Computer test Flashcards
What is M-mode in echocardiography?
Uni-directional M-mode echocardiography (M:motion): Used for the measurement of the left ventricle.
What species can the enlarged liver be observed in deep palpation (Mc)
Dog and cat: palpable digestive organs: (stomach), liver, intestinal tract, (lnn, pancreas)
pick the parameters for ln inspection (Mc)
location, how many nodes
- Size
- Shape
- Consistency
- Structure
- Painfulness
- Movability
- Surface
- Skin above
parameters for mucous memb (Mc)
- Color
- Moisture
- Blood vessels visibility
- Surface: lesions, smoothness
- CRT
Lung borders of…
- Cow
- Horse
- Ca
- Su
back mm - tub.coxae - tub.ischiadicum - shoulder
- 12 - 11 - - 8 (13 ribs)
- 17 - 16 - 14 - 10 (18 ribs)
- 12 - 11 - 10 - 8 (13 ribs)
- 12 - 11 - 9-10 - 7-8 (14 ribs)
what does kyphosis mean (sc)
Forward abnormal rounding of the back
what sound can be heard below the horizontal line in pleural effusion (sc)
Absolute (complete) dullness (horizontal dorsal border)
What is not part of the nationale?
History
Abomasal displacement
Often does not eat –> No ruminal function.
Due to gas.
Auscultation –> Tinkling sound.
Auscultation with ballottement –> Splashing sound
Auscultation with percussion –> Metallic sound (steel-band effect)
Left-sided -> 90% of cases
Right-sided -> 10 % of cases
When to take an ECG:
Irregular heartbeats noted during physical exercise. Bradycardia, tachycardia, etc.
Exact diagnosis and evaluation of cardiac arrhythmias
Detect enlarged cardiac chambers (Echocardiography better)
Show cardiac disturbances of electrolytes and systemic diseases
Aid cardiac diseases diagnosis
Monitor anaesthesia
Evaluate effectiveness of cardiac drugs (Digitalis glycosides, etc.)
Horse cough
Press larynx with 1 or 2 hands OR press tracheal rings 1-3 near larynx.
Do not cough spontaneously. Difficult to stimulate.
Intensive, sharp, high, short, dry, painless, snapping, does not recur.
Principles of Mareks’ sound percussion
- Crackling sound of tapping the hammer and plessimeter.
- Sound of thoracic wall OR wall of any organ.
- Lung -> Gas -> Resonance (or any other gas-filled organ)
Secondary gastric content of horse? (SC)
- greenish fluid
- pH 8
- min. 7 litre
- acidic odour
Which exam to auscultate right abdomen? (Mc)
?
Proprioceptive test ? (Mc)
• wheelbarrowing test • hopping tests -> on one leg -> hemihopping • correction test (knuckling-over test) • tactile and optical placing reactions • extensor postural thrust reaction Reflexes: • thoraci climb reflexes: -> extensor carpi radialis reflex (important) -> triceps reflex -> biceps reflex • pelvic limb reflexes - patellar (quadriceps) reflex (most important) - Achilles (gastrocnemius) reflex
Nociceptive test ? (Mc)
- anal/perineal reflex
- panniculus reflex
- flexor (withdrawal) reflexes of limbs
In which species can you palpate spleen only if enlarged?
Dog, cat, swine
Description heart murmur grade 5
Very loud murmur with precordial thrill
Other:
I: Very soft murmur, heard only after a few seconds in a quiet room
II: Soft murmur but easily heard directly upon auscultation
III: Moderate-intensity murmur with good audibility
IV: Load murmur, very good audibility, but without precordial thrill
V: Very loud murmur with precordial thrill
VI: Loudest murmur, even audible with stethoscope lifted from the chest wall
Diernhofer triangle description (Mc)
Borders and for what purposes
An air-containing lung lobe between the diaphragm and the caudal border of the heart (arrow).
In this area, the percussion sound of the thorax is normal in healthy animals and the Diernhofer triangle can be detected even in the case of cardiac enlargement.
Skin lesions connected (Mc)
Bulla and vesicle, excoriation and erosion
Rectal palpation findings of prostate, choose the correct ones (Mc)
Location, size, shape, structure, surface, painfulness, symmetry, movability, consistency
–> hyperplasia, tumor, abscess, cyst
Examination methods for abomasal displacement (Mc)
Auscultation –> Tinkling sound.
LDA:
Auscultation with ballottement –> Splashing sound
Auscultation with percussion –> Metallic sound
Caudal shift of lung borders because of?
Rao (copd)
Alveolar or interstitial lung emphysema
Pupillary light reaction tests
Optic n. and Oculomotor n. and vegetative nervous system
Centre of panniculus reflex?
C7-Th1
Which are not the indications for a GI endoscope:
Ascites
Tenesmus
Haematochezia
Ascites
What type of stones can be seen with an ultrasound?
All types
Pre-cordial thrill (fremitus)
Pathological. Grade 5 murmur - Very loud murmur with pre-cordial thrill.
Define ataxia
Inco-ordination of posture and movement. Lack of co-ordination in muscle function without muscular
weakness. The CNS is involved, NOT the peripheral nerves.
How many hours must you leave after eating, in order to avoid post-prandial lipeamia?
12 hours
Horner’s syndrome
Loss of sympathetic innervation results in
- Myosis
- Ptosis (drooping or falling of upper eye lid)
- Enopthalamus (and prolapse of the third eyelid)
Nystagmus
Involuntary movement of eyeballs
What organs can you palpate in physiological case in a cat?
Both kidneys palpable. Urinary bladder. Small intestines. Colon (faeces).
Mucous membranes – Colours
Red - Inflammation Dirty red - Intoxication Cherry red - CO toxicosis Chocolate brown - Meth-Hb Blue - Cyanosis Yellow - Jaundice Slight yellowish - Normal in Eq. Pale whitish - Anaemia Purple - Peripheral blood vessels full Grey-purple - Peripheral blood vessels empty
Heart palpation
Between the 3rd and 6th ic space.
All species on both sides except Cattle, goat, sheep, pig - Only on the left.
Indications for skin biopsy
Hereditary skin diseases
Auto-immune diseases
Neoplasms
Checking the bone marrow, what is not performed? Cytology CBC Biopsy US Abdominal US X-ray
Functional disturbances may be indicated by altered appearance/function of other organs (mucous membranes, lymph nodes)
ONLY additional methods: CBC (complete blood count) Fine needle aspiration (FNA)
& cytology of lymph nodes
Bone marrow asp. citology (biopsy)
Lymph nodes felt in physiological case in Cattle:
- Mandibular ln.
- Praescpaular ln.
- Superficial inguinal ln.
a. Sub-iliac lnn. (in lower third between tuber coxae and flank fold)
b. Mammary lnn.
Which is not a kidney evaluation parameter?
Creatinine kinase
True kidney statements
Acute nephritis - Enlarged, painful.
Chronic nephritis - Smaller
Ancillary methods to test muscles
EMG (elektromyographia) Biopsy US CT MRI Blood examination: enzymes: CK, LDH, AST and ALT (myocyte injury), Ca++, Mg++ CBC Serum biochemistry Urinalysis Serology: Neosporosis, Toxoplasmosis
What can be heard in the upper region in the case of hydrothorax?
Absolute (complete) dullness - Dog, Horse
Relative dullness - Cattle, Sheep, Goat, Swine
Dog – Heart apex
Apex beat in the dog and cat is over the edge of the sternum.
Left ic: 3-6 Right ic: 3-5
Anticoagulant
Heparin. Added to plasma before centrifugation.
How to examine the spleen?
Palpation, percussion, rectal examination.
Additional: CBC, US, radiography, FNA/biopsy
Define vesicle
Circumscribed elevation filled with fluid (>1cm = bulla, blister). Often viral or auto-immune origin.
Skin lesion less than 1cm and filled with clear fluid.
Thorax - Normal percussion sound
Small animals: Sharp, high or low, sonorous (resonant) and long percussion sound.
Large animals: Sharp, low, non-sonorous, non-resonant and short percussion sound.
Symptoms of a generalised seizure
Diffused origin within cortex, thalamus, brainstem –> So all muscles effected
‘general’ symptoms seen: excitation or loss of consciousness.
Bone clinical examination
Physical examination: General inspection, palpation (pain, consistency, crepitation), percussion.
Why do we use Valsalva probe?
Rubbing of pleural surfaces - Pleural, Pleuro-perocardial, Pericardial
What clinical signs are seen in case of pericardial effusion?
Elevation of the caudo-ventral border - Increase of cardiac dullness (enlargement)
Expired air standpoints
Odour
Strength
Temperature
Symmetry
Percussion sound standpoints
Volume/Loudness Pitch/Frequency Tone/Resonance Duration Special sounds
What do you test with BMBT?
Buccal Mucosal Bleeding Test - Capillary refill time (<2secs). Also, tests platelet function.
Most important way to examine the urinary tract?
Inspection, abdominal palpation
What is not true about upper airway?
- Narrowing of the upper airway occurs mostly in held expiration.
Sign of UMN disease
Hyperactive reflexes. Increased tone.
Adrenals glands examination
CBC (stress leukogram)
Biochemistry (ALP, SIALP, NA/L ratio)
ACTH stimulation test, LDDS test
US, CT