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| Section | Weight | Objectives |
|---|---|---|
| Emergency Medicine / Critical Care | 7% | - Triage, shock, respiratory/cardiac emergencies - Toxicology, trauma, first aid procedures |
| Pharmacy and Pharmacology | 13% | - Preparation, dispensing, storage, safety and disposal - Drug classification, dosage calculation, administration routes - Anatomy, physiology, pathophysiology related to agents - Controlled substance management |
| Dentistry | 7% | - Dental anatomy, disease recognition - Dental cleaning, polishing, radiography - Periodontal care and patient education |
| Communication and Veterinary Professional Support Services | 5% | - Client education, communication techniques - Practice management, team collaboration - Medical records, ethics, legal and regulatory compliance |
| Animal Care and Nursing | 20% | - Specialized care for exotic, large or neonatal patients - Husbandry, nutrition, fluid therapy - Infection control, sanitation, isolation - Physical examination, patient assessment |
| Surgical Nursing | 13% | - Surgical preparation, instrumentation, aseptic technique - Wound management, suture materials and techniques - Intraoperative and postoperative care |
| Anesthesia | 13% | - Recovery and emergency management - Anesthetic agents, equipment, monitoring - Pre-anesthetic assessment and preparation |
| Pain Management / Analgesia | 7% | - Pain assessment, pharmacologic and non-pharmacologic control - Multimodal analgesia protocols |
| Laboratory Procedures | 9% | - Hematology, clinical chemistry, urinalysis - Sample collection, handling and processing - Parasitology, microbiology, cytology |
| Diagnostic Imaging | 6% | - Radiography: positioning, safety, technique - Image quality assessment and documentation - Ultrasound, other imaging modalities |
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900. Frage
When referring to "tail jacking" in calves, this could pertain to all of the following, except:
Antwort: A
Begründung:
Tail jacking refers to aiding in restraining a calf or cow. However, it serves as a distraction more than true restraint. Lift the tail straight up and forward from the tail base to perform correctly. Ensure you hold onto the tail about a third of the way down from the base. You still want to ensure that the calf cannot move from side to side. This hold can also be used for IV blood draws or performing a rectal.
Castrating calves less than 2 months of age is often done without analgesia. The calf is either restrained on the ground or in a chute using a tail jacking to facilitate handling. Again, this is when the tail is pushed straight up over their back, anchoring them in place.
Never try to lift a calf by the tail, as the tail is relatively fragile. Remember, "tail jacking" by itself isn't sufficient to restrain the calf, especially without pain management. Still, it helps facilitate holding for simple procedures and evaluations. There is a risk of fracture to the coccygeal vertebrae. Thus, this restraint method should only be used for a few minutes and no more.
901. Frage
A horse handler brings in an 18-year-old gelding for evaluation. He reports that the horse has been showing intermittent yet progressive lameness. He is still eating and otherwise himself, but the trainer is concerned. You ask the handler if he has noticed any stumbling or a shortened stride, and he replies affirmatively. You recognize from your short interactions with the horse while getting your TPR and talking with the handler that the horse is intermittently shifting his weight off his heels on the right hind. You are suspicious of navicular disease in this horse.
Navicular disease describes a syndrome that can include all of the following, except:
Antwort: B
Begründung:
Navicular disease syndrome has many underlying potential contributing factors and is likely multifactorial. Causes can include
*Damage to the navicular bone (distal sesamoid bone)
*Damage to the bone supply of the heel
*Damage to bursa, tendons, and ligaments attached to the navicular bone
*Underrun heels
*Low heel or long toe type confirmation (hoof wall angle is lower than that of the pastern) Contracted heels become a consequence of the disease over time. Contracted heels is a narrowing between the common meeting point of the fleshy part of the hoof wall, the heel, and the coronary band.
Regardless of the underlying cause(s), the net result is that the animal's weight shifts to take the pressure off the heel. This ultimately causes a gait change and may lead to secondary sequelae. The bone ultimately undergoes painful changes and degeneration over time. The disease syndrome is manageable but not curable.
Diagnosis can be a combination of various tests, including:
*Pain response with hoof testers over the foot's sole (pull the foot away)
*Flexion tests
*Nerve blocks
*Radiographs
*MRI
902. Frage
You suspect a feline patient who is indoor-outdoor has contracted Yersinia pestis based on clinical signs, exposure risk, and endemic nature of the disease and would like to confirm the diagnosis.
Which of the following is your next step?
Antwort: C
Begründung:
Yersinia pestis, also known as Plague, is a zoonotic, highly contagious infectious disease. Cats are commonly infected via the flea of a rodent and can easily spread it to humans. Cats are highly susceptible and may show fever, swollen lymph nodes, vomiting, diarrhea, skin abscesses, lethargy, and other signs. This organism is classified as high risk as a potential biological weapon. Evaluation for this organism requires special laboratories and personal protective equipment (PPE).
If you suspect this or another highly zoonotic disease such as Brucella abortus, Francisella tularensis (Tularemia) (horses, rabbits, others), or Bacillus anthracis (Anthrax) (livestock), contact your state's reporting agency and any appropriate regulatory agencies. Ensure appropriate PPE when handling the patient, and place the patient in a safe isolation area until an evaluation can be done safely.
903. Frage
Modified Knott's technique tests for which of the following infectious diseases?
Antwort: C
Begründung:
The modified Knott's technique stains microfilariae, while red blood cells disintegrate, increasing visibility of the microfilariae. Due to similar appearances between Dirofilaria immitis, the etiologic agent of heartworm disease, and Dipetalonema recondite, a relatively innocuous parasite, this concentration step helps distinguish between the two.
Filter techniques may also be used to detect microfilaria, though it is difficult to differentiate between D. immitis and Dipetalonema using only the filter technique.
904. Frage
Internal fixation implants are utilized in large, small, and exotic species of all shapes and sizes. All of the following are indications for use, except:
Antwort: B
Begründung:
Internal fixation implants are tools used to internally correct angular limb deformities and traumatic abnormalities, e.g., cranial cruciate ligament repair, and for bone fractures, generally non-complicated.
External fixation is used on the skin's outside surface to stabilize fractures, usually compound in nature. This complicated fracture repair method utilizes clamps, rods +/- rings, and standard orthopedic fare.
905. Frage
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