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| Section | Objectives |
|---|---|
| Anesthesia | - Anesthetic protocols and equipment - Anesthetic monitoring |
| Animal Care and Nursing | - Nutrition and husbandry - Patient handling and restraint |
| Surgical Nursing | - Sterile technique and instrumentation - Preoperative and postoperative care |
| Dentistry | - Dental prophylaxis procedures - Oral anatomy and disease recognition |
| Pain Management and Analgesia | - Analgesic drug use - Pain assessment techniques |
| Pharmacology | - Drug classifications and uses - Dosage calculations and administration |
| Diagnostic Imaging | - Radiography positioning and safety - Image processing and interpretation basics |
| Laboratory Procedures | - Urinalysis and microbiology - Hematology and clinical pathology |
| Emergency Medicine and Critical Care | - Triage and stabilization - Shock management and CPR |
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NEW QUESTION # 317
Which of the following is an example of an objective means of monitoring a patient under anesthesia?
Answer: B
Explanation:
The measurement of systolic blood pressure is an objective means of observation since it provides quantifiable data. It is not subject to opinion. Objective measurements often use mechanical devices to measure physiological signs that humans cannot easily discern, but this is not necessary. For example, counting heart rate beats per minute is verifiable and not subject to opinion.
The other options are incorrect because they are all sensory observations that are based on subjectivity.
NEW QUESTION # 318
Which species normally has basophils containing numerous, prominent blue-purple granules?
Answer: B
Explanation:
Basophils containing numerous, prominent blue-purple granules are normal findings in horses and cattle. Not only do the granules differ among species, but the size of the cells relative to others as well as the appearance of the nuclei vary.
Cats generally have multiple lavender granules. Dogs generally have multiple dark blue granules. Non-mammalian species generally have multiple dark purple granules.
If an animal has an increased number of basophils, it generally means the presence of parasite infections, a hypersensitivity reaction, or potentially a neoplastic process. These cells are rarely found in peripheral blood samples under healthy conditions.
NEW QUESTION # 319
An eight-year-old FS Miniature Schnauzer is being discharged after her recent cystotomy. Which of the following is correct when advising the client about post-operative at-home care?
Answer: D
Explanation:
Post-operative hematuria is common after a cystostomy. Warning owners of this ahead of time can provide peace of mind and prevent unneeded phone calls to the office. However, inform the owner that if it lasts longer than 36 hours, the amount of blood is not lessening over time or worsening, or they continue to see blood clots pass, the pet should be re-evaluated.
Some animals are sent home without antibiotics, as antimicrobial stewardship recommends waiting until culture and sensitivity results are in to ensure proper therapy, complete resolution, and minimizing the animal's exposure to antibiotics and the negative effects it can have on the microbiome and risks of antimicrobial resistance development. However, once culture and sensitivity results return, an antibiotic may be prescribed if infection is present, and the owner may need to pick this up.
Dogs post-op should be walked on a leash more frequently than normal. This permits complete emptying of the bladder and allows the owner to monitor urine color or amount and to note any straining. Further, the owner can watch for pain during urination and if there is no urine production. The bladder mustn't get overstretched. If an animal has to hold their urine too long, this could put undue pressure on the bladder while healing.
Not passing any urine despite drinking appropriately and attempting to urinate could signify obstruction either by stones left in (hopefully not the case), blood clots, or another abnormality. This pet should be evaluated immediately.
Some animals may be prescribed a prescription diet, but this is generally held until the stone analysis returns in a few weeks. Normal post-op feeding instructions would be appropriate for this patient.
NEW QUESTION # 320
You are asked to perform an ECG for your patient. A five-YO Thoroughbred stallion has been having exercise intolerance and performed poorly at his most recent race despite winning the three prior races. The vet's auscultation demonstrates tachycardia but a regular rhythm.
When performing this ECG, what is a common reason for misdiagnosis?
Answer: A
Explanation:
When using an ECG, various settings should be optimized, varying from one patient to another. This includes the paper speed (25 mm/s or 50 mm/s paper) and the gain (increasing the gain widens the QRS complexes/makes them easier to see/read). Sometimes, lowering the gain is warranted, as may be needed with ventricular tachycardia, where the complexes are aberrant and often huge.
Causes of aberrant conduction unrelated to cardiac abnormalities include shivering, muscle fasciculations, excessive movement, and even panting in species that pant when scared or for heat exchange. While painful animals may shiver, have muscle twitching, or pant, the pain usually doesn't trigger sustained abnormal rhythms unless there is already underlying cardiac disease, or if it does cause aberrant conduction patterns, it is temporary.
Misdiagnosis of arrhythmias, either failing to catch them or calling them abnormal when they are not, often occurs secondary to a failure to optimize the settings.
In large animals, ideally, we want to shave. Still, in awake animals, we may not want to do so because of animal value or owner preference, and leads should be clipped directly to the skin (which they do not usually like).
In large animals, the base-apex configuration is often used. The positive left arm clip is placed at the cardiac apex. In contrast, the right arm negative electrode is attached two-thirds of the way down within the right jugular groove. The final electrode is simply placed somewhere remote away from the heart. Lead 1 is most commonly used when recording for horses, as there is no base-apex lead.
NEW QUESTION # 321
The pinna is what area of the body?
Answer: C
Explanation:
The pinna is the flap of skin around the ear and is made up of cartilage and skin. What we can see visibly with the naked eye makes up the pinna. The purpose of the pinna is to collect vibrations of sound waves and direct them into the auditory canal that leads to the middle and inner ears. The pinna in dogs, for example, can stand up straight in the air (like with a German Shepherd, or remain floppy, as with a Labrador Retriever). In many species, this portion of the ear is very mobile and they can consciously move the ears towards the sound.
The bottom and top eyelids are referred to as the inferior and superior eyelids. The lower lip is referred to as the labium inferius oris.
NEW QUESTION # 322
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