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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnostic Imaging | 7% | - Imaging Techniques
|
| Topic 2: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 3: Dentistry | 8% | - Dental Procedures
|
| Topic 4: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 5: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 6: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 7: Animal Care and Nursing | 20% | - Patient Care
|
| Topic 8: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 9: Pain Management and Analgesia | 7% | - Pain Control
|
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NEW QUESTION # 802
You are prepping the surgical environment and are asked to get out hemostatic agents in anticipation of bleeding concerns intraoperatively. All of the following are examples of hemostatic agents except:
Answer: A
Explanation:
N-butyl cyanoacrylate makes up about 98% of many common veterinary skin glue products. Skin glue is not to be used to treat bleeding concerns. It is used to close skin incisions when intradermal layers have been placed with a suture.
Bone wax combines beeswax with paraffin and isopropyl palmitate and includes a wax-softener. This is then used to stop bleeding bone. It can stop bleeding at either medullary bone (such as with a hemilaminectomy) or cut bone. It doesn't become absorbed over time.
Gelatin foam (Gelfoam) does get absorbed in time. It often comes in a mold that can be cut or torn to provide the shape you need for the bleeding area. It provides a framework for clot formation initiation.
Surgicel or oxidized cellulose comes as a sheet that can be cut to size. It is used on organ surfaces, but once bleeding has been controlled, and before closure, it should be removed.
NEW QUESTION # 803
You are monitoring a puppy with parvovirus. The puppy presented with the stereotypical vomiting and hemorrhagic diarrhea commonly associated with the disease. After an initial improvement, the puppy seemed to worsen.
All of the following additional clinical signs may develop during the disease course, except:
Answer: A
Explanation:
Parvovirus is a highly contagious viral infection spread by fecal-oral transmission among dogs. Vomiting and diarrhea are common initial symptoms. Other clinical signs include fever, dehydration, and leukopenia.
Parvovirus enteritis can cause sequelae of signs, which can be significant because the virus replicates in the intestinal cell crypts, bone marrow, and lymphoid tissue. They can include hemorrhagic diarrhea as the intestines slough, decreased white blood cells (leukopenia), etc. When patients have no white blood cells to protect themselves, they risk secondary invaders. Secondary sepsis may commonly be seen.
Tachycardia can represent dehydration. Suppose the patient still has GI losses either via vomiting, regurgitation, or diarrhea bouts. In that case, the patient may be tachycardic to combat this fluid imbalance. Additionally, elevated heart rates are commonly seen with sepsis. Finally, abdominal pain is expected, given the virus's mechanism of action. If the puppy's pain is not properly controlled, this could also cause tachycardia.
The patient could be recumbent because of dehydration, cardiovascular shock, sepsis, weakness, hypoglycemia (another complication in puppies who aren't eating), and overall disease state.
Since sepsis is a common sequela, the risk increases as the white blood cells drop. Patients can demonstrate recumbency, tachycardia, and pale mucous membranes with weak pulses and sudden death.
However, cyanotic mucous membranes are not generally associated with parvovirus, sepsis, or hypovolemic shock. Generally, we see pallor or hyperemia, then pale gums. Unless the patient has aspiration pneumonia developing, we wouldn't expect to see blue membranes without respiratory signs of disease.
NEW QUESTION # 804
Which structures are evaluated during a cystoscopy?
Answer: B
Explanation:
Cystoscopy is an endoscopic exam of the lower urinary tract, including the urethra and urinary bladder Arthroscopy is an endoscopic exam of joints Gastroduodenoscopy is an endoscopic exam of the upper gastrointestinal tract, including the stomach and duodenum Thoracoscopy is an endoscopic exam of the structures within the thoracic cavity, as visualized within the pleural space Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 1309.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 187.
NEW QUESTION # 805
Anesthetic agents are classified as agonists, partial agonists, mixed agonist-antagonists, and antagonists. Which of the following best describes an agonist anesthetic agent?
Answer: B
Explanation:
An agonist is an agent that binds to a receptor to exert an effect. Most of the anesthetic agents used in veterinary medicine are agonists.
An antagonist is an agent that blocks the effect of another agent (agonist).
A partial agonist is an agent that binds to a receptor to exert a mild effect.
A mixed agonist-antagonist is an agent that partially blocks the effect of another agent (agonist).
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 1012.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 476.
NEW QUESTION # 806
Patent ductus arteriosus is the most common congenital heart defect observed in dogs. What is a patent ductus arteriosus?
Answer: B
Explanation:
Patent ductus arteriosus is the failed closure of a duct between the pulmonary artery and the aorta. The ductus arteriosus is meant to be patent in the fetus and closed at birth when the lungs are used for breathing. If the duct remains patent, blood will travel through from the aorta to the pulmonary artery, overloading the pulmonary vasculature, and pulmonary hypertension will develop.
Surgical correction of a patent ductus arteriosus involves a left-sided thoracotomy and ligation of the shunt between the aorta and pulmonary artery. It is also possible to place a coil into the duct via minimally invasive catheterization and fluoroscopy.
Pulmonic stenosis is the narrowing of the outflow from the right ventricle to the pulmonary arteries.
An abnormal opening in the wall between the ventricles is called a ventricular septal defect. When the opening is between the atria, it is an atrial septal defect.
NEW QUESTION # 807
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