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LAM I Final

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Edited and correct answers for LAM I practice exam
curfman.melissa
Quiz by curfman.melissa, updated more than 1 year ago
curfman.melissa
Created by curfman.melissa over 8 years ago
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Question 1

Question
***In which of the following neurologic diseases are muscle fasciculations most prominent?
Answer
  • Rabies and Herpes encephalomyelitis
  • Rabies and Verminous encephalomyelitis
  • West Nile encephalitis and Herpes encephalomyelitis
  • West Nile encephalitis and Rabies
  • Verminous and Herpes encephalomyelitis

Question 2

Question
***Corticosteroids would be part of the treatment plan for which of the following?
Answer
  • Purpura hemorrhagica
  • RAO
  • Herpes myeloencephalitis
  • Type 3 IAD
  • Wobbler
  • Pleuropneumonia
  • Anterior Enteritis

Question 3

Question
You evaluate a 2-yr-old Quarter Horse racing colt who has been “quitting”. The last race he quit in was 5 days ago. Shown: endoscopy at rest. Which of the following would NOT be considered a differential?
Image:
c1c26f15-2db7-449b-a882-d116775536cb (image/jpg)
Answer
  • EIPH
  • ILH
  • DDSP

Question 4

Question
***What dietary change may help in the treatment of both PSSM and RER?
Answer
  • Increase the grain component of the ration
  • Increase the amount of protein supplement
  • Increase the selenium and Vit E supplementation
  • Increase the amount of fat and eliminate the grain

Question 5

Question
Which of the following catheters could achieve fluid administration rates of greater than 30L/hr?
Answer
  • 10 G
  • 12G
  • 14G
  • 16G

Question 6

Question
A horse with colic is presented to you as depicted. What is the likely degree of pain manifested by this horse?
Image:
27ced9ae-ed8b-4a96-a26e-b9dbf0d65b30 (image/jpg)
Answer
  • Mild
  • Moderate
  • Severe

Question 7

Question
Increased bronchovesicular sounds on thoracic auscultation are considered?
Answer
  • Normal
  • Abnormal

Question 8

Question
***Which of the following depicts and epiglottic entrapment?
Image:
dccd7752-8837-4426-aba6-1753f2f90ac3 (image/jpg)
Answer
  • A
  • B
  • C
  • D

Question 9

Question
Which of the following clinical signs is best matched to the severity of colic?
Answer
  • Intermittent pawing: Mild
  • Playing in the water": Severe
  • Thrashing: Mild
  • Looking at flanks intermittently: Severe
  • Significant facial abrasions: Moderate

Question 10

Question
***Which of the following is NOT a typical finding in equine Pars intermedia pituitary disorders (pituitary adenoma)?
Answer
  • Opaque serum
  • Delayed wound healing
  • Polydipsia
  • Cresty neck
  • Muscle wasting

Question 11

Question
Moderate hyperfibrinogenemia would be expected in:
Answer
  • Pleuropneumonia of 5 days duration
  • Uncomplicated RAO of 2 weeks duration
  • Bronchopneumonia of 3 days duration
  • 3 month old R equi foal
  • Colitis cases of 4 days duration
  • DDSP of 2 month duration

Question 12

Question
Which of the following microorganisms is most likely the cause of diarrhea in the adult horse?
Answer
  • Streptococcus equi
  • Escherichia coli
  • Neorickettsia risticii (Ehrlichia risticii)
  • Ehrlichia equi
  • Rhodococcus equi

Question 13

Question
A premature foal is 12 hrs old when you finally get out to the farm to evaluate its Ab status. Findings: Normal PE and behavior, IgG 200 mg/dL. Which of these is most appropriate protocol for this foal?
Answer
  • Administer colostrum from other mare on farm who foaled 3 hrs ago, and reassess status at 24 hrs
  • No need to administer Ab, prophylactically treat with antimicrobials
  • Administer colostrum from another mare who foaled about 28 hrs ago
  • Administer plasma IV as foal is septic and will not attain desired Ab level with colostrum

Question 14

Question
***In a severe case of RAO it is best to treat with systemic steroids and inhalant bronchodilators
Answer
  • True
  • False

Question 15

Question
***The organism most likely to cause septicemia in a foal less than 3 days of age unrelated to uterine disease in the dam is:
Answer
  • Actinobacillus equuli
  • Escherichia coli
  • Streptococcus faecalis (Enterococcus faecalis)
  • Klebsiella pneumoniae
  • Salmonella dublin

Question 16

Question
***Which of the following differentials, from the group of true strangulating Small Intestinal disorders, is characterized by findings not as expected for this group, with respect to the rectal palpation and abdominocentesis?
Answer
  • Gastrosplenic ligament entrapment
  • Epiploic foramen entrapment
  • Inguinal hernia
  • Pedunculated/Strangulating Lipoma

Question 17

Question
***Cranioventral crackles and wheezes would be expected in:
Answer
  • EIPH
  • Uncomplicated RAO
  • Pleuropneumonia
  • Constrictive pericarditis
  • Strangles
  • Choke

Question 18

Question
***Chronic, intermittent, recurrent, unilateral, mild-moderate epistaxis with occasional ozena (malodor) best describes which of the following diseases if found in an aging Hanoverian Warmblood breeding stallion?
Answer
  • Nasal trauma
  • Guttural pouch mycosis
  • EIPH
  • Coagulopathy
  • Ethmoid hematoma

Question 19

Question
***You reevaluate a horse who had a severe ER episode 3 days ago. His original CK was 27,000 iu/l. Which is most compatible with today’s values given that he has responded well to the treatment instituted?
Answer
  • 400 iu/l
  • 1000 iu/l
  • 10,000 iu/l
  • 20,000 iu/l
  • 30,000 iu/l

Question 20

Question
***In evaluating a horse with neurologic dysfunction due to otitis media/interna, which of the following procedures is generally recommended for a presumptive diagnosis though is not specifically diagnostic?
Answer
  • Guttural pouch endoscopy
  • Dorsoventral head radiography
  • Endoscopic evaluation of the ear canal
  • Otoscopic evaluation of the ear canal

Question 21

Question
***Endoscopy at rest in a 3-yr-old Standardbred trotter filly who has been “quitting”. Which of the following clinical signs would be expected in this horse?
Image:
23ba91e8-35b8-4f48-88cc-04ec6bd4a11b (image/jpg)
Answer
  • A mostly expiratory noise at exercise
  • An inspiratory noise at exercise
  • Cheek puffing (air accumulated in mouth) at exercise
  • Head extension and excessive swallowing at rest
  • Pronounced cough at exercise

Question 22

Question
***Coughing at rest can be seen with which of the following disorders?
Answer
  • DDSP
  • EIPH
  • Grade 2 ILH
  • Ethmoid Hematoma
  • Epiglottic Entrapment
  • Inflammatory Airway Disease

Question 23

Question
Which of the following would NOT be expected in the hypodynamic phase of endotoxemia?
Answer
  • Temp = 99.8F
  • MM with toxic line
  • Tachycardia
  • Strong pulses
  • Cool extremities
  • Tachypnea

Question 24

Question
A horse is found to have a grade 3/6 musical, early decrescendo diastolic murmur with the PMI at 4th ICS left hemithorax. HR = 40 bpm, rhythm is normal, no other abnormalities noted on PE. Which of these clinical scenarios is most consistent with the likely diagnosis?
Answer
  • Young race horse with signs of exercise intolerance
  • Common inherited disorder typically first detected in neonates and young horses
  • Incidental finding in older horse with no obvious clinical signs
  • Noted in all foals within the first 72 hrs of life

Question 25

Question
***Cranioventral crackles and wheezes would be expected in:
Answer
  • Excessive tie-back for correction of ILH
  • Complicated strangles
  • GPM with persistent DDSP
  • Weak premature foal
  • Complicated RAO
  • Atrial fibrillation case with significant chamber enlargement and distended jugulars

Question 26

Question
A 450 kg horse is 9% dehydrated, what is the fluid deficit in this horse?
Answer
  • 4.05 Liters
  • 36.5 Liters
  • 40.5 Liters
  • 46.5 Liters
  • 50 Liters

Question 27

Question
Which of the following is compatible with a small intestinal lesion?
Answer
  • Large volume of acidic reflux
  • Minimal external abdominal distension throughout the abdominal contour
  • Distended banded tubular shaped loops on transrectal palpation

Question 28

Question
A 400 kg adult horse has a HR = 76 bpm; MM tachy, pale; CRT of 3sec and normal jugular filling. Which of the following best estimates the degree of dehydration in this horse?
Answer
  • Less than 5%
  • 5%
  • 8%
  • 12%
  • Greater than 12%

Question 29

Question
Which cranial nerve is affected in this horse?
Image:
80511bcd-e8d6-4c11-9d0c-ddd98f01435b (image/jpg)
Answer
  • Right trigeminal
  • Left vestibulocochlear
  • Left facial
  • Right vestibulocochlear
  • Right facial

Question 30

Question
Which of the following fluid administration methods is limited to about 3L/hr and is best reserved for special medication administration modality?
Answer
  • IV
  • PO
  • SQ
  • IP
  • IO

Question 31

Question
Which of the following segments follows aborally from the right ventral colon?
Answer
  • The pelvic flexure
  • The transverse colon
  • The cecum
  • The sternal flexure
  • The right dorsal colon

Question 32

Question
In the therapy for cecal impactions in the horse dioctyl sodium succinate is the recommended laxative/cathartic as it will typically result in rapid resolution of the impaction.
Answer
  • True
  • False

Question 33

Question
***In which of the following equine diseases is alfalfa ingestion considered a risk factor or contraindicated?
Answer
  • Urolithiasis
  • Liver failure
  • PSSM
  • Enterolithiasis
  • RER
  • HyPP

Question 34

Question
Which of the following is part of the treatment plan for hepatic encephalopathy in in the equine liver failure horse?
Answer
  • Administration of branched-chain amino acids
  • Administration of high protein hay
  • Administration of glucose–free fluids
  • Administration of aromatic amino acids

Question 35

Question
Which would NOT have the finding of small volume of acidic reflux on NG intubation ?
Answer
  • Gastric obstruction lesion
  • Severe non-strangulating large colon lesion
  • Strangulating small intestinal lesion

Question 36

Question
All of the following are signs of cerebral disease EXCEPT:
Answer
  • Head pressing
  • Intention tremors
  • Seizures
  • Depression
  • Aggression

Question 37

Question
What structure is in the right dorsal quadrant?
Image:
3bf9a4c3-b9dc-4258-9dd7-bf99237b1774.JPG (image/JPG)
Answer
  • The cecum
  • The small colon
  • The pelvic flexure
  • The right dorsal colon

Question 38

Question
Which of the following disorders has blunt abdominal trauma as a risk factor?
Answer
  • Intussusception
  • Epiploic foramen entrapment
  • Nephrosplenic entrapment
  • Adhesions
  • Diaphragmatic hernia

Question 39

Question
What is the upper limit of protein in a normal CSF sample?
Answer
  • 25mg/dL
  • 5mg/dL
  • 100mg/dL
  • 70mg/dL

Question 40

Question
***You evaluate a horse with colic and determine that he has non-strangulating large intestinal involvement. On rectal you felt bands traversing the abdomen vertically in the left quadrant. What is your diagnosis?
Answer
  • Ileal Impaction
  • Left Dorsal Displacement
  • Right Dorsal Displacement
  • Epiploic Foramen Entrapment
  • Gastrosplenic Entrapment

Question 41

Question
Which of the following would be added to your general therapy for colitis if you determine the cause of the disease to be Clostridium difficile in a foal?
Answer
  • Oxytetracycline
  • Penicillin
  • Trimethoprim-sulfa
  • Metronidazole

Question 42

Question
Which of the following have EBM supporting an association with tapeworm infestation? (EBM=evidence based medicine)
Answer
  • Mesenteric Hernia
  • Ascarid impaction
  • Anterior enteritis
  • Spasmodic colic
  • Intussusception

Question 43

Question
You find urine scalding and pigmenturia, as seen in this horse. Which of the following would is the most likely differential in this case?
Image:
c602f2af-76e0-4a84-8a8b-268abbc42ff0 (image/jpg)
Answer
  • Urethritis with urethral tear
  • Cystic calculus
  • Nephrolithiasis
  • Severe cystitis associated with neurogenic bladder

Question 44

Question
Horse with urine scalding and pigmenturia as seen in this horse has 5 month duration of grade 2 ataxia in all four limbs with lateralization to the left. Which of the following represents the differentials you would remove from your list?
Image:
52c5ff82-8b5f-46f6-887e-df1c881bea37 (image/jpg)
Answer
  • EDM, EPM, Wobbler
  • EDM, Wobbler, Herpes, Verminous encephalomyelitis
  • EPM, Wobbler, Herpes, Verminous encephalomyelitis
  • EDM, Wobbler, Rabies

Question 45

Question
Which of the following lab abnormalities is characteristic of ruptured bladder in a 2-day old foal?
Answer
  • Hypernatremia
  • Hyperkalemia
  • Metabolic alkalosis
  • Peritoneal fluid BUN greater than serum BUN
  • Hypocalcemia

Question 46

Question
Which of the following is/are a possible option(s) for therapy in the disease depicted below?
Image:
11bdfb37-c885-4c3f-943f-9a6c5fb6def4 (image/jpg)
Answer
  • Tie-back
  • Epiglottic augmentation
  • Cornell Collar (TSD)
  • Tie-forward
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