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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 2: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 3: Animal Care and Nursing | 20% | - Patient Care
|
| Topic 4: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 5: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 6: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 7: Pain Management and Analgesia | 7% | - Pain Control
|
| Topic 8: Diagnostic Imaging | 7% | - Imaging Techniques
|
| Topic 9: Dentistry | 8% | - Dental Procedures
|
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NEW QUESTION # 706
Which term describes care of the physical and psychological needs of terminally ill patients and families?
Answer: D
Explanation:
Hospice care is growing within the veterinary industry. It is focused on providing palliative care for patients in the end stages of life. Guidelines for hospice care have been set forth by the American Veterinary Medical Association and are promoted by the International Association for Animal Hospice and Palliative Care.
Rehabilitation treats mobility problems.
Neurophysiology is the subset of physiology that studies the nervous system.
Iontophoresis is a technique using electricity to deliver medications through the skin.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 1269.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 501, 521, 588.
NEW QUESTION # 707
Dehorning goats causes moderate to severe pain. Which of the following pain management techniques would not be applicable for this procedure?
Answer: D
Explanation:
Balanced pain control for goat dehorning includes:
*A circumferential ring block or a cornual block using lidocaine and bupivacaine for local anesthesia
*Sedation with an alpha-2 agonist such as xylazine
*Administration of an NSAID
An epidural is appropriate for the pain of the hindlimbs, pelvis, and perineum. It cannot be used for pain control from the mid-abdomen cranially without interfering with respiration.
NEW QUESTION # 708
A horse presents with signs consistent with colic. The veterinarian on call has not yet reached the office. You do a cursory assessment of the patient and note that the patient is painful. The horse just started showing restlessness and pawing at the ground and isn't interested in food. He is also standing at the back of his stall. This started about an hour ago. The ride to the hospital was 30 minutes. Upon arrival, the owner expressed cost concerns and stated that he was only looking for non-surgical therapy options, regardless of the diagnosis.
All of the following could be used to manage pain associated with colic, except:
Answer: A
Explanation:
Acetaminophen may provide sufficient pain relief in the early stages of laminitis or other conditions, but hasn't been studied sufficiently or found to have sufficient pain management effects in acute colic. Suppose a patient has underlying liver or kidney issues that prevent using a non-steroidal anti-inflammatory medication (NSAID), such as flunixin meglumine. In that case, it may be combined with another type of pain medication, such as an opioid (butorphanol) or alpha-2 agonist. However, at this time, it can not be recommended as the sole treatment for colic pain.
In the acute phase of colic, we only recognize pain and discomfort and want to improve the horse's clinical condition. However, we also need to make our drug choice decision based on presumptive diagnosis, pain duration, and clinical signs severity. We want to ensure we can re-evaluate them and establish/determine if the condition is worsening, even in the face of pain management. Thus, choices may include NSAIDs (if there are no contraindications), butorphanol (though often insufficient alone, it does provide some sedation effects), detomidine, or xylazine (detomidine is considered more effective for colic pain and doesn't have the added issue of illicit drug use concerns as we are seeing in 2023 with xylazine). The alpha-2 agonists are also sedating, which can be beneficial for rectal evaluation and keeping the horse calm while still permitting walking to encourage GI movement. However, they can decrease GI tract sounds and make it more difficult to assess the horse properly.
Other pure agonist opioids may be considered, but can cause ileus and are not usually the first line in cases of early colic.
NSAIDs like flunixin meglumine can be on board for up to 12 hours. While this is good from a pain management standpoint, some practitioners fear it can mask worsening clinical disease. A horse may decline yet not overtly show this, and the patient could deteriorate faster. Thus, some vets prefer shorter-acting and/or reversible drugs to better monitor for improvement or progression.
NEW QUESTION # 709
An oxidase test is used to determine if bacteria contains cytochrome oxidase, a respiratory enzyme. If an oxidase test is positive, what color does it turn?
Answer: D
Explanation:
Cytochrome oxidase is a naturally occurring respiratory enzyme. Oxidase tests are used to identify gram-negative bacteria. If an oxidase test is positive, it turns blue. Results can be seen in less than 30 to 60 seconds after adding reagent.
If an oxidase test is negative, it remains colorless. An oxidase test does not turn green or pink.
NEW QUESTION # 710
While monitoring a patient under anesthesia, you notice that the pulse oximeter has lost signal. You need to determine if it is the probe rather than a patient issue. What is your first step, regardless of the type of probe you use; transmission probe or reflective probe?
Answer: D
Explanation:
Always remember, we treat our patients, not our instruments. Of course, if the pulse oximeter has lost signal, we need to ensure that the patient is stable and that the machine is the area on which to focus our attention. To do so, we need to assess vital signs. This will include assessing the patient's heart rate, respiratory rate and effort, mucous membrane color, and refill time, and can also include the use of other tools, such as taking an indirect blood pressure reading and more. But first and foremost, assess the patient.
Once you have determined that the patient's vitals are stable and appropriate for the anesthetic plane, you can troubleshoot the machine.
For transmission type probes:
*Assess patient vitals to ensure the patient is stable and safe
*Remove and then replace the probe
*If the tongue is the location of the probe, make sure it is not dry and if it is, wet it again
*Ensure adequate but not excessive pressure from the probe on the body tissue being used
*If possible, the jaw with the sensor should be oriented toward the ceiling. This helps to avoid ambient light interference.
*Choose another location to put the probe - One that is not pigmented, hairy, edematous, or icteric
*If the area being used seems to be hairy, clip the hair and cleanse the area gently, then reapply For reflective probes:
*Assess patient vitals to ensure the patient is stable and safe
*Make sure the light source side of the probe and the sensor are oriented toward the tissue
*Confirm you have adequate contact with the tissue
*If using the rectum, ensure that feces are not between the probe and the needed tissue
NEW QUESTION # 711
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