Quiz
SAM II Final
Perguntas do quiz (33)
1What is the best way to tell the difference between exophthalmos vs. buphthalmos?
- AVisual inspection
- BBreed predilection
- CAbility to retropulse the exophthalmic eye
- DAbility to retropulse the buphthalmos eye
2Buphthalmos can indicated which of the following and what are the Ddx's?
- AIncreased extraocular pressure
- BIncreased intraocular pressure
- CIntraocular neoplasia
- DGlaucoma
- EGenetic defect
3Treat the patient not the blood test when it comes to anemia
- AVerdadeiro
- BFalso
4A 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?
- AIntravascular hemolytic anemia
- BBone marrow destruction
- CBlood loss anemia
- DExtravascular hemolysis
5What is the characteristic RBC feature of IMHA on blood smear examination?
- AEchinocytes
- BSchistocytes
- CSpherocytes
- DHeinz bodies
- EHowell Jolly Bodies
6A collapsed dog with tachycardia has IMHA, with PCV of 10%, TSP of 72g/L, ISA: positive.
What blood product would you transfuse?- AWhole blood
- BFresh whole blood
- CPacked cells
- DFresh frozen plasma
- EPlatelet
7A dog has been Dx with IMHA.
This dog is a diabetic. What would be your immunosuppressive of choice?- APrednisolone
- BMycophenolate mofetil
- CCyclosporin
- DAzathioprine
8The image below is the ventral abdomen of a Miniature Schnauzer. This is an example of which hemostatic abnormality
- APrimary hemostasis
- BSecondary hemostasis
9A miniature schnauzer with primary hemostasis has a platelet count of 64,000/uL.
What is the most likely etiology of the petechiation?- AThrombocytopenia
- BThrombocytopathy
- CCoagulopathy due to factor deficiency
- DFibrinolysis increased
10A 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?- AFresh whole blood
- BPlasma
- CFresh frozen plasma
- DCryoprecipitate
- EDesmopressin
11Regarding IMTP therapy.
Which statement is INCORRECT?- AInitial therapy includes prednisolone at immunosuppressive doses
- BVincristine will decrease hospitalization time
- CHuman immunoglobulin infusion is considered the standard of care in severe thrombocytopenia patients at risk of bleeding--less bleeding episodes and shorter hospitalization than vincristine
- DThromboprophylaxis (clopidogrel or aspirin) is generally started on day three of IMTP therapy
12Joey, 6 yo MN Golden retriever is Dx w/ an osteosarcoma.
The owner wants curative intent. What are your treatment recommendations?- AStart him on chemotherapy only
- BAmputate the limb
- CAmputation + chemotherapy combination
- DRadiation therapy of sarcoma
- EPain killers--it's a poor prognosis
13What is not a prognosticator for OSA in a dog?
- AAge, >7yrs is worse
- BLocation, proximal humerus is worse
- CALKP, failure to decline to normal by D40 is worse
- DMetastasis, presence has a shorter MST
14Joey 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?- AGive the vincristine but at a 25% reduced dose
- BSubstitute with a non-myelotoxic drug
- CPostpone chemotherapy for 7 days and prescribe Abx (TMS)
- DStop chemotherapy altogether
15Joey 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?- ARecommend repeat sampling in 7 days to see if he has recovered from his nadir
- BSubstitue doxorubicin in the future with dactinomycin
- CSend Joey home with TMS course of Abx
- DAdmit Joey to the isolation facility and start with broad spec Abx
16Joey 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- AMulticentric, T-cell, Stage IV, substage a
- BMulticentric T cell, stage V, substage a
- CMulticentric, T cell, stage IV, substage b
- DExtranodal lymphoma
- EAcute lymphocytic leukemia
17When we consider Joey's lymphoma. Which is a negative prognosticator?
- AStage
- BLocation (multicentric)
- CImmunophenotype (T cell)
- DGrade
18Tigger the 12 yo FN Siamese presents with a mammary mass. What is the first thing you recommend?
- AFNA
- BBiopsy
- CRadical bilateral, stage mastectomy
- DThree thoracic radiographs
- ECoagulation profile
19Pilot 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?- ACurative intent--surgery, radiation and vinblastine/CCNU
- BTKI-toceranib
- CPalliative steroid therapy with H1 and H2 blockers
- DNSAID and tramadol
- EDoxorubicin single agent chemotherapy
20Pilot, 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?- ARadiation (LINAC)
- BChemo CCNU and vinblastine
- CChemotherapy Masivet
- DSx/radiation for locoregional control + chemo for distant (L&M) and long term masivet
21What is expected MST in dog that had splenectomy for hemoabdomen but no follow up chemo?
- A3 weeks-3 months
- B3-6 months
- C6-12 months
- D2 yrs
22In which order are these tests done?
Fluorsecin stain, Scrimer tear test, tonometry- AFS, STT, TM
- BTM, FS, STT
- CSTT, FS, TM
- DSTT, TM, FS
23Which of the following in INCORRECT when performing a Fluorescein stain?
- AIt's ok to touch the cornea w/ end of dye strip
- BYou should flush out left over dye after eye examined
- CLook at cornea with cobalt blue, not woods
- DNasolacrimal patency can be checked
24Which test evaluate extraocular muscles
- AMaze
- BVestibulo-ocular (oculovestibular or oculocephalic)
- CPLR and menace
- DDazzle reflex
25What is this called? Pick the best answer
- AMydriasis
- BAnisocoria
- CHorner's syndrome
- DHaws
26Which of the following is NOT necessary when performing menace response?
- ADon't move hand too fast or too close in front of eye
- BCover eye not being tested
- CDon't touch hairs that are sticking out
- DLook for consensual response
27Normal IOP in dogs and cats is?
- A0-10mmHg
- B5-15mmHg
- C10-25 mmHg
- D25-30 mmHg
- E>30mmHg
28What would you do first?
- AIOP
- BFluorescein stain
- CRefer
29The most appropriate word to describe this
- APanophthalmitis
- BBuphthalmos
- CExophthalmos
- DProptosis
30for the most protosed eyes, what treatment will be needed?
- ASame treatment as glaucoma
- BExenteration
- CEnucleation
- DTemporary tarsorrhaphy (lateral canthotomy may also be needed)
31Which one of the following is NOT found w/ acute glaucoma?
- ACloudy cornea
- BBlindness
- CBuphthalmia
- DRed eye
- EPainful eye
32Glaucoma can be caused by any of the following except?
- AIntraoccular neoplasia
- BLens luxation
- CUveitis
- DAbnormal iridocorneal angle
- EOptic nerve atrophy
33Which of the following is the name for aberrant cilia erupting from Meibomian gland
openings?- AEctopic cilia
- BHordeolum
- CBlepharitis
- DDistichia
- EChalazion
Informações
- Descrição
- Student created questions to study material for SAM II final Summer 2015
- Autor
- curfman.melissa
- Idioma
- English
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