Zuku VTNE communication/vet prof support

Who owns the veterinary medical records of a client's pet?

practice owner

Which statement about animal cruelty is most accurate?

Animal cruelty in a household is linked to a higher risk of violence against people in the same household

A client asks why the vet recommended calcium and vitamin D3 supplementation for their new pet leopard gecko (Eublepharis macularius). Which condition may develop in reptiles that receive inadequate calcium, vitamin D3, or UVB lighting?

Secondary nutritional hyperparathyroidism (metabolic bone diseae)

Which task may a credentialed veterinary technician perform under veterinary supervision, but a veterinary assistant may not legally perform in many states?

Administer controlled drugs to a patient under veterinary supervision

Manual urinary bladder expression may help certain geriatric or neurologic small animal patients that cannot completely empty the bladder on their own. It may be necessary to teach the client this procedure. Which technique best describes proper manual bladder expression in dogs and cats?

Use palms to apply gentle, steady compression while directing pressure toward the patient's back

A client wonders why they should treat their horse for pituitary pars intermedia dysfunction (PPID). Which of the following is the most common sequela associated with PPID in horses?

Laminitis

Which agency enforces federal regulations for controlled substances in the United States?

Drug Enforcement Adiministration (DEA)

Which of these situations constitutes professional misconduct in a veterinary practice?

Credentialed staff allow noncredentialed staff to perform tasks restricted to credentialed personnel

Which problem do state or provincial veterinary boards commonly identify during investigations of client complaints?

Incomplete medical records

Which statement accurately describes a veterinarian's responsibility within a valid veterinarian-client-patient relationship (VCPR)?

Remains available or arranges emergency coverage for care following treatment

At minimum, how often should an adult horse at a boarding facility receive routine veterinary visits?

Twice a year

Which food should veterinary staff advise clients never to feed a pet bird because of toxicity risk?

Avocado

Which action best supports proper documentation of informed consent obtained over the phone?

Have another staff member witness the conversation; document in the medical record with signatures from the vet and witness

Which statement about veterinary medical records is most accurate?

A court of law may subpoena them

Which statement best defines informed consent in veterinary client communication?

Client agrees to a procedure after receiving clear information about the condition, risks, prognosis, treatment options, and costs

Which action demonstrates beneficial nonverbal communication when supporting a client through a pet’s end-of-life process?

Sitting at the client’s eye level with an open posture and appropriate eye contact

A client calls the veterinary clinic because their snake has dull skin and is beginning to shed. The veterinarian says this is “ecdysis”. What is ecdysis?

Normal process of skin shedding in reptiles

What is the most appropriate way to correct an error in a hard copy medical record?

Draw a single line through the error, write the correct information, and sign and date the correction

The Medical Waste Tracking Act defines medical waste, regulates its handling and transport, and establishes enforcement procedures to help protect public health and the environment. Which ageny enforces it in the United States?

Environmental Protection Agency (EPA)

Which question demonstrates the use of an open-ended communication technique when discussing end-of-life decisions with a client?

“What concerns do you have about your pet’s quality of life at home?”

In the United States, the Fair Labor Standards Act (FLSA) regulates employee classification and overtime pay. In Canada, similar protections are established through provincial employment standards laws. Which statement best describes how the FLSA classifies employees in a veterinary practice?

Uses duties and pay to determine exempt status

A 1 month old puppy is presented with pale mucous membranes and bloody diarrhea. The puppy is underweight and has a slightly distended abdomen. Hookworms are suspected. Make what recommendations to the owner?

Zoonotic; puppy requires antihelmintic treatment

When a vet tech is using SOAP format for history and physical exam information, what does the "A" represent and what type of information may be included?

Assessment: clinical evaluation of patient's condition.

What can be taught to pet owners as a helpful way to identify the progression from heart disease to heart failure in dogs and cats?

To count resting respiratory rate

Which of the following is most accurate about taking a nutrition history for a pet?

Best to use open-ended questions

In addition to cardiopulmonary auscultation, which of the following is used to confirm death in an animal?

Corneal reflex

What can be done to ensure that a client receives the best veterinary service options available?

Help client fully understand all options

When a vet tech is using a SOAP format for history and physical exam information, what does the "O" represent and what type of information may be included?

Objective: Measurable information

The Animal Welfare Act is enforced by which U.S. government agency?

Department of Agriculture (USDA)

Which of the following rehabilitation therapies, used in painful geriatric animals, can we readily teach clients for home use?

Physical therapy exercises

Federal and state/provincial rules require a lot of information to be written on a prescription label in veterinary medicine, usually including:

• Date; owner name, address

• Telephone number of clinic

• Pet name/species/# of animals

• Name, active ingredient, and quantity of the drug

• Drug strength; dosage and duration; route of administration

• Number of refills; expiration date

• Withdrawal times (when applicable)

• Any cautionary info regarding risks of medication

What is the appropriate action if all of this information does not fit on the prescription label?

Provide client additional sheet with information

Approximately what percentage of cats over the age of 12 have chronic kidney disease?

30%

A client calls to ask if she can have a prescription for firocoxib tablets for her older horse's arthritis. She uses the canine formulation called "Previcox" for her dog and would like to use that for her horse as well because it is less expensive than the equine formulation, called "Equioxx." What is the recommendation?

The vet cannot prescribe Previcox for the horse, must prescribe Equioxx

A client with a backyard herd of pet goats calls and asks if she can have a prescription for metronidazole for an adult doe with diarrhea. What is the best recommendation?

Metronidazole is prohibited for use in goats

A client resists talking about euthanasia of their older cat with a terminal diagnosis. Which of the following is the best way to handle this?

Encourage them to take the time they need; note it in the record

What is the focus of palliative care?

Relief of symptoms and stresses of illness

How frequently does the veterinary profession recommend routine vet visits for geriatric dogs and cats?

Every 6 months

When can a client terminate the veterinarian-client-patient-relationship (VCPR)?

Whenever the client chooses

At what age do most veterinarians consider a cat to be "senior"?

9-10 years

A family presents their dog for treatment of a "pinworm infection." The 5-year-old son was recently diagnosed with a pinworm infection, and they believe it came from the dog. What key messages should be communicated to the owner?

Dogs do not get pinworms, no treatment necessary

How can a client help prevent decubitus ulcers in a recumbent pet receiving palliative care?

Use adequate padding for the bed

What dietary recommendation should be made to owners of male goats to help decrease the risk of urolithiasis?

High-roughage; minimal grain

What does the body condition score (BCS) help puppy owners subjectively assess?

Food intake vs. energy used

The new owner of a small farm who has never owned livestock calls your office in distress. She says one of her goats is missing the upper front incisor teeth. Which choice is the best reply.

This is normal

An owner calls the clinic requesting a prescription refill for prednisone for her dog who suffers from seasonal allergic dermatitis. The owner is not a client and the dog has never been seen by the clinic. What is the most appropriate action for the veterinarian to take?

Establish a veterinarian-client-patient-relationship first

Approximately how often do an average horse's hooves need to be trimmed?

Every four to eight weeks

What is anthropomorphism?

Giving human characteristics to nonhuman animals

What are three signs of cognitive dysfunction syndrome in small animals?

Altered sleep-wake cycles; pacing; house-soiling

What is the best description of bond-centered end-of-life care?

Balancing pet's medical needs with non-medical needs of client

How should owners be advised to transport their pet birds to the veterinary hospital?

In regular, uncleaned cage, covered

A potential new client arrives at a clinic without an appointment in an agitated state with an unleashed dog for routine vaccination. The person yells at the receptionist for having to wait and disturbs other clients. In the exam room, this person is verbally abusive to the veterinary technician but treats the veterinarian civilly. Which one of the following statements is most consistent with the American Veterinary Medical Association's guidelines pertaining to this situation?

A veterinarian has the right to decline establishment of a veterinarian-client-patient-relationship

Which of the following is the least important parameter in determining a pet's quality of life?

Physical appearance

An advance directive outlines a client's wishes regarding end-of-life decisions for their pet. Which of the following is true about an advance directive?

Improves relationship and ensures appropriate care

A person calls to say she adopted a friend's dog and requests a copy of the dog's medical record and radiographs. The former owner is a client at your clinic. Which of the following choices is the most appropriate action to take?

Require original owner consent or court order to release information

In a veterinary clinic there must be appropriate "hazard communications" that constitute safeguards such as employee training, proper labeling of substances, and posting of safety data sheets (SDSs) [formally called material safety data sheets (MSDSs)]. These are intended to protect the employees. In the US, who regulates this?

Department of Labor, Occupational Safety and Health Administration (OSHA)

Which is most accurate regarding a client's decision to euthanize an animal?

Develop a plan together regarding quality of life parameters individual to the case

An owner wants to decrease the risk of enterolith (i.e., stone in the colon) formation in her herd of Arabian horses in California. What is the best recommendation?

Feed minimal alfalfa hay

When a veterinary technician is using a SOAP format for history and physical exam information, what does the "P" represent and what type of information may be included?

Plan: Planned interventions

When a veterinary technician is using a SOAP format for history and physical exam information, what does the "S" represent and what type of information may be included?

Subjective: mentation, presence of urination/defecation/vomiting, hydration, appetite

A client calls to ask what she should do with the leftover medications from her dog who recently passed away. What is the appropriate recommendation?

Take them to an authorized pharmaceutical disposal site

Which of the following is an AVMA-accepted method of euthanasia in horses following sedation and general anesthesia?

Intrathecal lidocaine