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AAVSB VTNE Exam Syllabus Topics:

SectionObjectives
Pain Management and Analgesia- Analgesic drug use
- Pain assessment techniques
Emergency Medicine and Critical Care- Shock management and CPR
- Triage and stabilization
Animal Care and Nursing- Nutrition and husbandry
- Patient handling and restraint
Dentistry- Dental prophylaxis procedures
- Oral anatomy and disease recognition
Pharmacology- Drug classifications and uses
- Dosage calculations and administration
Diagnostic Imaging- Image processing and interpretation basics
- Radiography positioning and safety
Anesthesia- Anesthetic protocols and equipment
- Anesthetic monitoring
Laboratory Procedures- Urinalysis and microbiology
- Hematology and clinical pathology
Surgical Nursing- Sterile technique and instrumentation
- Preoperative and postoperative care

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AAVSB Veterinary Technician National Exam Sample Questions (Q1210-Q1215):

NEW QUESTION # 1210
You have a patient coming to you because you carry bisphosphonates in your practice. The client wants to know how the drug works and why it may benefit the pet. You explain to the client that this type of drug may be used to treat pain in pets with which of the following conditions?

Answer: D

Explanation:
Bisphosphonates belong to one class of drugs commonly used to treat osteoporosis/osteopenia in humans. However, primarily in dogs, they may be used to treat bone cancers, most commonly as an adjunct therapy in managing osteosarcomas (OSA), and to address any bony metastases or osteolytic lesions secondary to OSA or other cancers. These drugs accumulate on a bone's surface and inhibit osteoclastic resorption, leading to bony formation. Increasing bone density and formation would improve stability and lessen pain in the affected areas. Additionally, strengthening the bone can minimize the risk of pathological fractures, common with OSA and similar cancers.
It would not be beneficial in arthritis, where the loss of bone isn't the problem (osteopenia or osteoporosis). Squamous cell carcinoma and transitional cell carcinomas do metastasize, but not usually to bony lesions. Thus, bisphosphonates would not be indicated.
These medications are costly, and studies have shown mixed results with their use. However, it is worth knowing about them and being able to educate your clients appropriately on all options available to them.


NEW QUESTION # 1211
Failure to prep a patient appropriately for surgery, including proper patient positioning, proper OR set up, proper warming, and other ancillary equipment preparation and other factors, can directly lead to all of the following, except:

Answer: A

Explanation:
Technicians need to ensure a lot before the pet actually gets into surgery. This includes:
*Ensure all equipment is ready, cleaned, sterilized, and properly placed
*Ensure all equipment is easily accessible
*Confirm with the surgeon all that is needed and any last-minute changes or additions
*Ensure that the OR is clean
*Check all equipment, including anesthesia machines, as per protocols
*Ensure proper heating unit is pre-placed, turned on, and warming according to hospital protocols
*Set up the surgical prep area outside the OR and ensure all equipment, surgical scrub, clippers, and other needs are already pre-assembled before getting the patient out
*Set up the post-op recovery area
Failing to properly do all of the above can hinder the surgical technique. Improper clipping, failure to have all equipment readily at hand, having to go in and out of the OR for materials omitted, and other issues can lead to an increased risk of infection and prolong the time of anesthesia. Combined, these factors could lead to a delay or failure of the patient to recover in extreme situations. Still, the recovery itself may remain unaffected despite the errors or issues described above.


NEW QUESTION # 1212
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: C

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 # 1213
You are discharging a canine patient who was hospitalized overnight due to severe back pain from presumptive intervertebral disc disease (IVDD). The patient received a fentanyl CRI overnight and was weaned to injections of buprenorphine. He was started on oral steroids, gabapentin, and codeine.
Which of the following non-pain medication management recommendations would be inappropriate for this patient?

Answer: C

Explanation:
When treating a patient with IVDD, it is important to allow the pain meds to do their job. We want to restrict activity in the initial stages. When pain is properly controlled, the dog doesn't know to take it easy. So, we have to take it easy for them. We do this by restricting activity, including:
*No stairs (unless absolutely necessary and limit use ideally to 2 times daily), controlled up and down. In other words, don't let them just run up and down, walk them up and down to prevent hurting themselves.
*Give pain medication as prescribed. A common occurrence is that clients see the dog wanting to play and not painful, and since the dog feels great, they simply do not give the entire course of medications. As a result, the pet doesn't heal, and clinical signs often reoccur much more rapidly than they would have otherwise.
*When using steroids, it is critical for the technician discharging the pet to inform the owner both of the side effects and the importance of weaning as directed. Explain to them that the body's steroid production shuts down, and weaning is needed to allow the body to ramp up production.
*Exercise rest, including no running, jumping, and playing with other pets. This is crucial in the initial stages. Once exercise is reintroduced, we slowly increase it over time, and we start with short leash walks and controlled exercise. Thus, it is best to advise clients to take the pet out on a leash, let them do their business, and bring them back inside.
*Finally, we want to confine them to a small crate or room at all times, not just when the client is not home. We want them to have minimal activity in the first few days to a week to ensure they are not hurting themselves, taking it easy, and remaining calm. Depending on the injury or pain severity, we may want to start increasing activity after the first week. Always increase activity while the pet is still on pain meds.


NEW QUESTION # 1214
Which of the following pain medications is used for transdermal administration in veterinary patients?

Answer: D

Explanation:
Fentanyl is formulated in a transdermal patch. It may be used for patients needing several days of continuous pain management.
Morphine, ketamine, and tramadol are administered either by injection or orally.


NEW QUESTION # 1215
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