ER Clinical Skills Flashcards
Which of the following is least useful when resuscitating a dog in shock?
D5W
Hetastarch
Hypertonic saline
Plasma-Lyte 48
D5W
Which of the following conditions heals best through first intention?
Abscess
Degloving
Simple laceration
Puncture wound
Simple Laceration
Oxygen can be administered to a patient via any of the following routes except:
Chest tube
Endotracheal tube
Nasal oxygen catheter
Tracheotomy tube
Chest Tube
Which of the following is the most important goal when treating a patient with heat stroke?
Cooling
Infection control
Oxygen therapy
Pain control
Cooling
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
Applying a warm compress to the penis
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
Taking radiographs of the fracture
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
Prevent the dog from injuring itself
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
Apply pressure to the globe to replace it in the socket
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
See the veterinarian immediately
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
Massaging the tip of the penis can relieve the obstruction
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
Administer a drop of oxytocin under the tongue
A patient is experiencing cardiopulmonary arrest. The most desirable route of drug administration is:
Intratracheal
Intracardiac
Intravenous
Intraosseous
Intravenous
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
4 hours
Which is not an immediate consideration in cardiopulmonary resuscitation?
Airway
Analgesia
Breathing
Circulation
Analgesia
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
8-12 breaths per minute
All of the following are signs of end-stage decompensatory shock, except:
Hypothermia
Vasodilation
Prolonged capillary refill time
Tachycardia
Tachycardia
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
100-120 compressions per minute
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
To the area adjacent and ventral to the mandible
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
Hypertonic saline
During emergency intubation, the cranial nerve _______ may be stimulated, resulting in ________________.
I; bradycardia
IV; tachycardia
X; bradycardia
XII; tachycardia
X; bradycardia
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
Tie the mouth securely closed with your shoelace
A normal central venous pressure (CVP) range is:
0–5 cm H2O
5–10 cm H2O
10–15 cm H2O
15–20 cm H2O
0-5cm H2O
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
1–2 mL/kg/hr
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
Cardiogenic
The first drug of choice for a cat that experiences status epilepticus is:
Diazepam
Pentobarbital
Potassium bromide
Propofol
Diazepam
Hypoglycemia is most common in patients that experience:
Anaphylactic shock
Cardiogenic shock
Neurogenic shock
Septic shock
Septic Shock
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
Schiff-Sherrington
The Schiff-Sherrington posture is indicative of injury to which part of the spine?
Cranial-C₆
C₆-T₂
T₁-T₃
T₃-L₃
T₃-L₃
NSAIDs are also referred to as:
Anti-prostaglandins
Neoprostaglandins
Pro-prostaglandins
Prostaglandoids
Anti-prostaglandins
Which of the following is a colloid solution?
Hetastarch
Lactated Ringer’s
Normosol-R
Plasma-Lyte 148
Hetastarch
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
Cause the cardiac cells to depolarize and then repolarize in a uniform manner
Which of the following is least likely to be seen in a patient suffering from shock?
Hyperthermia
Hypotension
Tachycardia
Tachypnea
Hyperthermia
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
Portal vein
The unit of measurement for insulin is:
Milliliters
Microliters
Milligrams
International units
International Units
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
60 minutes
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
Greater than atmospheric pressure
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.
Rostral
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
Corticosteroid administration to prevent inflammation
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
Not to induce vomiting and to bring in the cat immediately
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.
Heat produced through muscle movement
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
Medial canthus of the eye
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
Immediately disconnect the plug of the lamp cord from the wall socket
The most common artery to use when assessing the pulse of a dog or cat is the:
Jugular
Femoral
Carpal
Tarsal
Femoral
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
250 beats/min