 984
If a veterinarian asked for stitch scissors, what action would they most likely be performing?
Answer: A
Explanation:
If a veterinarian asked for stitch scissors, they would most likely be cutting sutures for removal. Stitch scissors, as well as Littauer suture removal scissors, are used for cutting sutures.
Lister scissors are generally used for cutting bandages. Mayo scissors are generally used for dissections, as they are better suited for cutting dense tissue. Metzenbaum scissors are generally used for delicate dissections of thin muscle or fat tissue.
NEW QUESTION # 985
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: D
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 # 986
You are on a farm call with your veterinarian. It is a new horse owner, and the owner adopted a mare and her foal from a U.S. Humane Society hoarding situation. The animals have not had sufficient or appropriate vaccinations or preventative care for their ages. You, therefore, are reviewing vaccination recommendations with the owner. You start with vaccines suited for the foal. This provides you with a great opportunity to educate the owner on various diseases, some of which are infectious to people, as well as how they are transmitted. Additionally, this discussion permits vectorborne disease discussion and preventative measures education.
All of the following vaccinations are core vaccines in foals, except:
Answer: C
Explanation:
Numerous vaccines are available for foals. Some are recommended based on lifestyle and life stage (vary with the animal's age), and vary based on the vaccination status of the mare.
Core vaccinations are recommended/required for animals in areas where diseases are endemic. This includes legally required vaccinations and vaccinations for highly contagious diseases and/or for conditions that pose a high risk of serious illness. These vaccines have high levels of efficacy and benefits documented.
Core vaccines, though when they are administered vary by age, include:
*Tetanus
*Eastern and western equine encephalomyelitis (EEE/WEE)
*Rabies
*West Nile Virus (WNV)
The remaining vaccines are risk-based and vary based on regional disease prevalence, individual animal risks, and populations of concern:
*Anthrax
*Botulism
*Equine Herpes Virus (EHV)
*Equine Viral Arteritis (EVA)
*Equine influenza
*Potomac Horse Fever (PHF)
*Strangles (Streptococcus equi)
One vaccination is not recommended for use in foals, and that is rotavirus.
NEW QUESTION # 987
A 1500-pound horse needs a 1 mg/kg injection of flunixin available in a 50 mg/mL formulation. What volume of medication should the horse receive?
Answer: C
Explanation:
Convert pounds to kilograms: 1500 lbs / (2.2 lbs/kg) = 682 kg
Convert dosage to dose: 1 mg/kg x 682 kg = 682 mg
Convert mg to ml: 682 mg / (50 mg/mL) = 13.6 Ml
NEW QUESTION # 988
Veterinarians should avoid giving which of the following anesthetics to patients with hypovolemia?
Answer: A
Explanation:
Acepromazine is a phenothiazine tranquilizer used to sedate patients before administration of general anesthesia. Acepromazine can cause peripheral vasodilatation, which can lead to hypotension and hypothermia, both of which are further compounded with hypovolemia.
Opioids, propofol, and isoflurane are considered to be relatively safe drugs for animals with hypovolemia when given for sedation.
NEW QUESTION # 989
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