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| Section | Weight | Objectives |
|---|---|---|
| Anesthesia | 15% | - Anesthetic Procedures
|
| Animal Care and Nursing | 20% | - Patient Care
|
| Surgical Nursing | 11% | - Perioperative Procedures
|
| Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Dentistry | 8% | - Dental Procedures
|
| Pain Management and Analgesia | 7% | - Pain Control
|
| Laboratory Procedures | 12% | - Diagnostic Testing
|
| Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Diagnostic Imaging | 7% | - Imaging Techniques
|
>> VTNE Test Sample Questions <<
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NEW QUESTION # 1074
A dog presents for a cranial cruciate repair. Your routine protocol for spays and neuters uses an opioid-hydromorphone-as the primary pain medication combined with sedation. However, you have found that for orthopedic surgeries, this often isn't sufficient pain control, and the patient requires higher levels of gas anesthesia than you would like.
Which of the following opioid analgesics would provide better pain management for orthopedic procedures and allow you to lower the gas anesthetic used during the procedure?
Answer: C
Explanation:
Analgesics include opioids, local anesthetics, non-steroidal anti-inflammatory drugs, and a-2 agonists. In this question, we are solely discussing the use of the opioid portion of pain management. Mu agonist opioids include methadone, fentanyl, and hydromorphone. Mixed agonists include butorphanol and buprenorphine, for example.
Fentanyl is a very potent opioid. While very short-acting (about 45-60 minutes with a single injection), it has great benefit when used as a CRI. Not only does it provide continuous pain management throughout the procedure, but it allows lower MAC concentrations. It can then be continued post-operatively for smooth anesthetic recovery and pain management.
Methadone is a very strong-acting opioid that has antiemetic properties. It could be a good choice for short procedures. However, it is relatively short-acting and may be insufficient to lower MAC. Additionally, post-operatively, it would require repeated injections every 4-6 hours for pain control, which can get costly.
Butorphanol's sedative and anti-tussive properties remain more impressive than its ability to treat and prevent pain.
Butorphanol is appropriate for mild to moderate pain, but most find that it is insufficient for orthopedic procedures. It can be used in combination with other drugs and has fewer side effects than hydromorphone. However, it is not the ideal drug to help lower the anesthetic MAC in this patient.
NEW QUESTION # 1075
When preparing your specimens and test request forms, all of the following should be included in the paperwork and on any samples except which of the following?
Answer: C
Explanation:
It is critical to fill out the paperwork completely when preparing a sample. However, at a minimum, the lab needs to know:
*The test to run
*The species (reference ranges, reagents, and other factors may vary with species)
*The clinic's contact information - usually, at minimum, a phone number or fax and the practice's name
*The clinic's client number with the lab
*The unique patient identifier - this may be the client's name and pet's name and/or a variety of other identifiers, usually how the pet is tied into the computer software of the specific practice While the pet's age may be valuable, reference ranges are generally species-specific, not based on age. If an interpretation of the results is requested, then the age would be necessary for that interpretation. However, generally speaking, age isn't required.
NEW QUESTION # 1076
What is the term used to describe red blood cells of varying sizes?
Answer: D
Explanation:
Anisocytosis refers to a wide range of sizes among red blood cells in an animal. Red cell distribution width (RDW) is a statistical calculation that is considered to be an indicator of anisocytosis. Anisocytosis can indicate early iron deficiency anemia or regenerative anemia.
Hemolysis refers to red blood cell destruction. Thrombolysis refers to blood clot breakdown. Erythrocytosis refers to an increase in red blood cell production.
NEW QUESTION # 1077
Which term describes an endoscopic exam of the airways and lungs?
Answer: A
Explanation:
Endo- is a fragment term referring to within the body, and -scopy is used for a procedure using equipment to perform a visual examination. There are numerous styles of endoscopic equipment for evaluating different organ systems.
*Bronchoscopy: Respiratory tract, both airways and lung
*Cystoscopy: Lower urinary tract, including the urinary bladder and urethra
*Otoscopy: External ear canal and tympanic membrane
*Arthroscopy: Joints
NEW QUESTION # 1078
Immune mediated hemolytic anemia is characterized by:
Answer: C
NEW QUESTION # 1079
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