SAM II Final

Descrição

Student created questions to study material for SAM II final Summer 2015
curfman.melissa
Quiz por curfman.melissa, atualizado more than 1 year ago
curfman.melissa
Criado por curfman.melissa quase 9 anos atrás
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Resumo de Recurso

Questão 1

Questão
What is the best way to tell the difference between exophthalmos vs. buphthalmos?
Responda
  • Visual inspection
  • Breed predilection
  • Ability to retropulse the exophthalmic eye
  • Ability to retropulse the buphthalmos eye

Questão 2

Questão
Buphthalmos can indicated which of the following and what are the Ddx's?
Responda
  • Increased extraocular pressure
  • Increased intraocular pressure
  • Intraocular neoplasia
  • Glaucoma
  • Genetic defect

Questão 3

Questão
Treat the patient not the blood test when it comes to anemia
Responda
  • True
  • False

Questão 4

Questão
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?
Responda
  • Intravascular hemolytic anemia
  • Bone marrow destruction
  • Blood loss anemia
  • Extravascular hemolysis

Questão 5

Questão
What is the characteristic RBC feature of IMHA on blood smear examination?
Responda
  • Echinocytes
  • Schistocytes
  • Spherocytes
  • Heinz bodies
  • Howell Jolly Bodies

Questão 6

Questão
A collapsed dog with tachycardia has IMHA, with PCV of 10%, TSP of 72g/L, ISA: positive. What blood product would you transfuse?
Responda
  • Whole blood
  • Fresh whole blood
  • Packed cells
  • Fresh frozen plasma
  • Platelet

Questão 7

Questão
A dog has been Dx with IMHA. This dog is a diabetic. What would be your immunosuppressive of choice?
Responda
  • Prednisolone
  • Mycophenolate mofetil
  • Cyclosporin
  • Azathioprine

Questão 8

Questão
The image below is the ventral abdomen of a Miniature Schnauzer. This is an example of which hemostatic abnormality
Responda
  • Primary hemostasis
  • Secondary hemostasis

Questão 9

Questão
A miniature schnauzer with primary hemostasis has a platelet count of 64,000/uL. What is the most likely etiology of the petechiation?
Responda
  • Thrombocytopenia
  • Thrombocytopathy
  • Coagulopathy due to factor deficiency
  • Fibrinolysis increased

Questão 10

Questão
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?
Responda
  • Fresh whole blood
  • Plasma
  • Fresh frozen plasma
  • Cryoprecipitate
  • Desmopressin

Questão 11

Questão
Regarding IMTP therapy. Which statement is INCORRECT?
Responda
  • 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

Questão 12

Questão
Joey, 6 yo MN Golden retriever is Dx w/ an osteosarcoma. The owner wants curative intent. What are your treatment recommendations?
Responda
  • Start him on chemotherapy only
  • Amputate the limb
  • Amputation + chemotherapy combination
  • Radiation therapy of sarcoma
  • Pain killers--it's a poor prognosis

Questão 13

Questão
What is not a prognosticator for OSA in a dog?
Responda
  • 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

Questão 14

Questão
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?
Responda
  • 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

Questão 15

Questão
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?
Responda
  • 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

Questão 16

Questão
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
Responda
  • Multicentric, T-cell, Stage IV, substage a
  • Multicentric T cell, stage V, substage a
  • Multicentric, T cell, stage IV, substage b
  • Extranodal lymphoma
  • Acute lymphocytic leukemia

Questão 17

Questão
When we consider Joey's lymphoma. Which is a negative prognosticator?
Responda
  • Stage
  • Location (multicentric)
  • Immunophenotype (T cell)
  • Grade

Questão 18

Questão
Tigger the 12 yo FN Siamese presents with a mammary mass. What is the first thing you recommend?
Responda
  • FNA
  • Biopsy
  • Radical bilateral, stage mastectomy
  • Three thoracic radiographs
  • Coagulation profile

Questão 19

Questão
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?
Responda
  • Curative intent--surgery, radiation and vinblastine/CCNU
  • TKI-toceranib
  • Palliative steroid therapy with H1 and H2 blockers
  • NSAID and tramadol
  • Doxorubicin single agent chemotherapy

Questão 20

Questão
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?
Responda
  • Radiation (LINAC)
  • Chemo CCNU and vinblastine
  • Chemotherapy Masivet
  • Sx/radiation for locoregional control + chemo for distant (L&M) and long term masivet

Questão 21

Questão
What is expected MST in dog that had splenectomy for hemoabdomen but no follow up chemo?
Responda
  • 3 weeks-3 months
  • 3-6 months
  • 6-12 months
  • 2 yrs

Questão 22

Questão
In which order are these tests done? Fluorsecin stain, Scrimer tear test, tonometry
Responda
  • FS, STT, TM
  • TM, FS, STT
  • STT, FS, TM
  • STT, TM, FS

Questão 23

Questão
Which of the following in INCORRECT when performing a Fluorescein stain?
Responda
  • 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

Questão 24

Questão
Which test evaluate extraocular muscles
Responda
  • Maze
  • Vestibulo-ocular (oculovestibular or oculocephalic)
  • PLR and menace
  • Dazzle reflex

Questão 25

Questão
What is this called? Pick the best answer
Responda
  • Mydriasis
  • Anisocoria
  • Horner's syndrome
  • Haws

Questão 26

Questão
Which of the following is NOT necessary when performing menace response?
Responda
  • 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

Questão 27

Questão
Normal IOP in dogs and cats is?
Responda
  • 0-10mmHg
  • 5-15mmHg
  • 10-25 mmHg
  • 25-30 mmHg
  • >30mmHg

Questão 28

Questão
What would you do first?
Responda
  • IOP
  • Fluorescein stain
  • Refer

Questão 29

Questão
The most appropriate word to describe this
Responda
  • Panophthalmitis
  • Buphthalmos
  • Exophthalmos
  • Proptosis

Questão 30

Questão
for the most protosed eyes, what treatment will be needed?
Responda
  • Same treatment as glaucoma
  • Exenteration
  • Enucleation
  • Temporary tarsorrhaphy (lateral canthotomy may also be needed)

Questão 31

Questão
Which one of the following is NOT found w/ acute glaucoma?
Responda
  • Cloudy cornea
  • Blindness
  • Buphthalmia
  • Red eye
  • Painful eye

Questão 32

Questão
Glaucoma can be caused by any of the following except?
Responda
  • Intraoccular neoplasia
  • Lens luxation
  • Uveitis
  • Abnormal iridocorneal angle
  • Optic nerve atrophy

Questão 33

Questão
Which of the following is the name for aberrant cilia erupting from Meibomian gland openings?
Responda
  • Ectopic cilia
  • Hordeolum
  • Blepharitis
  • Distichia
  • Chalazion

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