Vet 245 Exam One

Case One:

Merlin is a 1-year-old Domestic Longhair Cat (Dn LH) presented for an annual examination. Owner complaints: none; patient appears healthy; vitals normal. Vaccinations given (rabies and FVRCP) and patient sent home.

  1. What is the normal body temperature for this species

    • 99.5 - 101.5F

    • 100 - 102.5 F

    • 99.5 - 103.0 F

    • 38 - 41 C

  2. Where was the rabies vaccination administered

    • Right shoulder

    • Right hind

    • Left shoulder

    • Left hind

  3. Which of the following is not a component of the FVRCP vaccination

    • Calicivirus

    • Parainfluenza

    • Rhinotracheitis

    • Panleukopeina

  4. And which section of the SOAP would the administration of the above vaccines be located under

    • S

    • O

    • A

    • P

  5. What is the name of the peripheral lymph nodes located on the caudal aspect of the hind limbs?

    • Prescapular

    • Inguinal

    • Popliteal

    • Parotid

  6. What is the terminology used for the absence of, or significant change in the pulse quality in the presence of an audible heartbeat?

    • Pulse deficit

    • Hypotension

    • Pulse pressure

    • MAP

  7. Who is the owner of the medical record?

    • Owner

    • Doctor

    • Practice

    • AVMA

  8. What of the following is an example of an opened-ended question?

    • Has Merlin been drinking more?

    • You don’t feed him table scraps, do you?

    • Have you noticed a change in water consumption?

    • Is Merlin sleeping more than usual?

  9. In dogs and cats, the pulse is most commonly evaluated at

    • The juggle vein

    • The carotid artery

    • The femoral vein

    • The femoral artery

  10. True or false : you would expect to palpate a thyroid gland in the patient

Case Two:

Pumpkin is a 3-year old intact male Doberman presenting for retching, abdominal pain and distention and collapse. He is rushed into your emergency facility where your triage tech immediately brings him to the doctors attention.

Highlights of PE:

  • W: 100 #

  • T:102.3 F

  • P: 200 BPM

  • R: 60RPM-shallow with abdominal effort

  • CRT prolonged

  • Tacky Mm

  • Patient is laterally recumbent

  • Pain on abdominal palpating and bloating is evident

  1. Your doctor orders One view radiograph to confirm suspicion for GDV while they go speak with the owner regarding the severity of this condition. Which radiographic view and finding would be best to confirm their suspicion?

    • Left lateral- gas distended stomach with “bicep arm”

    • Right lateral- gas distended stomach with “bicep arm”

    • V/D view- multiple layers of concentric folds of the stomach

    • D/V view - gas distended stomach with obstruction

  2. The client signed a document, giving you the ability to do whatever treatment is necessary. You placed an IVC to start.which vessel would you choose and which Gage catheter would be most appropriate?

    • Lateral saphenous vein -25g catheter

    • Jugular vein -22g catheter

    • Cephalic vein - 25g catheter

    • Cephalic vein - 18g catheter

  3. What is the necessary next step to help this patient survive

    • Decompression of the stomach

    • Administration of IV fluids

    • Administration of Gas-X

    • Administration of O2

  4. Pumpkin set up on an EKG and you noticed it does not look right. You inform the doctor on the case who confirms the ventricular arrhythmia. The doctor looks stumped, but you begin an incredible technician, hand him a bottle of this medication to intervene.

    • Lidocaine

    • Epinephrine

    • Dexamethasone

    • Noepinephrine

  5. True or False- Gastropexy prevents this completely in the future.

  6. During the procedure the doctor finds a suspicious looking mass on the stomach wall. What is the most common malignant gastric tumor in the canine

    • Lymphoma

    • Squamous Cell Carcinoma

    • Adenocarcinoma

    • Adenosarcoma

  7. What is the medical terminology used to explain Pumpkins respiratory rate

    • Hyperapnea

    • Hypoapnea

    • Tachypnea

    • Hyperventilation

  8. Besides pain, what is the most likely cause of such increase in Pumpkins respiratory rate on presentation? Dehydration

  9. What is the medical term for low blood pressure? Hypotension

  10. What other organ can be impacted in cases of GDV by becoming congested causing an accumulation of endotoxins

    • Spleen

    • Liver

    • Lungs

    • Cecum

None- case based questions

  1. What is the most frequent side effect of NSAID administration in dogs and cats

    • Nausea

    • Vomiting

    • Gastric Ulceration

    • Drowsiness

  2. Most feline intestinal neoplasia are

    • Adenocarcinomas

    • Lymphosarcomas

    • Melanomas

    • Papillomas

  3. Exacerbation of neurological signs after a high-protein meal may indicate

    • Patent ductus arteriosus

    • Epilepsy

    • Portosystemic shunt

    • Polycystic renal disease

  4. What percent of cases of mega colon in cats are thought to be idiopathic

    • 25%

    • 62%

    • 90%

    • 56%

  5. What does idiopathic mean

    • disease of unknown cause

Case Three:

Smokey is a 15- year old Fs DSH presenting because the owner has noticed she is losing weight. He finds this surprising because it seems like all Smokey does is eat. The owner states that she has been more vocal over the last few weeks, and he finding more piles of vomit than normal.

On examination:

BCS 4/9

T: not obtained

P: 240 BPM

R:20 RPM

There is a palpable thyroid slip on the right side of the neck

Her coat is unkempt but no evidence of ectoparasites

  1. This seems to be a classic case of the most seen endocrine disorder in felines, which is

    • Hypothyroidism

    • Hyperthyroidism

    • Diabetes mellitus

    • Hepatic lipidosis

  2. True or False: Thyroid carcinoma is the most common cause of hyperthyroidism

  3. What is the treatment of choice for hyperthyroidism?

    • Oral Methimazole

    • Transdermal Methimazole

    • Surgical intervention

    • Radioactive iodine

  4. What is the most common first treatment initiated in cases of hyperthyroidism?

    • Oral Methimazole

    • Transdermal Methimazole

    • Surgical intervention

    • Radioactive iodine

  5. Which of the following is not a typical side effect associated with oral methimazole therapy?

    • Facial excoriations

    • Vomiting

    • Diarrhea

    • Lethargy

Non-case-based questions

  1. This diagnostic test provides an accurate evaluation of the average blood glucose concentration over a specific period, and may be used to monitor diabetic patients:

    • Urine dipsticks

    • Daily glucose levels

    • Free Style Libre

    • Fructosamine

  2. What hallmark chemistry finding is indicative of parathyroid disease?

    • Hypernatremia

    • Hypercalcemia

    • Hypocalcemia

    • Hyponatremia

  3. Which diagnostic test is used to confirm / definitely diagnose hypoadrenocorticism?

    • ACTH stim test

    • CBC/CHEM

    • LDDST

    • HDDST

  4. Question: Na/K ratios of <27:1 are indicative of:

    • Hyperadrenocorticism

    • Hypoadrenocorticism

    • Hyperthyroidism

    • Hypothyroidism

  5. This gland is responsible for the production of calcitonin:

    • Parathyroid Gland

    • Pituitary Gland

    • Thyroid Gland

    • Adrenal Gland

  6. The region of the adrenal gland responsible for producing epinephrine:

    • Medullary

    • Cortex

    • Parathyroid

    • Paragland

  7. This diagnostic test is important to perform in suspect diabetic cases in conjunction with a BG check

    • Fructosamine test

  8. Name two endocrinopathies that were discussed that have bilateral truncal alopecia as a clinical sign

    1. Hyperadrenocorticim

    2. Hypothyroidism

  9. The most concerning disease process that can occur in an obese cat that is suddenly anorexic is what

    • Hepatic Lipidosis

  10. This blood protein is usually increased in cases of dehydration

    • Albumin

    • Globulin

  11. What is the medical name for Addison's Disease?

    • Hypoadrenocorticism.

  12. This chronic protein-losing intestinal disease is caused by impaired intestinal lymph drainage.

    • Intestinal Lymphangiectasia

    • PLE

    • PLN

    • Lymphoma

  13. What surgical intervention is often needed during an Intussusception (spell out the words, not just the letters)

    • Resection and Anastomosis or R and A

  14. This zoonotic disease is carried by domestic and wild animals that act as reservoirs and is usually spread by urine

    • Leptospirosis

  15. Question: A cat requires a dose of butorphanol. The dosage is 0.1 mg/kg. The cat weighs 10 lb. How many mL per dose? Round your answer to the nearest tenth mL.

    • 0.2mL

  16. Snufflewufflekins is dehydrated but otherwise apparently heathy 22-pound dog. What would be his SQ fluid dose?

    • ?

  17. Eclampsia is one of the most common causes of the laboratory finding

    • Hypercalcemia

    • Increased ALT

    • Hypocalcemia

    • Hypernatremia

  18. What is the most aboral portion of the small intestines

    • Jejunum

    • Ileum

    • Duodenum

    • Cecum

  19. This black tarry stool is caused by digestion of the blood somewhere higher in the GIT before being excreted

    • Melena

  20. True or False: ALP is a liver specific enzyme that aids in diagnosis of liver disease at the level of the chemistry

Bonus

  1. Explain in detail why it is important to start with a non-permanent therapy option for hyperthyroidism

  2. What is the reflex controlled by the cutaneous trunci muscle

  3. What is Dr. Wilson’s favorite Pokémon

  4. What is the name of the reflex you are evaluating/ what are you testing when you place a dogs paws over onto its knuckles to see how fast they correct the position?

  5. What is one of Dr.Wilsons dogs names