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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 2: Diagnostic Imaging | 7% | - Imaging Techniques
|
| Topic 3: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 4: Animal Care and Nursing | 20% | - Patient Care
|
| Topic 5: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 6: Pain Management and Analgesia | 7% | - Pain Control
|
| Topic 7: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 8: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 9: Dentistry | 8% | - Dental Procedures
|
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NEW QUESTION # 950
Urovagina occurs when urine builds up in the vagina of a cow. Urovagina requires surgical correction to do which of the following?
Answer: B
Explanation:
Urovagina requires surgical correction to elongate the urethra. It is also used to redirect the urine externally by elevating the transverse fold. If urovagina is not corrected, it may cause the cow to become infertile.
Surgical correction for urovagina is not done to relieve obstructions, to direct urine cranially, or to minimize hemorrhage.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 1207.
Clinical Anatomy and Physiology for Veterinary Technicians 3rd Edition. Pg 479.
NEW QUESTION # 951
Which of the following medications is a nonsteroidal anti-inflammatory drug (NSAID)?
Answer: B
Explanation:
Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic, and antipyretic effects.
Methocarbamol is a muscle relaxer. Gabapentin is an anticonvulsant that is more commonly used to treat chronic pain and acute and chronic neuropathic pain states. Tramadol is an opioid-like analgesic. It is in its own drug class.
NEW QUESTION # 952
Camelids can be classified as "Old World" or "New World." Which of the following is an example of an "Old World" camelid?
Answer: C
Explanation:
Camels are an example of "Old World" camelids. Camels are either dromedary (one-humped) or Bactrian (two-humped). Camelids can live to be 20 years old, and they have three-compartment stomachs, which is similar to ruminants.
Llamas, alpacas, and guanacos are all classified as "New World" camelids.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 717.
NEW QUESTION # 953
You have a three-YO FS DLH who presented with stranguria and urinating out of the box. For the past two weeks, there have been construction workers in and outside around the home. The construction stopped five days ago, but the signs started about two days ago. Today, the owner noticed blood and insists the cat has a urinary tract infection. The veterinarian discusses the most likely diagnosis of FIC and recommends confirming that there is no infection with a urinary culture. The owner declines diagnostics, including a routine urinalysis, due to financial costs but wants to do something. She says, "Can't you just give an antibiotic shot?" Your veterinarian appropriately replies that < 1% of cats this age have infections and that, given the history and clinical signs, it is most likely a stress response and subsequent inflammation/irritation in the bladder. The vet explains to the owner that it will resolve on its own, but that providing pain relief is paramount to shortening the course of the disease and improving patient comfort. The owner cannot medicate at home but agrees to pain medication. Wanting to provide pain management as the disease takes its course, the veterinarian prescribes Zorbium. You are asked to apply this in the hospital.
How do you administer the medication to your patient?
Answer: A
Explanation:
Feline interstitial cystitis (FIC) is a common disorder in cats associated with stressful situations in which the stress goes to the bladder, causing a cascade of events, including inflammation and irritation to the bladder, straining to urinate, urinary accidents (going out of the box), and sometimes hematuria. It is painful and stressful for the cat. Still, in < 1% of healthy patients, it does not indicate a urinary tract infection. Patients with diabetes, geriatrics, or renal disease may have an infection, and urine cultures should be performed before administering antibiotics to any of these patients to ensure appropriate antimicrobial stewardship.
Treatment consists of pain management and time. While it will usually abate on its own in five to seven days, we want to ensure animals are comfortable and shorten clinical signs as much as possible.
Zorbium, a new transdermal buprenorphine product by Elanco, is labeled for post-operative pain, providing four days of "reliable pain relief from a single in-clinic dose." It is FDA-approved for post-op pain but used off-label for numerous conditions. It comes in pre-dosed aliquots that permit easy dispensing and controlled drug log monitoring/recording.
Ideally, it is applied transdermally on the patient in an area where they cannot reach with grooming and allowed to dry before sending the patient home with the owner. It is a great option for cats that cannot be orally medicated. Ideally, FIC patients would also be sent home with oral gabapentin to help provide a more complete pain management spectrum and address some of the anxiety associated with the disease. Since this owner cannot medicate the cat, however, this is a reliable option.
Zorbium is generally well-tolerated, but, as with short-acting buprenorphine, it will cause pupil dilation, may cause sleepiness at first, and an elevated temperature.
When used for surgery, it is applied one to two hours pre-operatively or a pre-op opioid is used and applied one to two hours before that pain med has fully worn off, but when the patient is alert, awake, and maintaining body temperature.
Do not clip the fur, and wear gloves while applying. The onset of action is approximately one to two hours, and it takes about 30 minutes to dry, so the pet will need to remain in the hospital for that duration.
Proper client education and handout materials on FIC should be sent home with the owner, including websites for additional information and modifications and steps to take in the home to lessen the risk of recurrence.
NEW QUESTION # 954
What is a common side effect of corticosteroid administration?
Answer: C
Explanation:
While glucocorticoids (corticosteroid medications) can be extremely effective at reducing inflammation, there are risks associated with long-term use and/or high doses. Side effects include delayed wound healing, polyuria (increased urination), and polydipsia (increased thirst). Steroid use is also associated with an increased risk of diabetes mellitus.
NEW QUESTION # 955
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