Exam 2 Flashcards
A 12 kg dog has been prescribed a drug with the strength of 0.2%. The rate to infuse the dog is 7 mg/kg per day (24 h). The dog is receiving maintenance fluids at a maintenance rate of 100 mL/hr so the drug is to be added to a 1 L bag of fluid. How much (mL) drug will you add to the fluids?
17.5mL
A kitten that weighs 8 ounces comes to your clinic. It needs 22mg/kg of an antibiotic TID for 10 days. The antibiotic comes in 10mg tablets.
a. How many tablets does the kitten get per dose?
b. How many tablets will you need to fill the Rx?
1/2 tab, 15 tabs
A 35lb dog has been prescribed a drug to be infused at a rate of 0. 4 mg/kg/hr. The drug is available in a strength of 20 mg/mL. How much (mL) of the drug is infused over 12 hours?
3.8mL
Name two common clinical signed associated with a patient having a transfusion reaction.
Hives, Facial Swelling, Increased Temp, Difficulty Breathing
A 2-year-old Labrador Retriever is being prepped for an exploratory laparotomy. The surgeon asks you to gather all the surgical supplies needed for the procedure. Which of the following retractors would be most helpful for this surgery?
a. Gelpi retractor
b. Balfour retractor
c. Senn retractor
d. Army-Navy retractor
b. Balfour retractor
A client complains that when her cat comes inside on a hot day and eats right away, “she immediately pukes it all back up within a minute.” The client tells you that the puking episode happens without any warning. Which most characterizes this action?
a. Diarrhea
b. Mastication
c. Vomiting
d. Regurgitation
d. Regurgitation
A client whose dog has cancer calls to report that the dog has “coffee grounds” in his vomit. What does this suggest?
a. Possible spread of the cancer to the colon
b. Blood has been present in the stomach for a fairly long time
c. Presence of bile that has come recently from the duodenum
d. Presence of duodenal or jejunal erosions or ulceration
b. Blood has been present in the stomach for a fairly long time
A dog with type 3 von Willebrand’s disease is scheduled for surgery. Which agent is ideal for controlling severe bleeding during the procedure?
a. Fresh frozen plasma
b. Fresh whole blood
c. Cryoprecipitate
d. DDAVP
c. Cryoprecipitate
A patient presents with damage to a major vessel, requiring plasma coagulation factors to form a stable clot in a process called _____ hemostasis.
a. Primary
b. Essential
c. Secondary
d. Fibrinolytic
c. Secondary
A patient suffers anaphylaxis and sepsis. Which type of shock is this patient most likely to develop?
a. Hypovolemic
b Cardiogenic
c. Distributive
d. Obstructive
c. Distributive
A patient that is suffering from smoke inhalation would most likely have which dysfunction of hemoglobin?
a. Methemoglobin
b. Carboxyhemoglobin
c. Sulfhemoglobin
d. Aplastic anemia
b. Carboxyhemoglobin
A patient with a deficiency in circulating RBC mass is administered PRBCs. Which is most likely the prominent sign that this patient presents?
a. Hypoxia
b. Hypervolemia
c. Anoxia
d. Normovolemia
a. Hypoxia
A patient’s electrolyte and venous blood gas analyses show the presence of hyponatremia. Which does this mean?
a. Decreased potassium in the blood
b. Decreased calcium in the blood
c. Decreased sodium in the blood
d. Decreased nitrogen in the blood
c. Decreased sodium in the blood
A right lateral radiograph of a Standard Poodle confirms that this patient is suffering for gastric dilation volvulus. The veterinarian asks you to get a large bore IVC, so she can use it to decompress the stomach. You shave and aseptically prep an area on the left lateral abdomen. The veterinarian passes the IVC through the body wall into the stomach in a procedure known as ___________.
a. Gastrotomy
b. Enterotomy
c. Resection and anastomosis
d. Trocarization
d. Trocarization
After seeming to recover from an infection, a dog is brought to the clinic with a client complaint that “he’s bleeding more” and presents at the clinic with a low platelet count, brought on by the infection itself. Which condition does this suggest?
a. von Willebrand’s disease
b. Thrombocytopenia
c. Thrombopathia
d. Hemophilia
b. Thrombocytopenia
Anemia is often caused by hemorrhage, hypoplasia, or _____ (increased red blood cell destruction).
a. Erythropoiesis
b. Coagulopathy
c. Hemostasis
d. Hemolysis
d. Hemolysis
During the above procedure, the surgeon needs to perform an enterotomy. You are asked to grab the _____________ intestinal forceps because they are the gentlest and are unlikely to cause damage to the area around the enterotomy site.
a. Kelly
b. Brown-Adson
c. Doyen
d. DeBakey
c. Doyen
For which emergency condition is pericardiocentesis most useful?
a. Atrial fibrillation
b. Cardiac tamponade
c. Cardiac arrhythmia
d. Ventricular tachycardia
b. Cardiac tamponade
If a patient’s survey abdominal radiograph shows a loss of serosal detail, which does this most likely indicate?
a. Fluid in the abdomen
b. Aspiration pneumonia
c. Urinary obstruction
d. Pelvic fracture
a. Fluid in the abdomen
In an anticoagulant preservative (APS), which component is the actual anticoagulant?
a. Citrate
b. Dextrose
c. Heparin
d. Adenine
a. Citrate
In assessing a patient for possible diagnosis of IMHA, which serum profile result suggests the patient is experiencing hemolysis?
a. Elevated globulin
b. Elevated bilirubin
c. Decreased albumin
d. Decreased bilirubin
b. Elevated bilirubin
In conducting a platelet estimation, which is considered a normal number of platelets in an oil immersion field?
a. 1 to 5
b. 4 to 8
c. 8 to 15
d. 15 to 20
c. 8 to 15
In using a saline agglutination test, which response to the addition of saline on a slide strongly suggests IMHA in a dog?
a. Rouleaux is seen on the slide.
b. Agglutination is seen on the slide.
c. The addition of saline reveals a lack of spherocytosis.
d. A saline drop reveals the presence of antierythrocyte antibody in patient serum.
b. Agglutination is seen on the slide.
Of what is cryoprecipitate composed?
a. Platelets
b. Plasma protein concentrates
c. Erythrocytes
d. Whole blood
b. Plasma protein concentrates
PIVKA is used to test for which toxicity?
a. Carbon dioxide
b. Anticoagulant
c. Lead
d Ethylene glycol
b. Anticoagulant
Shortly before experiencing cardiac arrest, a patient was administered an opioid. Which is best to administer to this patient?
a. Naloxone
b. Epinephrine
c. Flumazenil
d. Atipamezole
a. Naloxone