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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dentistry | 8% | - Dental Procedures
|
| Topic 2: Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Topic 3: Diagnostic Imaging | 7% | - Imaging Techniques
|
| Topic 4: Laboratory Procedures | 12% | - Diagnostic Testing
|
| Topic 5: Surgical Nursing | 11% | - Perioperative Procedures
|
| Topic 6: Pain Management and Analgesia | 7% | - Pain Control
|
| Topic 7: Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Topic 8: Anesthesia | 15% | - Anesthetic Procedures
|
| Topic 9: Animal Care and Nursing | 20% | - Patient Care
|
>> Certified VTNE Questions <<
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NEW QUESTION # 470
Which of the following diseases is not a major risk factor for pulmonary thromboembolism?
Answer: D
Explanation:
There are several mechanisms that predispose animals to pulmonary thromboembolism:
Damage to blood vessel lining: Intravenous catheters, sepsis, inflammatory conditions Venous stasis (slowed circulation of blood from veins back to the heart): Trauma, cancer, heart failure Increased blood coagulability: Immune mediated hemolytic anemia, surgery, heartworm disease, hyperadrenocorticism Obesity does not appear to statistically increase the risk of thromboembolic disease in veterinary patients.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 855.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 663.
NEW QUESTION # 471
All except which of the following documents should be completed prior to surgery or anesthesia?
Answer: C
Explanation:
A procedure consent form must always be completed prior to surgery or any other anesthetized procedure. This is a way of communicating the potential risks of anesthesia and limiting legal liability.
The owner's contact information should be verified as current and accurate before admitting the patient and having the owner leave.
Veterinary practices do not typically request credit reports from pets' owners, though a financial estimate is typically provided in advance.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 79.
NEW QUESTION # 472
A new owner presents to the practice for a well visit on a 14-year-old MN Sheltie with a history of well-controlled diabetes and Cushing's disease. They just moved to the area and present to establish care. The owner brought her very long and detailed veterinary records, and you go through the information to glean necessary information and help the veterinarian determine what questions to ask, what diagnostics may be needed or due, etc.
All of the following information pertaining to the pet's previous medical history is key to obtain from any client, but especially new ones to the practice, except:
Answer: B
Explanation:
A pet's signalment refers to the pet's age, sex, breed, and reproductive status in small animal medicine.
Key information to obtain for the medical record when establishing a new client and patient include:
*Previous medical problems
*Previous therapies and response to treatments
*Previous medications
*Any adverse reactions to medications, including anesthetics and vaccinations
*Any history of a transfusion, and if so, if any reaction
*Previous surgeries
*Patient's weight history - trends
*Any previous diets utilized, prescription diets, non-tolerated foods
*The geographic area where the pet was born and raised, as well as any lifetime travel history Generalized pertinent history that should ideally be obtained and discussed at each visit include:
*Chief or presenting complaint (wellness visit vs. sick visit, and reason for sick visit)
*When presenting for a sick visit, when was the patient last normal?
*For sick visits, how frequent is the problem of concern (e.g., number of times vomiting, number of urinary accidents in the home)?
*Client's concerns and opinions/observations
*Current medications, including all preventatives, supplements, or other over-the-counter products
*Pet's current diet, including how much they are feeding, frequency, brand, and any treats provided (including people food, dental treats, etc.)
*Recent travel history
History is critical to aiding the veterinarian in the SOAP process. A thorough history could mean the difference between a diagnosis and correct treatment for a disease vs. symptomatic therapy vs. misdirection and misdiagnosis. We take the previous medical history at a first-time appointment. Still, we will need to get general history information each time the patient presents, as things can change. Further, if one pet parent usually brings the dog and a new one comes another time, you may learn different valuable information, but if you don't ask, you won't learn.
NEW QUESTION # 473
You are monitoring a patient with an arterial catheter in the left dorsal metatarsal artery. The catheter was placed 24 hours ago.
All of the following instances require replacing an arterial catheter, except:
Answer: D
Explanation:
Peripheral venous catheters are often left in for no more than 72 hours if patent and the insertion site looks healthy.
For arterial catheters, however, recommendations for replacement are triggered at 48 hours.
Any catheter, regardless of the location and type of catheter, should be replaced or at least removed if no longer patent, as this can be an entry point for infection.
Assess the digits of any patient with an arterial line in place every two hours. The catheter should be removed if the toes are cool to the touch.
NEW QUESTION # 474
Intraoral dental evaluations consist of all of the following, except:
Answer: A
Explanation:
We perform an extraoral evaluation on awake patients, evaluating for facial asymmetry, muscle atrophy, ocular and nasal discharge, a superficial assessment, and grading of the visible dental disease. We note halitosis and palpate for normal and abnormal lymph nodes and salivary glands.
Once the pet is under general anesthesia, we then need to ensure we fully evaluate:
*The soft tissue structures of the oral cavity
*The periodontium
*All dental structures
The pet needs to be fully anesthetized and intubated using a cuffed endotracheal tube to evaluate these structures thoroughly, accurately, and safely. We assess the soft tissues, including the soft and hard palates, the mucosa, the gingiva, and other structures. The periodontium, which describes the structures that support the teeth, is further evaluated. We need to take a detailed look at the teeth and related structures, sulci, and more.
The periodontium cannot be assessed accurately in the awake patient because we can not fully see this area nor manipulate it or use tools such as a periodontal probe to assess for below the surface disease.
NEW QUESTION # 475
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