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| Section | Objectives |
|---|---|
| Pharmacology | - Dosage calculations and administration - Drug classifications and uses |
| Pain Management and Analgesia | - Pain assessment techniques - Analgesic drug use |
| Dentistry | - Oral anatomy and disease recognition - Dental prophylaxis procedures |
| Animal Care and Nursing | - Nutrition and husbandry - Patient handling and restraint |
| Anesthesia | - Anesthetic monitoring - Anesthetic protocols and equipment |
| Surgical Nursing | - Sterile technique and instrumentation - Preoperative and postoperative care |
| Emergency Medicine and Critical Care | - Shock management and CPR - Triage and stabilization |
| Diagnostic Imaging | - Radiography positioning and safety - Image processing and interpretation basics |
| Laboratory Procedures | - Hematology and clinical pathology - Urinalysis and microbiology |
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NEW QUESTION # 936
A dog with methicillin-resistant Staphylococcus pyoderma has been prescribed dilute bleach sprays topically. Instructions are to make a 1:32 dilution. The owner wants to prepare this in an empty gallon jug. There are 16 cups in a gallon.
How much bleach should she put in the jug before then filling it to the top with water?
Answer: C
Explanation:
Most households in the United States use ounces and gallons, but most medical calculations are performed with the metric system. It's important to be familiar with these conversions.
To make a 1:32 dilution in a container holding 16 cups, the owner would add 1/2 cup of bleach to the jug, then fill it with 15.5 cups of water to make 16 cups total.
NEW QUESTION # 937
The veterinarian admitted a three-year-old MN indoor-only DSH with a three-day history of coughing. He presented with respiratory distress that started three hours before triage, and on triage, coughing and wheezing were notable. He received a bronchodilator and a partial mu agonist and was placed in an oxygen cage. He stabilized, and you've monitored him for the past two hours. You went to lunch and are now re-evaluating him. You note that he is more lethargic and tachypneic on this assessment. You check the treatment sheet and see that radiographs have also been ordered "once stable". No other treatments were given while you were on your break. You have standing orders to repeat the bronchodilator as needed and give the partial mu agonist every four to six hours or when directed by the veterinarian.
What do you think the pet needs immediately?
Answer: D
Explanation:
Your patient is showing classic signs of feline asthma, characterized by inflammation and irritation of the bronchi. This disease causes bronchiolar constriction, increased mucous production, and bronchiolar smooth muscle hypertrophy. Disease triggers include allergens, fungal infection, other infectious agents, or idiopathic. Treatment usually consists of a bronchodilator to open up the large airways and sedation for anxiety and stress associated with difficulty breathing. Additionally, by relaxing, sometimes even sedating the pet, thoracic muscles and the diaphragm, which quickly fatigue, have time to recover.
What this pet needs right now is albuterol. The cat seems to be having another episode and likely needs bronchodilation. If he has not yet received steroids, they should be started when the disease is confirmed. He may also benefit from another dose of butorphanol, even though it has only been a few hours. But the life-saving treatment he likely needs right now would be albuterol.
Butorphanol is most commonly used both for its sedative properties and anti-tussive properties. While we do not like to inhibit cough long-term because it can prevent mucous and debris from being cleared from the airways and precipitate pneumonia, short-term, we need the pet to stop coughing, improve the work of breathing, and recover.
Corticosteroids are also used in asthma - often, injectable meds are used until the patient stabilizes and can be transitioned to oral steroids. Ideally, inhaled steroids are recommended for long-term management because of few side effects, especially when compared to the risk of chronic oral steroid use. You can talk to the veterinarian to discuss starting these. Still, you would not give them without explicit instructions to do so.
Radiographs will need to be taken once the pet is stable when out of oxygen. While a presumptive diagnosis of asthma can be made on physical exam, clinical signs, and history, radiographs help confirm the diagnosis and ensure no other underlying diseases exist.
Of course, the patient does need to remain on oxygen. If taking radiographs, blow-by oxygen therapy can facilitate taking the images and make the patient more comfortable.
NEW QUESTION # 938
What phase of nociception triggers the release of chemicals that excite the nociceptive nerve fibers?
Answer: C
Explanation:
Nociceptive pain is caused by an injury, physical pressure, or inflammation of some part of the body. When nociceptors detect physical damage to the body, they create electrical signals that travel through the spinal cord to the brain.
Four steps occur rapidly:
1. Transduction: Tissue injury triggers the release of chemicals that excite nociceptive nerve fibers.
2. Transmission: The "pain message" moves from the skin, bones, joints, or internal organs toward the spinal cord, and then to the brain. Once in the brain, the signal continues through the brainstem, thalamus, and cerebral cortex, to form a "map" of the pain.
3. Modulation: The brain interacts with nerves to modulate the pain experience. For example, it can adjust the intensity and duration of pain signals.
4. Perception: The subject becomes aware or conscious of the pain.
NEW QUESTION # 939
A 14-lb cat has treatment instructions to receive intravenous fluids at 20 mL/hr for 48 hours. In preparing a treatment plan estimate for the owner, what supplies should be listed in anticipation of this treatment plan?
Answer: C
Explanation:
Calculate the total volume of IV fluids anticipated to be administered: 20 mL/hr x 48 hrs = 960 mL The best fit for this patient's needs would be a 1000 mL bag of fluids.
NEW QUESTION # 940
A valuable high-producing cow presents 26 hours after parturition. The farmer noticed that the cow was still intermittently showing signs of uterine contraction once the calf was delivered. He then saw that tissue was everting through the cervix and knew that there was a problem. He witnessed the calf nursing and called the hospital immediately. You take the call and are concerned the cow may have a uterine prolapse. You advise the client that the uterus needs to be placed back into the proper position and head to the farm with the veterinarian. Upon arrival, the veterinarian confirms uterine prolapse and requests you get her ready for surgical intervention.
You start to prepare the cow for surgery and place her in what position?
Answer: C
Explanation:
Cows needing uterine replacement can be placed either in sternal recumbency with the hind legs stretched behind them, which cranioventrally tilts the pelvis, making replacement easier, or left standing. Regardless, they will receive epidural anesthesia to control pain and relax the musculature in the area of concern.
Once in position, the uterus is cleaned with water and a mild aseptic solution. This removes debris and contamination. Any edema (swelling) can be reduced via manual massage during the initial attempts to replace the tissue.
Suppose the uterus is manually restored to the physiologic position. In that case, oxytocin should be administered to assist in the process of uterine involution. If the cow is ambulatory and remains so, this may be all that she needs. However, if she was recumbent on presentation or compromised in other ways, a vulvar retention suture may be warranted.
Prognosis depends on how quickly the problem is detected, the degree of contamination and damage, and the state of the dam at presentation.
NEW QUESTION # 941
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