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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 2: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 3: Pain Management and Analgesia | 7% | - Pain Control
|
| Topic 4: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 5: Dentistry | 8% | - Dental Procedures
|
| Topic 6: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 7: Animal Care and Nursing | 20% | - Patient Care
|
| Topic 8: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 9: Diagnostic Imaging | 7% | - Imaging Techniques
|
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NEW QUESTION # 1073
An owner brings in a tiny 2-year-old Yorkie for a dental cleaning. They also have two other Yorkies, both siblings of the patient you are seeing. However, surgery had to be postponed a day due to emergency surgery. The owner elected to keep the puppy overnight, so you went ahead and fed the puppy around 6 pm. Before eating, the dog had been bright, alert and oriented, and even a bit playful. Not long after eating, you notice the puppy circling, headpressing, dull, and not responsive to you when you call or go into the cage. You discuss signs with the veterinarian. She requests you contact the owner to get a more detailed history at home.
The following questions may be relevant to this patient's current clinical signs, except?
Answer: C
Explanation:
While vaccination status is always important, it doesn't affect the most likely clinical disease of concern, a portosystemic shunt (PSS). The signalment of this patient, clinical signs witnessed after a meal (fat ingestion), and her small size relative to the other dogs make a PSS most likely. Dogs with shunts are often small in stature compared to littermates, have exercise intolerance or lack of energy to play, and may even demonstrate vomiting, diarrhea, or increased drinking and/or urination.
NEW QUESTION # 1074
A 3-year-old MN pug presents with stertorous breathing and an episode of collapse a few hours earlier. The temperature outside was only in the 50s yesterday but spiked to the 80s with high humidity today. He was out for about a 1-mile walk today and usually does fine with that distance.
On presentation, he has a loud, low-pitched sound to his breathing, almost a snorting sound, his gums are slightly pale bluish, he's weak, and his respiratory rate is in the high 60s. He is not yet overtly dyspneic, but you provide flow-by oxygen while finishing your triage and getting the veterinarian for evaluation.
Given the history, breed, and breathing patterns, all of the following could be present in this patient, except?
Answer: C
Explanation:
Pugs represent one of the classic breeds with Brachycephalic Airway Syndrome (BAS). These dogs, while adorable, have significant anatomical abnormalities that lead to complex breathing problems and can also lead to chronic GI and other diseases. They are often obese, have stenotic nares, elongated soft palates, and many have tracheal hypoplasia, not hyperplasia. Nasal turbinates also tend to be hypoplastic or at least abnormal in composition.
The chronically increased resistance to airflow created from these malformed structures causes laryngeal saccule eversion, tonsillar eversion, tracheal and laryngeal collapse, and even syncope.
These dogs often present with clinical signs of upper airway obstructive signs by about four years of age. Signs may include stertor, heat intolerance, exercise tolerance problems, and dyspnea. Suppose there is an underlying upper laryngeal disease. In that case, they may also demonstrate stridor, a more musical, high-pitched wheeze-like sound associated with laryngeal vibrations. Some owners may even witness collapse or cyanotic gums intermittently. These dogs are at a higher risk of aspiration pneumonia than other breeds. They are also prone to obesity which, when present, only further worsens respiratory disease and complications associated with their anatomical malformations.
NEW QUESTION # 1075
How do surgical incisions for laparoscopic procedures compare to those for traditional surgical techniques?
Answer: B
NEW QUESTION # 1076
Which of the following medications can be used as an appetite stimulant?
Answer: A
Explanation:
Mirtazapine, an alpha-2 receptor antagonist and serotonin receptor antagonist, is frequently prescribed to stimulate appetite. Possible side effects include sedation, hypotension, and tachycardia. Cyproheptadine, a serotonin receptor antagonist, is also sometimes prescribed to increase appetite. Finally, Entyce (dogs) and Elura (cats) (Capromorelin active ingredient) are the newest appetite stimulants. The drugs work as a ghrelin receptor agonist (GRA).
Metoclopramide, a dopamine antagonist, and ondansetron, a serotonin receptor antagonist, are both antiemetic medications.
Psyllium is used as a laxative as it increases fecal bulk and peristalsis.
NEW QUESTION # 1077
Always ensure you check the vaporizer level prior to each procedure, filling it when necessary. At what level should the liquid anesthetic be at a minimum at all times?
Answer: C
Explanation:
Check your vaporizer liquid level before each procedure and note where you are when starting. To ensure proper function, the level must be between the lower and upper lines of the window. Overfilling the vaporizer leads to an overdose of anesthetic, and underfilling will prohibit the ability to maintain a surgical anesthetic plane.
NEW QUESTION # 1078
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