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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dentistry | 7% | - Dental cleaning, polishing, radiography - Dental anatomy, disease recognition - Periodontal care and patient education |
| Topic 2: Communication and Veterinary Professional Support Services | 5% | - Practice management, team collaboration - Client education, communication techniques - Medical records, ethics, legal and regulatory compliance |
| Topic 3: Emergency Medicine / Critical Care | 7% | - Toxicology, trauma, first aid procedures - Triage, shock, respiratory/cardiac emergencies |
| Topic 4: Anesthesia | 13% | - Pre-anesthetic assessment and preparation - Anesthetic agents, equipment, monitoring - Recovery and emergency management |
| Topic 5: Diagnostic Imaging | 6% | - Image quality assessment and documentation - Ultrasound, other imaging modalities - Radiography: positioning, safety, technique |
| Topic 6: Pain Management / Analgesia | 7% | - Multimodal analgesia protocols - Pain assessment, pharmacologic and non-pharmacologic control |
| Topic 7: Animal Care and Nursing | 20% | - Physical examination, patient assessment - Specialized care for exotic, large or neonatal patients - Infection control, sanitation, isolation - Husbandry, nutrition, fluid therapy |
| Topic 8: Surgical Nursing | 13% | - Intraoperative and postoperative care - Surgical preparation, instrumentation, aseptic technique - Wound management, suture materials and techniques |
| Topic 9: Pharmacy and Pharmacology | 13% | - Anatomy, physiology, pathophysiology related to agents - Controlled substance management - Drug classification, dosage calculation, administration routes - Preparation, dispensing, storage, safety and disposal |
| Topic 10: Laboratory Procedures | 9% | - Hematology, clinical chemistry, urinalysis - Sample collection, handling and processing - Parasitology, microbiology, cytology |
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NEW QUESTION # 151
What method of restraint provides a quick, safe, and well-received method to occupy a horse for a quick procedure such as applying eye medication, giving injections, or even just during a physical exam?
Answer: A
Explanation:
A variety of methods to restrain horses can be utilized. They range from chemical sedation to a simple neck twitch and a variety of options in between.
Ear twitches are never acceptable to perform at any time. Ears are very sensitive in most species, but particularly in horses. Additionally, damage to the cartilage can occur if too much pressure is applied while twisting and squeezing. Further, because of the ear sensitivity and probable pain that it induces, it will likely lead to an aversion, affecting the overall animal's behavior outside of the veterinary setting and even with interactions with the handlers or owners.
Rubbing the base of a horse's ear can be soothing and may provide a calming sensation to the horse while being handled.
Gum chains are used often with young athletes who balk at more traditional restraints. However, they are less popular and should only remain on for a few minutes or less. When performed correctly, using a gum chain induces endorphin release. Only gentle, steady pressure should be used. Never make aggressive or jarring movements while in place. Risk to the gums and pain could easily occur without careful attention to applying pressure.
With a simple neck twitch, simply roll the skin near the scapula. This humane modality works well for horses accustomed to having their faces touched and who really need minimal restraint.
A properly applied muzzle twitch puts pressure on an acupressure point and releases endorphins. However, this release and relaxation don't happen immediately. When it works, most horses lower their heads and seem sedated. However, this should only be applied for a maximum of 5 minutes, about the duration of the endorphin release. After that time, the sensation will be unpleasant and could lead to resentment or aversion to that type of twitch in the future.
Being quadrupeds, horses obviously prefer to stand on all four limbs. For some horses, if the issue is simply fidgeting or not standing still, merely make the horse three-legged. If you pick up one of the horse's feet, this shifts the weight to the other 3 legs, which will usually cause them to stand still.
Finally, diversionary restraint, a well-received approach, uses food (grain) as a distraction. This diversion provides something for the animal to focus on, engages the senses, distracts them, and may provide just enough time to allow minimally invasive, quick procedures. Like food, scratching the withers area or base of the ear may provide enough diversion to allow simple injections. Of course, any animal with food restrictions or special diets would not be a candidate for food diversion.
NEW QUESTION # 152
When working at a veterinary hospital, one hazard and health risk many do not often consider is noise. Noise is recognized as a health hazard. In dog wards, kennels, and similar areas, decibels (dB) may reach as high as what level?
To ensure ear protection for staff and personnel in these areas and others, the ear protection should be rated to filter noise at levels of:
Answer: C
Explanation:
Besides the obvious hazard of hearing loss, which can occur with excessive barking and commotion, continued noise exposure can increase stress and anxiety and even lead to other health problems. Kennels are loud. Hospitals with barking dogs, equipment, people talking, and the day-to-day bustle of practice can be noisy. In areas where dogs are concentrated, such as kennels, decibels can reach as high as 110.
Staff in these situations for any duration of time should be provided with ear protection and ensure they protect their hearing. Regardless of the type of ear protection used, ensure the product filters the noise at 20 dB or more. Package inserts will let you know the sound-reduction rating and capacity of the product.
NEW QUESTION # 153
A 15-kg anorexic dog had a nasoesophageal feeding tube placed for liquid enteral nutrition. The liquid diet formulation is 1 kcal/mL. The dog's caloric need at rest is 66 kcal/kg/day.
What should the fluid administration pump rate be set at to administer 1/3 of the caloric needed on the first day?
Answer: B
Explanation:
Calculate the caloric need per day: 15 kg x (66 kcal/kg/d) = 990 kcal/day Calculate 1/3 of the caloric need for the first day: 990 kcal / 3 = 330 kcal for day 1 Convert concentration units: 330 kcal / (1 kcal/mL) = 330 mL/day Convert to mL/hr rate to set on the pump: (330 mL/day) / (24 hours/day) = Approximately 14 mL/hr
NEW QUESTION # 154
Which of the following choices is the radionuclides used for treatment of feline hyperthyroidism?
Answer: B
NEW QUESTION # 155
Which of the following adjunctive therapies would not provide additional analgesia for a Dachshund with thoracolumbar IVDD, who is a paraplegic currently receiving opioids and anti-inflammatory medications?
Answer: A
Explanation:
Anticonvulsant medications, such as gabapentin, are often used in conjunction with other analgesics for improved pain management. They block the flow of pain signals through the central nervous system. Muscle relaxers address any secondary muscle tension and pain from the condition and tranquilizers can help treat fear, anxiety, and stress associated with painful stimuli.
Antihistamines are not commonly used in the treatment of neuropathic pain, but are instead used in the management of allergies.
NEW QUESTION # 156
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