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| Section | Objectives |
|---|---|
| Topic 1: Pharmacology | - Dosage calculations and administration - Drug classifications and uses |
| Topic 2: Surgical Nursing | - Preoperative and postoperative care - Sterile technique and instrumentation |
| Topic 3: Pain Management and Analgesia | - Pain assessment techniques - Analgesic drug use |
| Topic 4: Laboratory Procedures | - Urinalysis and microbiology - Hematology and clinical pathology |
| Topic 5: Diagnostic Imaging | - Radiography positioning and safety - Image processing and interpretation basics |
| Topic 6: Animal Care and Nursing | - Nutrition and husbandry - Patient handling and restraint |
| Topic 7: Dentistry | - Oral anatomy and disease recognition - Dental prophylaxis procedures |
| Topic 8: Anesthesia | - Anesthetic monitoring - Anesthetic protocols and equipment |
| Topic 9: Emergency Medicine and Critical Care | - Shock management and CPR - Triage and stabilization |
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NEW QUESTION # 271
Many camelids are raised in zoos or used for fiber production for clothing, most commonly alpacas. You are responding to a farm call with your veterinarian during the warm months for a new owner just starting out with alpacas. You need to educate them on various common medical concerns in these new world camelids.
Which of the following would you not need to discuss with them?
Answer: A
Explanation:
Camelids describe a group of animals with three-compartment stomachs, similar to ruminants, classified as functional ruminants. While camels are an example of "old world" camelids, either dromedary (one-humped) or Bactrian (two-humped), llamas, alpacas, and guanacos are all classified as "new world" camelids.
Why this is relevant stems from the natural habitats that they were designed to inhabit. Llamas and alpacas originate in the South American Andes mountains. As a result, they are not well-adapted to the high heat and humidity in much of the United States, especially in the warmer months. As a result, they are susceptible to heat stress and related sequelae. Advise your client that they need to provide appropriate shelter with appropriate fans and ventilation to allow cooling. They need access to clean and fresh water at all times, ideally located in various shade areas to encourage learning where those cooler areas of refuge may lie. Another important means to keep them cool relies on prompt shearing of the fiber from head to toe, being careful not to remove the last 1-3 inches.
Hepatic lipidosis is commonly seen in alpacas, domestic cats, cows, ponies, goats, sheep, and humans. The disease typically occurs in middle-aged, lactating, or pregnant camelids in the presence of anorexia or significant weight loss. Fatty liver results in times of negative energy balance, causing fat to build up in the liver. Thus, ensure your client knows to offer a variety of foliage and feed to supplement and increase the energy available to the animals. Have them let you know ASAP if an animal isn't eating so that you can intervene and offer oral supplementation when needed. Some require hospitalization and supportive care. The disease can be life-threatening, and any non-eating alpaca should be promptly evaluated.
A parasite commonly seen in camelids, Paralephosstrongylus tenius, a meningeal worm, causes significant neurological disease. Signs may include ataxia, weight loss, and even death. Llamas, alpacas, and other small domestic ruminants become infected accidentally or with incidental hosts. White-tailed deer, though unsymptomatic, provide the reservoir for this disease. Thus, advise your client to minimize exposure to wildlife as best as feasible. This may include fencing and other barriers to prevent contact with deer and other species.
The only condition mentioned that, while possible, commonly doesn't need intervention is parturition and reproductive emergencies. While twins may be feasible, they usually do not deliver to term. Abortion most commonly occurs within the first two months, after which abortion rates drop to < 2% of the time. Note, llama and alpaca gestation lasts 340-350 days. The process of parturition is known as 'unpacking.'
NEW QUESTION # 272
On dental radiographs, what anatomical feature is commonly misinterpreted as a periapical pathological abnormality?
Answer: A
Explanation:
The radiolucent mandibular canal resides dorsal to most of the tooth roots of the mandible. In small-breed dogs, we can appreciate the apices of mandibular first molar roots at or sometimes below this canal, even extending into the ventral cortex.
The cribriform plate of bone that lines tooth sockets, known as the lamina dura, shows up on radiographs as a white line next to the periodontal space of a healthy tooth.
All of the incorrect answers are normal structures evident on radiographs. However, they are not periapical and usually are not mistaken for pathology. However, the middle mental foramen, which resides apical to the second premolar of the mandible in dogs, can be misinterpreted as an abnormality when superimposed over a tooth root. This helps to stress the importance of radiographic technique and ensuring superimposition doesn't occur. Knowing what normal looks like and recognizing normal structures also helps with interpretation.
NEW QUESTION # 273
Which of the following terms describes the lack of urine production?
Answer: C
Explanation:
Anuria describes absent urine production. An- is a prefix indicating no, not, or without. This condition is caused by kidney failure, profound dehydration, hypovolemic shock, or bilateral ureteral obstruction.
Oliguria describes decreased urine production. Etiologies are similar to anuria.
Stranguria describes painful, spasmodic urination occurring in small volumes. Often, bacterial cystitis and urolithiasis are common causes.
Polyuria describes increased production of urine volume. Causes include hormonal diseases (diabetes mellitus, hyperadrenocorticism) and acute and chronic renal disease.
NEW QUESTION # 274
A technician should do all of the following to remain protected and safe during radiography procedures and maintenance, except:
Answer: B
Explanation:
We want to minimize exposures by keeping them "as low as reasonably achievable" (ALARA). This means we want to use lead shielding of any and all body parts that may be exposed. We want to ensure that we remain entirely out of the primary beam, protective clothing or not. The primary beam can penetrate lead, and all exposure to the primary beam should be prevented.
We want to minimize the amount of restraint we do. Suppose a patient can be restrained either via sandbags or other means of assistance devices or chemically, via sedation. In that case, we not only can prevent exposure to the primary beam and scatter scatter, but can also prevent bites, scratches, and other related injuries from fractious, scared, or otherwise uncooperative patients.
We wouldn't want to ensure higher mAs settings as much as possible to minimize dose creep and exposure. We, in fact, need to do the very opposite. Dose creep is a term in digital radiography that depicts the incremental technique increases used to avoid "noise" that negatively affects image quality. Quality images with fast screens help minimize the mAs settings needed. The mAs represents a combination of the exposure time and the number of electrons that boil off the filament (mA), affecting the number of x-rays produced. mA affects the image darkness or density and, when it is increased, the image becomes darker. It is, thus, optimal to select the mAs with the shortest exposure time and the highest mA.
NEW QUESTION # 275
How does fludrocortisone affect electrolyte disturbances in dogs with Addison's disease?
Answer: B
Explanation:
Addison's disease, or hypoadrenocorticism, is an uncommon condition in dogs. It is caused by atrophy of the adrenal glands, resulting in a severe electrolyte imbalance and shock. Addison's disease is considered a medical emergency and often presents in animals as weakness, vomiting, loss of appetite, and altered mentation.
Fludrocortisone is a mineralocorticoid replacement that helps restore the electrolyte imbalances toward normal by signaling the kidneys to retain sodium and excrete potassium.
Joanna M. Bassert, VMD. McCurnin's Clinical Textbook for Veterinary Technicians, 9th Edition. Pg 655-656.
Mosby's Comprehensive Review for Veterinary Technicians 5th Edition. Pg 443.
NEW QUESTION # 276
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