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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Animal Care and Nursing | 20% | - Patient Care
|
| Topic 2: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 3: Diagnostic Imaging | 7% | - Imaging Techniques
|
| Topic 4: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 5: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 6: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 7: Pain Management and Analgesia | 7% | - Pain Control
|
| Topic 8: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 9: Dentistry | 8% | - Dental Procedures
|
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NEW QUESTION # 336
A 10 kg dog ingested three ounces of baking chocolate. Your reference book states baking chocolate contains 400 mg methylxanthine per ounce, and that mild symptoms of toxicity begin at 20 mg/kg of methylxanthine ingested. Severe symptoms begin at 60 mg/kg of methylxanthine ingested.
How serious is this for the dog?
Answer: B
NEW QUESTION # 337
You are asked to pass an orogastric tube in a cow to provide oral fluid administration as a bolus. All of the following pertain to this technique in cattle, except:
Answer: A
Explanation:
Because of the large capacity of the rumen in ruminants, oral fluid boluses may be administered and provide significant volume. In adult cattle, several gallons of fluid can safely be administered via ruminal bolus.
The cow should be physically restrained via a rope halter and head gate to perform the procedure. Having the halter snug and off to one side prevents overall head movement.
Standing next to the cow, place the hand adjacent to the animal atop the nose to control the head and aid in using the Frick speculum against the animal's dental pad. This speculum is used over the tongue and at the level of the pharynx, preventing the animal from chewing the orogastric tube. Using the opposite hand, pass the tube through the speculum. As the animal swallows, it will pass into the esophagus. However, if you get coughing, you have entered the trachea. You must readjust by backing out to the pharynx level and restarting the tube's advancement.
Facilitation of tube passage is aided by keeping the animal's neck in a mild flexion position, aiding in reaching the esophagus, not the trachea.
When placed correctly, there is usually minimal resistance to passage. When in the correct locale, the tube may often be evident externally in the left jugular groove.
Once in the rumen, you should be able to smell ruminal gas, confirming tube placement. If you are not 100% convinced and want to check placement, you can instill air into the tube. This will cause bubbling in the rumen, which can be appreciated in the paralumbar fossa on the left via auscultation. This helps confirm placement. Placement must be confirmed before fluids or medications are administered.
Orogastric intubation is a preferred means of administering fluids and many medications in camelids and food animals (ruminant or semi-ruminant species and in pigs). It can also permit enteral feeding, transfaunation, and even relieve mild cases of bloat.
Note that neonatal animals (kids, lambs, and crias) usually do not require a speculum. In addition to the speculum mentioned above, other options may be used, such as a roll of tape in small patients, a piece of garden hose in large patients, or PVC piping in various-sized animals.
NEW QUESTION # 338
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: A
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 # 339
Which suture material has the most potential for adverse tissue reactivity?
Answer: D
Explanation:
Silk is a natural, non-absorbable suture that has the highest tissue reactivity of any available suture material. Natural sutures, in general, are more likely to cause inflammatory tissue reactions than synthetic or wire sutures.
Stainless steel sutures are least likely to cause inflammation. Braided sutures (polypropylene and braided polyester) are more likely to cause tissue reactions than monofilament sutures, but braided synthetic materials are less likely to cause tissue reactions than natural sutures.
NEW QUESTION # 340
You will be visiting a camel farm to evaluate the herd's overall health after recent drought conditions. You want to document any changes in health status, behavior, or food intake. We all know that water is an essential nutrient for mammals, reptiles, avians, and amphibian species. Even though camels are designed to live in desert climates, they still require water.
When water is restricted, all of the following may occur in camelids except:
Answer: B
Explanation:
When camels do not have enough water, this can lead to various concerns, including decreased lactation, decreased feed consumption, and, less commonly, hyperthermia. One would think that without adequate water, the animals would try to make up for the loss via eating. Still, since the diet is primarily roughage, their consumption will decrease without adequate water.
Camelids require 9 to 13% of their body weight of water when on pasture.
NEW QUESTION # 341
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