What is the best way to tell the difference between exophthalmos vs. buphthalmos?
Ability to retropulse the exophthalmic eye
Ability to retropulse the buphthalmos eye
Buphthalmos can indicated which of the following and what are the Ddx's?
Increased extraocular pressure
Increased intraocular pressure
Treat the patient not the blood test when it comes to anemia
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?
Intravascular hemolytic anemia
Bone marrow destruction
Blood loss anemia
What is the characteristic RBC feature of IMHA on blood smear examination?
Howell Jolly Bodies
A collapsed dog with tachycardia has IMHA, with PCV of 10%, TSP of 72g/L, ISA: positive.
What blood product would you transfuse?
Fresh whole blood
Fresh frozen plasma
A dog has been Dx with IMHA.
This dog is a diabetic. What would be your immunosuppressive of choice?
The image below is the ventral abdomen of a Miniature Schnauzer. This is an example of which hemostatic abnormality
A miniature schnauzer with primary hemostasis has a platelet count of 64,000/uL.
What is the most likely etiology of the petechiation?
Coagulopathy due to factor deficiency
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?
Regarding IMTP therapy.
Which statement is INCORRECT?
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
Joey, 6 yo MN Golden retriever is Dx w/ an osteosarcoma.
The owner wants curative intent. What are your treatment recommendations?
Start him on chemotherapy only
Amputate the limb
Amputation + chemotherapy combination
Radiation therapy of sarcoma
Pain killers--it's a poor prognosis
What is not a prognosticator for OSA in a dog?
Age, >7yrs is worse
Location, proximal humerus is worse
ALKP, failure to decline to normal by D40 is worse
Metastasis, presence has a shorter MST
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?
Give the vincristine but at a 25% reduced dose
Substitute with a non-myelotoxic drug
Postpone chemotherapy for 7 days and prescribe Abx (TMS)
Stop chemotherapy altogether
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?
Recommend repeat sampling in 7 days to see if he has recovered from his nadir
Substitue doxorubicin in the future with dactinomycin
Send Joey home with TMS course of Abx
Admit Joey to the isolation facility and start with broad spec Abx
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
Multicentric, T-cell, Stage IV, substage a
Multicentric T cell, stage V, substage a
Multicentric, T cell, stage IV, substage b
Acute lymphocytic leukemia
When we consider Joey's lymphoma. Which is a negative prognosticator?
Immunophenotype (T cell)
Tigger the 12 yo FN Siamese presents with a mammary mass. What is the first thing you recommend?
Radical bilateral, stage mastectomy
Three thoracic radiographs
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?
Curative intent--surgery, radiation and vinblastine/CCNU
Palliative steroid therapy with H1 and H2 blockers
NSAID and tramadol
Doxorubicin single agent chemotherapy
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?
Chemo CCNU and vinblastine
Sx/radiation for locoregional control + chemo for distant (L&M) and long term masivet
What is expected MST in dog that had splenectomy for hemoabdomen but no follow up chemo?
3 weeks-3 months
In which order are these tests done?
Fluorsecin stain, Scrimer tear test, tonometry
FS, STT, TM
TM, FS, STT
STT, FS, TM
STT, TM, FS
Which of the following in INCORRECT when performing a Fluorescein stain?
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
Which test evaluate extraocular muscles
Vestibulo-ocular (oculovestibular or oculocephalic)
PLR and menace
What is this called? Pick the best answer
Which of the following is NOT necessary when performing menace response?
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
Normal IOP in dogs and cats is?
What would you do first?
The most appropriate word to describe this
for the most protosed eyes, what treatment will be needed?
Same treatment as glaucoma
Temporary tarsorrhaphy (lateral canthotomy may also be needed)
Which one of the following is NOT found w/ acute glaucoma?
Glaucoma can be caused by any of the following except?
Abnormal iridocorneal angle
Optic nerve atrophy
Which of the following is the name for aberrant cilia erupting from Meibomian gland