Question 1
Question
Questions to ask if the horse presents with suspected colic
Answer
-
dentals
-
farrier visits
-
stereotypies
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the routine
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duration and progression
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appetite
-
faecal output
-
turn out
-
surgery
-
previous colic
Question 2
Question
Which of the following should be done if there is:
HR >60bpm
gastric dilation on ultrasound
There is food contents/ reflux from nose
Question 3
Question
What are the risks of placing a nasogastric tube?
intubate the trachea to reduce the risk of [blank_start]aspiration pneumonia[blank_end]
haemorrhage can occur due to trauma to the [blank_start]ethmoid turbinates[blank_end]
Rupture of the stomach, retropharyngeal region and [blank_start]oesophagus[blank_end]
Answer
-
oesophagus
-
ethmoid turbinates
-
aspiration pneumonia
Question 4
Question
How much gut content is normal to be brought up? If there is more then what would this
Answer
-
2L
There is not normal gut emptying
-
2.5L
On its own it doesn't suggest anything.
-
6L
There is abnormal gut flora
-
5L
There is gut stasis
Question 5
Question
When there is a [blank_start]rectal[blank_end] tear you need to prevent/ reduce contamination of the abdomen with faeces by reducing the [blank_start]straining[blank_end] that the animal does
Question 6
Question
Deciding on the analgesia to use is based on
Answer
-
whether there has been colic previously
-
if the horse is well otherwise
-
the duration required
-
the severity of the colic
-
the age of the horse
Question 7
Question
Q: what is a potential side effect of NSAIDs on horses?
A: [blank_start]right dorsal colitis[blank_end]
Question 8
Question
What is a good analgesia to use to assess the severity of the colic and good for initial work up?
Answer
-
buscupan
-
xylazine
-
romifidine
-
butorphanol
-
ketamine
Question 9
Question
T/F: IV is generally preferred to enteral admin of fluids for horses
Question 10
Question
What volume of fluids would you usually give a horse 500kg? [blank_start]5[blank_end]L
When may you reduce this? If it has recently eaten
Repeat every [blank_start]30[blank_end]mins - [blank_start]2[blank_end] hrs
Make sure than the previous bolus out of stomach before next admin.
Question 11
Question
Goal-directed therapy for fluid relies on checking:
Answer
-
Lactate
-
urine output
-
MM
-
CRT
-
PCV
-
Jugular refill
-
HR
-
Skin elasticity
-
If the nose is wet
Question 12
Question
The goals for fluid therapy in horses with colic are:
increase [blank_start]motility[blank_end]
[blank_start]soften[blank_end] impaction
maintain [blank_start]comfort[blank_end]
Question 13
Question
The most common impaction type is
Answer
-
caecum
-
pelvic flexure
-
ileal
-
pyloric
Question 14
Question
What is the primary treatment for cecal impactions?
[blank_start]Surgery[blank_end]
Question 15
Question
What can be used initially for small intestine impactions?
Question 16
Question
what are true for displacements?
Answer
-
all require surgery
-
5-7L fluids
-
8-10L fluids
-
hand walking
-
absolute rest
-
liquid faeces common
Question 17
Question
Phenylephrine is given with [blank_start]left[blank_end] [blank_start]dorsal[blank_end] displacements to cause [blank_start]vasoconstriction[blank_end] and contraction of the [blank_start]spleen[blank_end].
Answer
-
left
-
dorsal
-
vasoconstriction
-
spleen
Question 18
Question
Tick which are strangulating lesions
Question 19
Question
If it is strangulating and cannot operate what are the options?
Question 20
Question
If you cannot reach a diagnosis and the horse's colicing resolves after pain relief ensure you revisit [blank_start]2-4 hours[blank_end] later to see if there are any changes.
Question 21
Question
what can you use in an emergency situation such as colic to get better contact with ultrasound instead of clipping?
Question 22
Question
T/F: the small intestines should be continuously moving in all loops
Question 23
Question
Where would you look for the horses stomach on ultrasound
Answer
-
left
8-12th ICS
-
right
9-11th ICS
-
right
8-13th ICS
-
left 15-18th ICS
Question 24
Question
What will you feel if there is right dorsal displacement
Answer
-
tight bands vertically
pelvic flexure right and more distended as you go caudally
-
tight bands vertically
pelvic flexure right and more distended as you go cranially
-
tight bands horizontally
pelvic flexure right and more distended as you go cranially
-
dorsal sacculations and distension
Question 25
Question
small intestinal loops should be less than [blank_start]4[blank_end]cm in diameters and [blank_start]4[blank_end]mm in wall thickness
Question 26
Question
causes for increased lactate
Question 27
Question
T/F: increased bilirubin is not a normal finding relating to colic
Question 28
Question
How to tell the difference between rupture and enterocentesis
Question 29
Question
Normal PCV is [blank_start]30-4[blank_end]0%
Normal total protein is [blank_start]55-70[blank_end]g/L