ER Clinical Skills Flashcards

1
Q

Which of the following is least useful when resuscitating a dog in shock?
D5W
Hetastarch
Hypertonic saline
Plasma-Lyte 48

A

D5W

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following conditions heals best through first intention?
Abscess
Degloving
Simple laceration
Puncture wound

A

Simple Laceration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Oxygen can be administered to a patient via any of the following routes except:
Chest tube
Endotracheal tube
Nasal oxygen catheter
Tracheotomy tube

A

Chest Tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the following is the most important goal when treating a patient with heat stroke?
Cooling
Infection control
Oxygen therapy
Pain control

A

Cooling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

All of the following are recommended treatments for a dog experiencing paraphimosis, except?
Lubricating the penis
Cleaning the penis
Applying hypertonic solutions to the penis
Applying a warm compress to the penis

A

Applying a warm compress to the penis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Initial treatment for a dog with an open fracture includes all of the following, except:
Copiously cleaning and flushing the wound
Covering the wound
Applying a temporary splint to the limb
Taking radiographs of the fracture

A

Taking radiographs of the fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which statement concerning a dog having a seizure is most correct?
Grasp the dog’s tongue and pull it forward to prevent airway obstruction
Administer oral anticonvulsants
Prevent the dog from injuring itself
Immediately start infusion of intravenous fluids

A

Prevent the dog from injuring itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A client calls the hospital to say that his Pekingese has suffered an eye proptosis. Your advice to the client should include all of the following, except:
Apply pressure to the globe to replace it in the socket
Protect the globe from further trauma
Keep the globe moist
Immediately bring the dog to the veterinarian

A

Apply pressure to the globe to replace it in the socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A client calls and says that his Rottweiler has been shot in the abdomen with a BB gun but appears perfectly fine. What should be recommended?
Observe the animal at home for vomiting or abdominal pain
See the veterinarian immediately
See the veterinarian at your earliest convenience
Observe the animal for hemorrhage

A

See the veterinarian immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which statement is least accurate concerning the emergency treatment of cats with urethral obstruction?
Cats must always be sedated to have a urinary catheter passed
Massaging the tip of the penis can relieve the obstruction
Cats with a slow, irregular heart rate probably have a high serum potassium level
If the obstruction is not relieved, the cat will die

A

Massaging the tip of the penis can relieve the obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What procedure is not routinely performed to resuscitate neonates following cesarean section?
Clean the nose and mouth of secretions
Rub the neonate with a towel to stimulate breathing
Administer a drop of oxytocin under the tongue
Ligate the umbilical cord

A

Administer a drop of oxytocin under the tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A patient is experiencing cardiopulmonary arrest. The most desirable route of drug administration is:
Intratracheal
Intracardiac
Intravenous
Intraosseous

A

Intravenous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Inducing emesis after ingestion of a solid toxin is imperative. However, emesis has little value if induced more than ____ hours after ingestion.
0.5 hours
1.5 hours
4 hours
8 hours

A

4 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which is not an immediate consideration in cardiopulmonary resuscitation?
Airway
Analgesia
Breathing
Circulation

A

Analgesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

At what rate (breaths per minute) should respirations be administered to a patient in cardiopulmonary arrest?
4–8 breaths per minute
8–12 breaths per minute
12–26 breaths per minute
16–20 breaths per minute

A

8-12 breaths per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

All of the following are signs of end-stage decompensatory shock, except:
Hypothermia
Vasodilation
Prolonged capillary refill time
Tachycardia

A

Tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A patient that has been hit by a car and has no palpable pulse or detectable heartbeat requires chest compressions. These compressions should be performed at a rate (per minute) of:
60–80 compressions per minute
80–100 compressions per minute
100–120 compressions per minute
120–140 compressions per minute

A

100-120 compressions per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

To minimize hemorrhage to the head of a canine trauma patient, where should pressure be applied?
At the thoracic inlet in both jugular grooves
At the thoracic inlet of the left jugular groove
To the area adjacent and ventral to the mandible
To the lateral points of the temporomandibular joint

A

To the area adjacent and ventral to the mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In emergency care cases in which it is not possible to administer large volumes of desired fluids, it may be beneficial to properly administer:
D5W
Hypertonic saline
Hypotonic saline
Isotonic saline

A

Hypertonic saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

During emergency intubation, the cranial nerve _______ may be stimulated, resulting in ________________.
I; bradycardia
IV; tachycardia
X; bradycardia
XII; tachycardia

A

X; bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A man phones the veterinary practice to say that he has just hit a dog with his car and it is now lying on the side of the road. It appears to be breathing with minimal distress; however, there is blood coming from both nostrils and there is a small river of dark blood coming from a laceration on the lateral side of its hind leg. The dog can raise its head and is attempting to stand. In advising the man, your recommendation is to do all of the following except:
Be aware for any signs of aggression
Tie the mouth securely closed with your shoelace
Transport the dog on a board lying on its side
Apply direct pressure to the wound

A

Tie the mouth securely closed with your shoelace

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

A normal central venous pressure (CVP) range is:
0–5 cm H2O
5–10 cm H2O
10–15 cm H2O
15–20 cm H2O

A

0-5cm H2O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When monitoring patients on fluids and/or patients that undergo diuresis, urine output is an important consideration. The normal urine production for a healthy dog or cat is approximately:
0–1 mL/kg/hr
1–2 mL/kg/hr
2–3 mL/kg/hr
3–4 mL/kg/hr

A

1–2 mL/kg/hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Multiple parameters are measured to determine a category of shock that an animal might be experiencing. The central venous pressure is high in which of the following types of shock?
Cardiogenic
Distributive
Hypovolemic
Septic

A

Cardiogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The first drug of choice for a cat that experiences status epilepticus is:
Diazepam
Pentobarbital
Potassium bromide
Propofol

A

Diazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Hypoglycemia is most common in patients that experience:
Anaphylactic shock
Cardiogenic shock
Neurogenic shock
Septic shock

A

Septic Shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A patient has increased muscular tone in the thoracic limbs and flaccid paralysis in the pelvic limbs when lying on his side. He is able to ambulate when placed on his feet and has a normal mentation. What posture do these clinical signs indicate?
Decerebellate
Decerebrate
Opisthotonus
Schiff-Sherrington

A

Schiff-Sherrington

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

The Schiff-Sherrington posture is indicative of injury to which part of the spine?
Cranial-C₆
C₆-T₂
T₁-T₃
T₃-L₃

A

T₃-L₃

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

NSAIDs are also referred to as:
Anti-prostaglandins
Neoprostaglandins
Pro-prostaglandins
Prostaglandoids

A

Anti-prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Which of the following is a colloid solution?
Hetastarch
Lactated Ringer’s
Normosol-R
Plasma-Lyte 148

A

Hetastarch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Defibrillation is the passing of an electrical current through the heart to:
Cause the already depolarized cardiac cells to repolarize in a uniform manner
Cause the cardiac cells to depolarize and then repolarize in a uniform manner
Prevent the cardiac cells from depolarizing, thus maintaining rhythm
Prevent any contractile activity of the cardiac cells temporarily

A

Cause the cardiac cells to depolarize and then repolarize in a uniform manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Which of the following is least likely to be seen in a patient suffering from shock?
Hyperthermia
Hypotension
Tachycardia
Tachypnea

A

Hyperthermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Gastric dilatation/volvulus (GDV) is a life-threatening emergency. Which of the following veins becomes obstructed as a result of GDV?
Femoral vein
Gastroduodenal vein
Portal vein
Renal vein

A

Portal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

The unit of measurement for insulin is:
Milliliters
Microliters
Milligrams
International units

A

International Units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Dystocia in the dog or cat may be defined as active straining without delivery of a fetus for more than _________ minutes.
20 minutes
30 minutes
40 minutes
60 minutes

A

60 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Tension pneumothorax occurs when pressure in the thoracic cavity is:
Less than atmosphere
pressure
Equal to atmospheric pressure
Greater than atmospheric pressure
Constant as animal breathes in and out

A

Greater than atmospheric pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

When approaching an animal that requires emergency treatment, which direction should one approach the patient?
Caudal
Lateral
Rostral
Let the animal try to come to you.

A

Rostral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Ocular exposure to a toxin has occurred in a dog. On examination, it is discovered that there is possible damage to the corneal epithelium. Which of the following procedures is contraindicated?
Continuous flushing with physiologic saline
Provision of mild sedative or analgesic or both
Corticosteroid administration to prevent inflammation
Use of antibiotic cream after flushing

A

Corticosteroid administration to prevent inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

A client calls the veterinary practice indicating that her cat drank ethylene glycol 6 hours earlier. Everyone is at lunch, and you immediately page the veterinarian; however, the client wants to make her cat vomit to rid it of the toxin. What should you advise her?
To use 3% hydrogen peroxide at 1 Tbl/20 lb
To use salt on the back of the tongue
To use dry mustard powder only
Not to induce vomiting and to bring in the cat immediately

A

Not to induce vomiting and to bring in the cat immediately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Eclampsia produces elevated body temperatures as a result of:
Increased levels of endotoxins that are present
A large fetal mass that is present
Heat produced through muscle movement
Eclampsia does not result in elevated body temperature.

A

Heat produced through muscle movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

To place a nasal oxygenation catheter in a dog, a veterinary technician would measure to the:
Beginning of the thoracic inlet
Medial canthus of the eye
Pharynx
No measurement is needed; a standard catheter that is 1.5 inches in length is used

A

Medial canthus of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

A client calls to say she has come home to find her cat lying with the lamp cord in its mouth. The first thing you should advise her to do is:
Immediately place the cat in a carrier, and bring it to clinic
Explain how to perform CPR
Immediately disconnect the plug of the lamp cord from the wall socket
Take note of the amperage of the lamp

A

Immediately disconnect the plug of the lamp cord from the wall socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

The most common artery to use when assessing the pulse of a dog or cat is the:
Jugular
Femoral
Carpal
Tarsal

A

Femoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

A healthy, adult, small-breed dog is presented to the veterinary practice for a wellness exam. At what point does one become concerned about an elevated heart rate?
175 beats/min
250 beats/min
300 beats/min
350 beats/min

A

250 beats/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

A pulse deficit occurs when the pulse:
Occurs before the heartbeat
Occurs with the heartbeat
Occurs after the heartbeat
Does not occur

A

Does not occur

46
Q

A normal sinus arrhythmia occurs when heart rate:
Increases with expiration
Decreases with expiration
May increase or decrease with expiration
Does not increase or decrease with expiration

A

Decreases with expiration

47
Q

Emesis should not be induced in patients that have ingested:
Anticholinergics
Hydrocarbons
Organophosphates
Salicylates

A

Hydrocarbons

48
Q

An abnormal increase in the depth and rate of respirations is called:
Dyspnea
Hypernea
Orthopnea
Tachypnea

A

Hyperpnea

49
Q

An 18-gauge needle would be most appropriate for administering SQ fluids to which patient?
Cockatiel
Labrador retriever
Kitten
Rat

A

Labrador retriever

50
Q

The proper site for an intraperitoneal injection is:
On the lateral abdominal wall just caudal to the rib cage
Caudal to the umbilicus on the midline
At the level of the umbilicus to the right or left of the midline
Cranial to the umbilicus

A

Cranial to the umbilicus

51
Q

Which of the following statements is true regarding the administration of liquids via the oral cavity in a dog?
Flush a large bolus of fluid directly into the mouth
Flush a very small bolus of fluid directly into pharyngeal area
Place fluid between the teeth and the cheek, and allow the patient to swallow on its own accord
Place the fluid between the teeth and the cheek in large enough amounts so that the patient will be forced to swallow

A

Place fluid between the teeth and the cheek, and allow the patient to swallow on its own accord

52
Q

Which area of the body is best to assess skin turgor in a canine patient?
Lateral aspect of the neck
Caudal abdomen
Base of the tail
Axillary region

A

Lateral aspect of the neck

53
Q

Knuckling is an abnormality of which system?
Cardiac
Neurologic
Respiratory
Urinary

A

Neurologic

54
Q

The rapid intravenous administration of large amounts of potassium can result in:
Respiratory arrest
Cardiac arrest
Polyuria
Polydypsia

A

Cardiac arrest

55
Q

Which of the following route(s) can potassium solutions be administered to dogs and cats without causing severe pain?
Intravenous only
Subcutaneous only
Intramuscular only
Intravenous and subcutaneous

A

IV and SQ

56
Q

Which of the following is not a contraindication for crystalloid fluid therapy?
Pulmonary edema
Cerebral edema
Pitting of the soft tissues
Swollen soft tissue from bruising caused by trauma

A

Swollen soft tissue from bruising caused by trauma

57
Q

Which of the following is the easiest method for monitoring fluid therapy?
Central venous pressure (CVP)
Packed-cell volume/total protein (PCV/TP)
Urine output (UOP)
Weight

A

Weight

58
Q

The mucous membranes of a dog in septic shock are:
Cyanotic
Hyperemic
Icteric
Pale

A

Pale

59
Q

What part of the eye can be used to indicate fluid overload?
Conjunctiva
Lens
Pupil
Nictitating membrane

A

Conjunctiva

60
Q

Rapid fluid replacement with crystalloids is contraindicated in conditions of:
Severe dehydration
Shock
Cerebral edema
Renal failure

A

Cerebral Edema

61
Q

Which of the following is a common colloid preparation that is administered intravenously?
Lactated Ringer’s solution
Normosol-R solution
Sodium chloride 9%
Vetstarch

A

Vetstarch

62
Q

Fluid-therapy solutions administered subcutaneously are:
Colloids
Hypertonic
Hypotonic
Isotonic

A

Isotonic

63
Q

The best route for rapid fluid administration of large amounts of fluids to patients with poor venous access is:
Intraosseous
Intraperitoneal
Oral
Subcutaneous

A

Intraosseous

64
Q

In trauma cases, fluid therapy should be used with caution in which of the following scenarios?
Severe shock
Mild shock
Pulmonary contusions
Severe skin damage

A

Pulmonary contusions

65
Q

When a critical patient arrives at the veterinary practice, which body system should be evaluated first?
Cardiac
Neurologic
Respiratory
Urinary

A

Respiratory

66
Q

Which of the following is the safest and most effective first aid for frostbite?
Apply warm towels and massage the area
Immerse the affected area in hot water
Immerse the affected area in lukewarm water
Rub the affected area with snow

A

Immerse affected area in lukewarm water

67
Q

Which of the following methods for controlling hemorrhage from a traumatic wound is least likely to cause further damage to the animal?
Clamping the wound with a hemostat
Direct pressure
Tourniquet
Applying silver nitrate

A

Direct pressure

68
Q

Which would be considered the least important physical measure evaluated during triage of a patient?
Heart rate
Respiratory rate
Capillary refill time
Weight

A

Weight

69
Q

The most desirable induction agent for an emergency cesarean section in a dog is:
Etomidate
Diazepam
Propofol
Thiopental

A

Propofol

70
Q

Which of the following statements is true regarding a patient that is in shock?
An initial decrease in heart rate that then increases as the patient nears death
A decreased heart rate
An initial increase in heart rate that then decreases as the patient nears death
An increased heart rate

A

An initial increase in heart rate that then decreases as the patient nears death

71
Q

The mucous membranes of patients in hemorrhagic shock are:
Cyanotic
Hyperemic
Icteric
Pale or white

A

Pale or white

72
Q

What is the minimum concentration of hemoglobin required to detect cyanosis?
3 g/dL
4 g/dL
5 g/dL
6 g/dL

A

5 g/dL

73
Q

According to the principles of triage, which patient should the veterinarian see first?
Cat with a closed fracture
Dog in respiratory distress
Dog with otitis externa
Cat with a small laceration on a paw pad

A

Dog in respiratory distress

74
Q

Which of the following would petechiation on the mucous membranes indicate?
Hemoglobinemia
Methemoglobinemia
Myoglobinemia
Thrombocytopenia

A

Thrombocytopenia

75
Q

Which of the following is not a characteristic of compensatory shock?
Normal blood pressure
Cool extremities
Capillary refill time <1 second
Tachycardia

A

Capillary refill time <1 second

76
Q

According to the principles of triage, which patient should a veterinarian see first?
Dog with a small laceration on a pinna
Dog with acute gastric dilatation/volvulus
Cat with dystocia, not in shock, no kitten in birth canal
Cat with possible linear foreign body in the bowel

A

Dog with acute gastric dilatation/volvulus

77
Q

Which of these signs is not an indication of dystocia?
Green or black vulvar discharge
Profuse vulvar hemorrhage
Pup or kitten in the birth canal for 5 minutes
More than 1 hour of vigorous contractions with no pup or kitten produced

A

Green or black vulvar discharge

78
Q

What is not usually a sign of acute gastric dilatation/volvulus?
Unproductive vomiting
Hypersalivation
Abdominal distention
Profuse diarrhea

A

Profuse diarrhea

79
Q

Crackles on thoracic auscultation indicate:
Asthma
Pleural effusion
Pneumothorax
Pulmonary edema

A

Pulmonary edema

80
Q

The underlying disease for most cases of feline aortic thromboembolism is ______ in origin.
Cardiac
Hepatic
Renal
Respiratory

A

Cardiac

81
Q

A client describes his male cat as lethargic and constipated; he has observed the cat straining in the litter box. You suspect that the cat is actually suffering from:
Peritonitis
Urethral obstruction
Intestinal obstruction
An upper respiratory viral infection

A

Urethral obstruction

82
Q

If the hindquarters were elevated in a dog with a severe diaphragmatic hernia, what effect would this have on respiration?
There is no change in respiratory rate or labor of respirations
Respiratory rate decreases and respiration becomes less labored
Respiratory rate increases and respiration becomes more labored
A cough is induced

A

Respiratory rate increases and respiration becomes more labored

83
Q

A veterinarian is assessing a cat with a spinal injury. When the doctor pinches the cat’s toe, a positive response to deep pain would be indicated by:
Kicking of the foot without vocalizing
Kicking of the foot while vocalizing
Withdrawal of the foot without vocalizing
Withdrawal of the foot while vocalizing

A

Withdrawal of the foot while vocalizing

84
Q

Signs of cardiopulmonary arrest include all of the following except:
Alertness
Dilated pupils
Agonal breathing
No femoral pulse

A

Alertness

85
Q

A patient that was hit by a car and has multiple pelvic fractures has not urinated in more than 24 hours. One may suspect the cause of anuria to be:
A ruptured urinary bladder
Severe dehydration
Renal failure
Urethral calculi

A

A ruptured urinary bladder

86
Q

A free-roaming dog is brought to the hospital for listlessness and dyspnea. While performing venipuncture, you notice that the animal seems to have a prolonged clotting time. A possible cause of prolonged clotting times would be the ingestion of _____________.
Anticoagulant rodenticide
Ethylene glycol
Organophosphate insecticide
Strychnine

A

Anticoagulant rodenticide

87
Q

Which statement concerning status epilepticus is accurate?
It occurs in geriatric animals only
It is a life-threatening medical emergency
It is treated by the administration of acepromazine
it will resolve spontaneously

A

It is a life-threatening medical emergency

88
Q

Signs of organophosphate toxicity include all of the following except:
Bradycardia
Lacrimation
Mydriasis
Salivation

A

Myadriasis

89
Q

Normal capillary refill time in dogs is:
<1 second
1 to 2 seconds
2 to 4 seconds
4 to 6 seconds

A

1-2 seconds

90
Q

A client calls the hospital and indicates that a car has just hit his cat. The recommendations that should be made include:
Immediately bring the cat in to be examined by a veterinarian
Observe the cat at home for an hour, and call back if problems occur
Bring the cat in for an examination by a veterinarian the following day
Bring the cat to you for initial examination, so you can determine whether the animal needs to be seen by a veterinarian

A

Immediately bring the cat in to be examined by a veterinarian

91
Q

To reduce intracranial pressure that results from trauma, __________ may be administered every 4 to 8 hours.
Atropine
Dexamethasone
Diazepam
Mannitol

A

Mannitol

92
Q

A client calls the hospital and advises that his puppy has walked through motor oil and is licking its paws. What should be recommended?
Do not induce emesis, and immediately bring the pet to the clinic for examination and treatment
Induce emesis and then immediately bring the pet to the clinic for examination and treatment
Induce emesis; no further treatment is required
Induce emesis and then bring the pet to the clinic only if it shows signs of toxicity

A

Do not induce emesis, and immediately bring the pet to the clinic for examination and treatment

93
Q

A client calls the practice and states that his dog has just ingested sugar-free gum. He is 90 minutes from the practice. What should be recommended?
Do not induce emesis and immediately bring the pet to the clinic for examination and treatment
Induce emesis then immediately bring the pet to the clinic for examination and treatment
Induce emesis; no further treatment is required
Induce emesis then bring the pet to the clinic only if it shows signs of toxicity

A

Induce emesis then immediately bring the pet to the clinic for examination and treatment

94
Q

A client owning a diabetic cat calls the practice and says that her cat has just had a seizure and collapsed. She gave the cat its usual dose of insulin that morning, but the animal has not eaten anything during the day. What should the next recommendation entail?
Another dose of insulin, then bring the cat to the clinic for medical attention
Some corn syrup or sugar solution on the gums, then observe the cat at home
Some corn syrup or sugar solution on the gums, then bring the cat to the clinic for medical attention
Another dose of insulin, then observe the cat at home

A

Some corn syrup or sugar solution on the gums, then bring the cat to the clinic for medical attention

95
Q

A client has just treated his 5-week-old kitten with a flea dip that contains lindane. The cat is acting slightly lethargic, and the client then notices that the label on the dip reads “for dogs only.” The client calls the practice. What advice should be given?
Observe the kitten at home
Wash the kitten with mild dish soap, rinse well, and then bring the animal to the clinic for examination
Wash the kitten with mild dish soap, rinse well, and then administer acetaminophen for discomfort
Induce emesis and observe the kitten at home

A

Wash the kitten with mild dish soap, rinse well, and then bring the animal to the clinic for examination

96
Q

A client calls the hospital because he has noticed that his cat has a string protruding from under the tongue. The client should be advised to:
Gently attempt to pull out the string
Induce emesis
Cut the string and administer laxatives at home
Bring the cat to the clinic for examination

A

Bring cat to the clinic for examination

97
Q

A client calls the hospital because she has noticed a barbed fishhook embedded in her dog’s lower lip. The client should be advised to:
Gently attempt to pull out the fishhook
Observe the dog at home; most fishhooks fall out spontaneously within 24 hours
Bring the animal to see the veterinarian as soon as possible
Administer aspirin for discomfort and see the veterinarian right away

A

Bring the animal to see the veterinarian as soon as possible

98
Q

A dog has a lacerated paw pad. The client has placed a small bandage over the wound, but blood is soaking through. The appropriate treatment is to:
Remove the bandage and apply digital pressure to the wound
Apply another bandage over the client’s original bandage
Remove the bandage and apply a tourniquet to the limb
Do nothing; no further treatment is required if the bleeding is not excessive

A

Apply another bandage over the client’s original bandage

99
Q

An extremely upset client calls the hospital. Her small poodle has stopped breathing and she cannot feel a heartbeat. What should the next recommendation be?
Attempt no treatment; immediately transport the pet to the hospital
Attempt mouth-to-mouth resuscitation and chest compressions; immediately transport the pet to the hospital
Start chest compression immediately and provide mouth-to-snout breaths while closing the dog’s mouth at a 30 compression to 2 breaths ratio, and immediately transport the pet to the hospital
Attempt resuscitation; transport the pet to the hospital if attempts at resuscitation are unsuccessful

A

Start chest compression immediately and provide mouth-to-snout breaths while closing the dog’s mouth at a 30 compression to 2 breaths ratio, and immediately transport the pet to the hospital

100
Q

How should a patient with a potential spinal injury be transported to the hospital?
Sitting
Standing
Lying on a flat board
Moving as it wishes

A

Lying on a flat board

101
Q

A patient with a possible herniated intervertebral disk should be:
Allowed to move freely, and if no improvement is evident after 24 hours, see the veterinarian
Allowed to move freely; immediately see the veterinarian
Kept strictly quiet and confined; if no improvement is evident in 24 hours, see the veterinarian
Kept strictly quiet and confined; see the veterinarian immediately

A

Kept strictly quiet and confined; see the veterinarian immediately

102
Q

Four patients present at the same time with emergency conditions. In which order should the patients be triaged?
Dyspnea, dystocia, proptosis, laceration
Proptosis, dyspnea, dystocia, laceration
Laceration, dystocia, dyspnea, proptosis
Dystocia, proptosis, laceration, dyspnea

A

Dyspnea, dystocia, proptosis, laceration

103
Q

Which of these items would be least useful on a crash cart used for emergency situations?
Laryngoscope
Intravenous catheter
Otoscope
Ambu bag

A

Otoscope

104
Q

A patient who is apneic and cyanotic enters the practice. A quick oral examination shows a hard ball lodged in the glottal opening. Which of the following options should be performed next?
Place the patient in an oxygen cage
Attempt to pass a nasal oxygen catheter
Attempt to pass an endotracheal tube
Perform the Heimlich maneuver; if unsuccessful, prepare the patient for tracheotomy

A

Perform the Heimlich maneuver; if unsuccessful, prepare the patient for tracheotomy

105
Q

A 16-year-old, 3-kg poodle is presented to the hospital with cyanosis, agonal respirations, and frothy fluid coming from the nose and mouth. Knowing the treatments that the doctor is likely to order, you prepare to:
Administer intravenous fluids at 90 mL/kg/hr
Administer furosemide intramuscularly, and place the patient in an oxygen cage
Suction the airway and initiate cardiopulmonary resuscitation
Assist with an immediate tracheostomy

A

Suction the airway and initiate cardiopulmonary resuscitation

106
Q

The veterinarian has authorized you to start infusing intravenous fluids in a 0.25-kg Yorkshire terrier puppy that is critically ill. You are unable to insert a catheter into a jugular or cephalic vein. An alternate site that can be used to administer large volumes of fluids is the:
Medullary cavity of the femur
Carotid artery
Lingual vein
Ear vein

A

Medullary cavity of the femur

107
Q

The veterinarian has directed you to give a whole blood transfusion to a 0.3-kg kitten with severe anemia from flea infestation. You are unable to insert an intravenous or intraosseous catheter. Which of the following would be the most effective alternate route to administer the blood effectively?
Subcutaneous injection
Intramuscular injection
Intraperitoneal injection
Per os

A

Intraperitoneal injection

108
Q

You are instructing a client to apply an emergency muzzle to his injured dog. Which of these is the least appropriate material for the muzzle?
Rope
Metal chain dog leash
Pantyhose
Necktie

A

Metal chain dog leash

109
Q

Which of the following is least likely to be available for at-home induction of emesis?
Apomorphine
Syrup of ipecac
Hydrogen peroxide
Salt

A

Apomorphine

110
Q

Which of the following is not performed when treating acute gastric dilatation/volvulus?
Induction of emesis
Placement of an intravenous catheter
Passing of a gastric tube
Trocharization of the stomach

A

Induction of emesis

111
Q

All of the following might be included in emergency treatment for epistaxis, except:
Placing dilute epinephrine into the nares
Fresh frozen plasma transfusion
Applying a warm compress to the nose
Keep the patient quiet

A

Applying warm compress to the nose

112
Q

Which statement concerning the administration of activated charcoal via stomach tube is least accurate?
Check tube placement by administering a small amount of water; listen for coughing or gagging
Measure the tube from the tip of the nose to the 13th rib
Measure the tube from the tip of the nose to the thoracic inlet
Use a roll of tape as a speculum to keep the mouth open and to prevent the animal from biting the tube

A

Measure the tube from the tip of the nose to the thoracic inlet