3107713
Descripción
Test por curfman.melissa, actualizado hace más de 1 año
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Creado por curfman.melissa
hace casi 9 años
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Pregunta 1
Pregunta
What is the best way to tell the difference between exophthalmos vs. buphthalmos?
Respuesta
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Visual inspection
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Breed predilection
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Ability to retropulse the exophthalmic eye
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Ability to retropulse the buphthalmos eye
Pregunta 2
Pregunta
Buphthalmos can indicated which of the following and what are the Ddx's?
Respuesta
-
Increased extraocular pressure
-
Increased intraocular pressure
-
Intraocular neoplasia
-
Glaucoma
-
Genetic defect
Pregunta 3
Pregunta
Treat the patient not the blood test when it comes to anemia
Respuesta
- True
- False
Pregunta 4
Pregunta
A dog presents with 24hr history of weakness and anorexia the clinical exam shows pale mm and tachycardia. The owner compliant is red urine. Hematology detects a moderate anemia (PCV 25%), non-regenerative, normocytic, normochromic. The serum is red discolored. What is your likely dx?
Respuesta
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Intravascular hemolytic anemia
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Bone marrow destruction
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Blood loss anemia
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Extravascular hemolysis
Pregunta 5
Pregunta
What is the characteristic RBC feature of IMHA on blood smear examination?
Respuesta
-
Echinocytes
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Schistocytes
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Spherocytes
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Heinz bodies
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Howell Jolly Bodies
Pregunta 6
Pregunta
A collapsed dog with tachycardia has IMHA, with PCV of 10%, TSP of 72g/L, ISA: positive.
What blood product would you transfuse?
Respuesta
-
Whole blood
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Fresh whole blood
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Packed cells
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Fresh frozen plasma
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Platelet
Pregunta 7
Pregunta
A dog has been Dx with IMHA.
This dog is a diabetic. What would be your immunosuppressive of choice?
Respuesta
-
Prednisolone
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Mycophenolate mofetil
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Cyclosporin
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Azathioprine
Pregunta 8
Pregunta
The image below is the ventral abdomen of a Miniature Schnauzer. This is an example of which hemostatic abnormality
Respuesta
-
Primary hemostasis
-
Secondary hemostasis
Pregunta 9
Pregunta
A miniature schnauzer with primary hemostasis has a platelet count of 64,000/uL.
What is the most likely etiology of the petechiation?
Respuesta
-
Thrombocytopenia
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Thrombocytopathy
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Coagulopathy due to factor deficiency
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Fibrinolysis increased
Pregunta 10
Pregunta
A Doberman has been diagnosed with vWD. There are a number of therapies available for managing hemorrhage crises or used in the anticipation of surgery in this disease.
Which is NOT a treatment option?
Respuesta
-
Fresh whole blood
-
Plasma
-
Fresh frozen plasma
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Cryoprecipitate
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Desmopressin
Pregunta 11
Pregunta
Regarding IMTP therapy.
Which statement is INCORRECT?
Respuesta
-
Initial therapy includes prednisolone at immunosuppressive doses
-
Vincristine will decrease hospitalization time
-
Human immunoglobulin infusion is considered the standard of care in severe thrombocytopenia patients at risk of bleeding--less bleeding episodes and shorter hospitalization than vincristine
-
Thromboprophylaxis (clopidogrel or aspirin) is generally started on day three of IMTP therapy
Pregunta 12
Pregunta
Joey, 6 yo MN Golden retriever is Dx w/ an osteosarcoma.
The owner wants curative intent. What are your treatment recommendations?
Respuesta
-
Start him on chemotherapy only
-
Amputate the limb
-
Amputation + chemotherapy combination
-
Radiation therapy of sarcoma
-
Pain killers--it's a poor prognosis
Pregunta 13
Pregunta
What is not a prognosticator for OSA in a dog?
Respuesta
-
Age, >7yrs is worse
-
Location, proximal humerus is worse
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ALKP, failure to decline to normal by D40 is worse
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Metastasis, presence has a shorter MST
Pregunta 14
Pregunta
Joey comes to your clinic for a 7 day follow-up check post-cyclophosphamide (CHOP).
His neutrophil count is 1200cells/uL
What do you suggest to Joey's owner?
Respuesta
-
Give the vincristine but at a 25% reduced dose
-
Substitute with a non-myelotoxic drug
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Postpone chemotherapy for 7 days and prescribe Abx (TMS)
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Stop chemotherapy altogether
Pregunta 15
Pregunta
Joey comes to your clinic for a 7 day follow-up check post-doxorubicin (CHOP).
His neutrophil count is 300cells/uL.
Joey has a fever. What do you suggest to Joey's owner?
Respuesta
-
Recommend repeat sampling in 7 days to see if he has recovered from his nadir
-
Substitue doxorubicin in the future with dactinomycin
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Send Joey home with TMS course of Abx
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Admit Joey to the isolation facility and start with broad spec Abx
Pregunta 16
Pregunta
Joey has peripheral lymphadenopathy with a T cell lymphoma but is otherwise healthy.
Lymphoma cells are found in his spleen and liver with FNA but not in the bone marrow.
Classify his lymphoma
Respuesta
-
Multicentric, T-cell, Stage IV, substage a
-
Multicentric T cell, stage V, substage a
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Multicentric, T cell, stage IV, substage b
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Extranodal lymphoma
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Acute lymphocytic leukemia
Pregunta 17
Pregunta
When we consider Joey's lymphoma. Which is a negative prognosticator?
Respuesta
-
Stage
-
Location (multicentric)
-
Immunophenotype (T cell)
-
Grade
Pregunta 18
Pregunta
Tigger the 12 yo FN Siamese presents with a mammary mass. What is the first thing you recommend?
Respuesta
-
FNA
-
Biopsy
-
Radical bilateral, stage mastectomy
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Three thoracic radiographs
-
Coagulation profile
Pregunta 19
Pregunta
Pilot 14 yr MN, Chow presents with an ulcerated swollen mass on his muzzle. FNA confirms it is a MCT.
The owner has very limited funds. What is the best option for him?
Respuesta
-
Curative intent--surgery, radiation and vinblastine/CCNU
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TKI-toceranib
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Palliative steroid therapy with H1 and H2 blockers
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NSAID and tramadol
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Doxorubicin single agent chemotherapy
Pregunta 20
Pregunta
Pilot, 14 yo MN chow w/ MCT on palliative treatment.
Owner 1 day later decides she wants to proceed w/ definitive treatment for MCT. Grade patnaik III. What is your Rx?
Respuesta
-
Radiation (LINAC)
-
Chemo CCNU and vinblastine
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Chemotherapy Masivet
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Sx/radiation for locoregional control + chemo for distant (L&M) and long term masivet
Pregunta 21
Pregunta
What is expected MST in dog that had splenectomy for hemoabdomen but no follow up chemo?
Respuesta
-
3 weeks-3 months
-
3-6 months
-
6-12 months
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2 yrs
Pregunta 22
Pregunta
In which order are these tests done?
Fluorsecin stain, Scrimer tear test, tonometry
Respuesta
-
FS, STT, TM
-
TM, FS, STT
-
STT, FS, TM
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STT, TM, FS
Pregunta 23
Pregunta
Which of the following in INCORRECT when performing a Fluorescein stain?
Respuesta
-
It's ok to touch the cornea w/ end of dye strip
-
You should flush out left over dye after eye examined
-
Look at cornea with cobalt blue, not woods
-
Nasolacrimal patency can be checked
Pregunta 24
Pregunta
Which test evaluate extraocular muscles
Respuesta
-
Maze
-
Vestibulo-ocular (oculovestibular or oculocephalic)
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PLR and menace
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Dazzle reflex
Pregunta 25
Pregunta
What is this called? Pick the best answer
Respuesta
-
Mydriasis
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Anisocoria
-
Horner's syndrome
-
Haws
Pregunta 26
Pregunta
Which of the following is NOT necessary when performing menace response?
Respuesta
-
Don't move hand too fast or too close in front of eye
-
Cover eye not being tested
-
Don't touch hairs that are sticking out
-
Look for consensual response
Pregunta 27
Pregunta
Normal IOP in dogs and cats is?
Respuesta
-
0-10mmHg
-
5-15mmHg
-
10-25 mmHg
-
25-30 mmHg
-
>30mmHg
Pregunta 28
Respuesta
-
IOP
-
Fluorescein stain
-
Refer
Pregunta 29
Pregunta
The most appropriate word to describe this
Respuesta
-
Panophthalmitis
-
Buphthalmos
-
Exophthalmos
-
Proptosis
Pregunta 30
Pregunta
for the most protosed eyes, what treatment will be needed?
Respuesta
-
Same treatment as glaucoma
-
Exenteration
-
Enucleation
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Temporary tarsorrhaphy (lateral canthotomy may also be needed)
Pregunta 31
Pregunta
Which one of the following is NOT found w/ acute glaucoma?
Respuesta
-
Cloudy cornea
-
Blindness
-
Buphthalmia
-
Red eye
-
Painful eye
Pregunta 32
Pregunta
Glaucoma can be caused by any of the following except?
Respuesta
-
Intraoccular neoplasia
-
Lens luxation
-
Uveitis
-
Abnormal iridocorneal angle
-
Optic nerve atrophy
Pregunta 33
Pregunta
Which of the following is the name for aberrant cilia erupting from Meibomian gland
openings?
Respuesta
-
Ectopic cilia
-
Hordeolum
-
Blepharitis
-
Distichia
-
Chalazion
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