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| Section | Weight | Objectives |
|---|---|---|
| Pharmacy and Pharmacology | 12% | - Medication Preparation
|
| Laboratory Procedures | 12% | - Diagnostic Testing
|
| Pain Management and Analgesia | 7% | - Pain Control
|
| Emergency Medicine and Critical Care | 8% | - Emergency Procedures
|
| Dentistry | 8% | - Dental Procedures
|
| Surgical Nursing | 11% | - Perioperative Procedures
|
| Diagnostic Imaging | 7% | - Imaging Techniques
|
| Animal Care and Nursing | 20% | - Patient Care
|
| Anesthesia | 15% | - Anesthetic Procedures
|
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NEW QUESTION # 180
When a patient receives chemotherapy, clients are likely generally emotional and upset. They are concerned about the pet's safety and longevity and any side effects they could see. Many veterinary patients tolerate chemo very well, but thorough education about various aspects of chemo needs to be elucidated to the clients. Suppose a dog has been in the hospital for the day for chemo treatment, and you are discharging the dog.
In this case, you need to ensure you discuss all of the following with the owner except:
Answer: C
Explanation:
It is critical that you discuss the following points with the owner and have the information in writing for later reference:
1. The type of medication received and how it works. Why it is being given, the duration of treatment with this drug, and any necessary recheck testing parameters, like bloodwork or imaging.
2. The course of treatment and expectations, such as remission or complete cure vs. palliative care.
3. Any possible side effects, steps to take if noted (do they call the office? Do they give a medication to relieve the side effect? Etc.)
4. Drug hazard periods - in other words, how long could the pet's bodily fluids (urine, feces, vomitus) be contaminated and a potential risk to other animals or humans?
5. If they must clean up feces, urine, vomitus, or other bodily fluids, ensure the owner knows to wear gloves and, despite the gloves, wash their hands for 20 seconds or more with warm soapy water.
6. Sunlight helps degrade agents within urine or feces. So, ideally, walk the pet in a low-traveled area with lots of sunshine, where no children play. Suppose the dog has free access to the backyard or other dogs in the household have access to where the treated dog evacuates. For these reasons and for general hygiene purposes, you should pick up feces after each defecation. But remember to wear gloves and wash hands well after removing them.
NEW QUESTION # 181
Various sizes of nasogastric tubes are used in equine patients during colic episodes. It is imperative that the veterinary technician knows the appropriate tube size for the horse being treated.
If a yearling is being treated, what size of nasogastric tube is required?
Answer: D
Explanation:
During colic assessment, nasogastric tubes are used for equine patients to remove excessive fluid and gas accumulation and administer treatments. The size of the nasogastric tube for a yearling is approximately 7/16" outer diameter, 1/4" inner diameter, 12' long.
Foals require 3/8" outer diameter, 1/4" inner diameter, 10' long tube. Miniature horses require a 1/4" outer diameter, 1/8" inner diameter, 5' long tube. Ponies or small horses generally require 1/2" outer diameter, 5/16" inner diameter, 12' long tube.
NEW QUESTION # 182
Why are ketones often noted in the urinalysis results of emaciated or starving patients?
Answer: A
Explanation:
When the body lacks carbohydrates, it uses fat as an energy source. When this metabolic process overwhelms the liver, ketones are released into the blood and, subsequently, the urine.
NEW QUESTION # 183
You are caring for a dog with pneumonia and monitoring oxygenation status over time. Which of the following is the most accurate for assessing oxygen status?
Answer: B
Explanation:
While the most invasive, an arterial blood gas is the most accurate when measuring oxygen saturation. It involves using a placed arterial line, most commonly in the metatarsal artery, or a blood gas sample via syringe. It allows one to accurately assess the partial pressure of oxygen in the arterial blood (PaO2). When < 60 mm Hg, mechanical ventilation may be required. It also accurately assesses the partial pressure of CO2 (carbon dioxide) in arterial blood where values > 60 mm Hg may require ventilator use. The use of an arterial blood sample and blood gas evaluation best depicts the patient's oxygen status.
SaO2 represents the percentage of available hemoglobin (Hb) saturated with oxygen when measured on a blood gas.
SpO2, while less invasive, is potentially the least accurate of the options. Readings are obtained via a pulse oximeter with < 92% suggesting hypoxia. However, various factors can lead to high or low false readings, including pigmented skin/gums, human error, motion artifact, cardiac arrhythmias, and equipment malfunction. Animals with smoke inhalation and carbon monoxide (CO) exposure will not have accurate readings. It measures what is bound to hemoglobin, and CO binds more strongly to the Hb than oxygen. Since the way pulse oximetry works is simply by detecting oxygenated vs. deoxygenated Hb, it will falsely read higher than it is when carboxyhemoglobin is present.
Capnography monitors the partial pressure of CO2 & ETCO2. However, this is done by attaching to an endotracheal tube or a nasal catheter. While non-invasive in and of itself, it is most commonly performed in animals under anesthesia, on a ventilator, or who are severely debilitated. When elevated CO2 is detected, hypercarbia suggests decreased ventilation. When the value is low, it could be hypoxia, reduced ventilation, or pain.
NEW QUESTION # 184
The majority of scalpel blades have curved cutting surfaces. Which blade has a triangular shape and pointed tip that is best suited for stabbing incisions and tiny cuts?
Answer: B
Explanation:
A #11 blade is best used when severing ligaments. It has a triangular shape and a pointed tip.
A #10 blade has a long, convex cutting edge and is used for large soft tissue incisions, most commonly for the skin.
A #12 blade has a sickle-shaped blade with the cutting surface on the concave interior aspect. It is used when incising along periosteal surfaces (for example, onchyectomy and gingival flap elevation). Additionally, this type of blade works well when lancing abscesses.
A #15 blade has a similar shape but with a smaller cutting edge than a #10. It aids with smaller, precise incisions.
NEW QUESTION # 185
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