Week 5 Quiz 1 - GI Diseases & Drugs

Match each definition in column A with the corresponding term in column B

Match each description in column A with its corresponding  disease or condition in column B

Difficulty eating is also referred to as 

dysphagia

Which disease is caused by insufficient production of digestive enzymes by the pancreas?

exocrine pancreatic insufficiency

Anorexia is the loss of appetite

True

Hematochezia usually indicates a problem with the 

Colon

Cholangitis refers to

Inflammation of the bile ducts

The loss of digestive enzymes leads to maldigestion and malabsorption of ingested nutrients causing clinical signs of polyphagia, weight loss and chronic pale, fatty, and voluminous diarrhea also known as:

steatorrhea

Chronic hepatitis indicates a history of liver disease for a prolonged period of time, usually greater than

4 to 6 months

Mirtazapine is used in dogs and cats to:

stimulate appetite

The premature activation of trypsin in the pancreas is associated with what condition?

pancreatitis

Exacerbation of neurological signs in a young dog after a high-protein meal may indicate

Portosystemic shunt

This is a picture of multiple small gastric ulcers in a dog. This image was obtained by endoscopy. You can see the dark focal spots on the lining of the stomach that represent bleeding in those areas of the stomach mucosa.

This dog is inappetent, vomiting, lethargic and painful.

Which drug/s would be contraindicated in the management of this dog's gastritis, gastric ulcers and pain? Check all that apply.

This is a radiograph of the abdomen of a cat in right lateral recumbency.

What is the white (radiopaque) material in the abdomen (not the skeletal structures) in the center of the radiograph?

This is an abdominal radiograph of Ralph, a 3-year-old intact male Standard Poodle.

History: Ralph was boarded over the weekend at a facility he has used previously and was fed his regular diet throughout the stay. He remained alert and exhibited normal behavior during boarding. Kennel staff report he ate dinner and consumed treats Sunday night, but declined breakfast Monday morning.

Upon pickup Monday, owners noted Ralph was not behaving normally. On arrival home, he was reluctant to move, preferring to remain recumbent on his bed, with observed ptyalism and panting. Owners elected to present to your practice rather than the emergency clinic due to same-day urgent care appointment availability. En route, Ralph exhibited repeated nonproductive retching.

On physical exam, the following were noted:

HR 140; RR panting; Temp 102.3

MM tacky, grayish-pink; CRT >2sec

Lethargic; BCS 5/9

Standing with back hunched up and neck outstretched. Distended abdomen is tense. Scant feces on rectal exam.

Match each description in column A with its corresponding  disease or condition in column B

An indoor cat with a BCS of 8/9 is straining in the litterbox. The client is concerned about a urinary tract infection because the cat is vocalizing while straining in the box. The client has only one cat and there appears to be no change in the amount of urine in the litterbox lately.

In dogs, exocrine pancreatic insufficiency (EPI) is commonly caused by chronic pancreatitis

False

Please match the clinical sign or disease with the line item the doctor would want on a treatment plan for you, the RVT, to present to the client of the sick pet. Think about the least invasive test/s that would provide a good starting point in the diagnostic process.

A client called 10 minutes before closing on a Saturday to say that their 10 year old Australian Shepherd is vomiting bile and not wanting to eat for the last few days. The stool has been normal per owner until today and now the stool is really dark and sticky, like tar. In addition, the dog vomited up bile with dark brown "coffee ground" like material this morning after drinking a little bit of water. The dog has hip dysplasia and degenerative joint disease in the left hip. The dog is currently taking medication to help with the pain. The dog was taking carprofen for pain, but the client stopped a few days ago when the pet was not eating because she remembered that the dog was supposed to take the medication with a meal. Instead, the client switched the dog to OTC aspirin BID 2 days ago because the dog was so uncomfortable. The new receptionist asked you to take the call since you are an RVT and the doctor was busy with another case and your hospital is closing soon.