g) 28-Oct-13 Flashcards

1
Q

Two examples of atypical bacterial species

A

Rickettsia, mycoplasma, clamydia, borrelia, bartonella, mycobacterium.
Do not gram stain!

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2
Q

What are the 4 spectrums of the antimicroibial spectrum?

A
  1. Gram +ve aerobes
  2. Gram -ve aerobes
  3. Obligate anaerobes
  4. Penicillinase producing Staph
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3
Q

What are clues that might indicate bacterial infection?

A

Heat, pyrexia, neutrophillia.

BUT these can be produced by other things e.g. neoplasm, stres etc

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4
Q

Three examples that are commonly mistaken as having bacterial aetiology

A
  1. Vomiting without diarrhoea
  2. Haematouria in cat <10 years (too concentrated)
  3. Blood in faeces (no protective antimicrobials)
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5
Q

Two examples of antimicrobial classes that inhibit cell wall synthesis

A

Penicillin, Cephalosporin. (Both bacteriocidal)

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6
Q

What are the bacteriocidal drugs?

A

Penicillin, Cephalosporin, Aminoglycoside, Metronidazole, Fluroquinoles, Potentiated sulphonamides

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7
Q

What are the bacteriostatic drugs?

A

Tetracycline, Chloramphenicol, non-potentiated sulphonamides, macrolides, lincosamides

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8
Q

Example of an antimicrobial that inhibits cell membrane function

A

Polymyin, amphotericin B, imidazoles, nystalin

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9
Q

Examples of antimicrobials that inhibit protein synthesis

A

Chloramphinicol, macrolides, lincosamides, tetracycline (are bacteriostatic) and aminoglycosides (which is bacterocidal)

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10
Q

Why is it important to distinguish between time dependent and concentration dependent bacteriocidal drug?

A

Time dependent are SLOWLY bacteriocidal. o.e. the plasma levels should remain above the MIC for 80% of the time.
Concentration dependent drugs the peak concentration achieved predicts antimicrobial success

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11
Q

Examples of time dependent bacteriocidal drugs?

A

Penicillin, Cephalosporin, Potentiated sulphonamides

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12
Q

Examples of concentration dependent bacteriocidal drugs?

A

Metronidazole, Fluroquinolones, Aminoglycosides

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13
Q

Why can you not given bacteriocidal and bacteriostatic drugs together?

A

For bacteriocidal drugs to work the bacteria need to be multiplying.

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14
Q

What is the most common type of bacteria to infect the

a) UTI
b) Skin
c) Pyothorax

A

a) UTI = E-coli
b) Skin = Staphylococcus sp
c) Pyothroax = Obligate/ Faxulative anaerobes

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15
Q

Examples of sites that are difficult to penetrate

A

CNS (inc brain), eye, prostate, bronchus, mammary gland. The lipid membrane provides a barrier.

Also difficult to achieve in poorly perfused tissues i.e. extremities during shock

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16
Q

When might prophyalactin antibacterials be used in surgery?

A

-Patients with leucopemia, contaiminated surgury, where surgery lasts over 90minutes, where consequences would be disastrous (orthopaedic),
NEED TO BE ADMINISTERED BEFORE SURGURY SO ADEQUATE LEVELS AT TIME OF CONTAIMINA

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17
Q

What three antimicrobials have extensive activity against OBLIGATE ANAEROBIC (i.e. git flora)

A

Penicillins, Chloramphinicol ()

Lincosamides (bacteriostatic)

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18
Q

Which antimicrobials undergo extensive entero-heaptic recycling. When would this be advantageous?

A

Tetracyclines, Chloramphincol, Lincosamides.

Useful if you have to suppress endogenous GIT glora

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19
Q

Which penicillins are effective against gram +ve aerobes

A
Penicillin G (natural) is a narrow spectrum antimicrobial that is effective against gram + aerobes. It is SENSITIVE to beta lactamases.
Aminopenicillins are BROAD spectrum but susceptible to beta-lactamases unless co-formulated with clavulanic acid
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20
Q

What are the differences between different generations of cephalosporins?

A

Second generation: Broadest spectrum included gram +ve (inc Staphylococci), good anaerobic activity and reasonable gram negative.
Third generation: Should be reserved for difficult gram -ve

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21
Q

When should third generation cephalosporins be used?

A

Difficult gram negative infections.

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22
Q

Example of a bacteriostatic drug that works by inhibiting protein synthesis. How is this group of drugs separated?

A

Tetracyclines. Separated into water soluble tetracyclines (oxytetracyclines) and lipid soluble

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23
Q

Example of a lipid soluble tetracyclines

A

Doxycycline. More lipid soluble so can penetrate prostate and blood bronchus barrier. Eliminated in faeces so safer in liver failure

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24
Q

What drug would you use for prostatitis in a patient with kidney disease

A

Needs to be lipid soluble and eliminated in faeces i.e. lipid soluble tetracycline = DOXACYCLINE

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25
Q

How do aminoglycosides work? What bacteria are they BEST against? Which bacteria do they have NO ACTION against?

A

Cause a mis-reading of mRNA is BACTERIOCIDAL. Concentration dependent.
Gram negative aerobic antibacterial actions. No action against anaerobes. NEED OXYGEN TO ENTER CELL.

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26
Q

Spectrum of macrolides/lincosamides

A

Narrow spectrum. Mainly Gram POSITIVE. Also good against mycoplasma.
Both are bacteriostatic and work by inhibiting protein synthesis

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27
Q

Sides effects of erythromycin

A

Vomiting in dogs

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28
Q

In which species does trimethoprine cause immune-mediated reactions?

A

Dobermanns, Pinschers. Trimethoprine is a potentiated sulphonamides (bacteriocidal) and has a short half life.
Is BROAD spectrum (not difficult gram -ve or serious anaerobic infections)

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29
Q

Which group do fluoroquinoles have NO action against

A

Anaerobes. Fluronquinoles can cross the BBB.

Should be reserved for difficult gram -ve

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30
Q

When should chloramphinicol be used? When is it contraindicated?

A

Bacteriostatic. Imbhibits bacterial protein synthesis.
Broad spectrum, including anaerobes. Excellent tissue penetration.
Do not use in animals with poor hepatic function as it causes irreversible hepatic enzyme inhibition.

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31
Q

Which group do fluoroquinoles have NO action against

A

Anaerobes. Fluronquinoles can cross the BBB.

Should be reserved for difficult gram -ve

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32
Q

When should chloramphinicol be used? When is it contraindicated?

A

Bacteriostatic. Imbhibits bacterial protein synthesis.
Broad spectrum, including anaerobes. Excellent tissue penetration.
Do not use in animals with poor hepatic function as it causes irreversible hepatic enzyme inhibition.

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33
Q

Why do we need to be careful of antimicrobial residues in food?

A

Some people have penicillin allergies = very dangerous.
Dairy wants no antibiotics in milk as affects cheese product (i.e. kills required natural bacteria)
Global antimicrobial resistance

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34
Q

Which bacteria do dairys want in the milk to aid cheese production

A

Lactococci, Lactobacilli or Streptococci. All gram positive

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35
Q

Two different types of mastitis tube

A
  1. Dry Cow Tube (MUCH LONGER LASTING)
    Much LONGER withdrawal period
  2. Lactating tubes
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36
Q

What does the cascade say are withdrawal times in milk and milk if not specifically specified?

A

Milk: 7 days
Meat: 28 days

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37
Q

Which products cannot be used in animals for human consumption

A
  1. Enrofloxacin (baytril) in birds producing eggs for human consumption
  2. Chloramphincol (aplastic anemia) very lipophillic
  3. Metronidazole. Carcinogenic. Not for food producing animals
38
Q

Fluroquinoles are USELESS against

A

Obligate anaerobes. GREAT for gram negative aerobes

39
Q

Ideal fibre length in diet.

Why is this important?

A

2-4cm to prevent SORTING i.e. make the TMR homogenous

Cow comfort essential; most chewing when lying (14hrs/day).

40
Q

Minimum trough space per cow. What else needs to be checked around the trough

A

60cm.

Check for sharp edges/ physical condition. Fresh food or old food?

41
Q

Dry matter should always be calculated.
What is the formula to ESTIMATE this?
This formula cannot be used in _____-

A

Dry Matter. How much are the cows actually eating. Can be estimated.
DMI= 0.025BW + 0.1 milk yield.
Can’t use the formula in DRY COWS

42
Q

Explain how secondary fermentation of the silage occurs

A

Silage in anaerobic. When exposed to air = secondary fermentation = spoilage and heating.
Can produce MYCOTOXINS
Look after silage face

43
Q

What causes grass staggers?

A

Magnesium deficiency

44
Q

How can you help prevent bloat when turning out to grass each day?

A

‘Buffer feed’ e.g. silage/hay

45
Q

What is the cow comfort index?

A

85% lying down 1 hour before feeding

46
Q

Milk fat % is determined by

Low milk fat can indicate

A

Fibre level. Spring grass can be low in fibre.

SARA may cause low bilk milk fat

47
Q

Milk protein is determined by ___

A

Energy. Difficult to correct quickly.

Check ME in feed, check palatability (+++ Mollasus?)

48
Q

When should BCS remain CONSTANT?

A

During the dry period. Should NOT loose weight here as causes excessive fat mobilisation (therefore fatty liver).
Dry off at same BCS they should calve at (around 3.0)

49
Q

Why should the dry cows be split into two groups

A

Calving already a stressful time. 14 days before calving move into TRANSITIONAL group and change onto new food/ calving environment.
Reduce associated stress

50
Q

When doing metabolic profiling which cows do you a) WANT to include b) NOT WANT to include?

A

Include: Early lactation (20Days Post calving

51
Q

The intake value should ideally be above

A

100.

52
Q

Why is the target pH. What affects this value

A

Target: 3.5-5.5. Higher pH acceptabele at high dry matter
DM: 20g/kg, pH 4.2
Ammonia level and DRY MATTER

53
Q

Which of the VFA’s are gluconeogenic?

A

Proprionate (almost as effective as acetate at causing depression)

54
Q

Which has more effect on VFI - water drunk with food or water in the plant material?

A

Water in the plant material can have a significant effect in reducing intake.
Water drunk with dry food has LITTLE effect on VFI

55
Q

Does transit time increase or decrease with size of particle?

A

Larger particle = Longer transit time

56
Q

Ruminant plasma glucose concentration is normally about _____ of non- ruminants

A

HALF that

57
Q

The thermostatic theory is most likely in which species….

A

Poultry.

Thermostatic theory: Animals eat to maintain body temperature. Not a good theory for ruminants as rumen is exothermic

58
Q

For beef and pigs, the DMI is around ___% of bodyweight

A

2%

in dairy cows: 0.025 x BW + 0.1 Milk Yield

59
Q

What are the two sources of energy in forages

A
Cell contents (sugars, starches, proteins)- readily digestible and avaliable 
Cell walls: contains cellulose, lignin. Less digestible. Slowly available
60
Q

What is neutral detergent fibre?

Why is it an important measure?

A

Main measure of fibre in the diet. Components of the cell wall e.g. lignin, cellulose (structural components)
The amount of NDF in the diet is a measure of the DRY MATTER INTAKE

61
Q

Energy requirement for a dairy cow

A

5MJ/litre
+ Maintance = 65MJ for 650kg cow.
If pregnant extra 40MJ

62
Q

Relevance of oak in cattle?

A

Oak poisoning can lead to GI signs and reduced intake = FATAL.
Normally happens after a storm when green oats fall from trees

63
Q

Example of anti-nutritional factor affecting ruminants

A

Protease inhhibitors inhibit trypsin, chemotropism. Found in legumes such as beans and peas but also in cereals and potatos. Impaired growth, poor food utilisation and longer transit times

64
Q

Ammonia nitrogen has consistantly decreased silage ____-

A

DM intake

65
Q

What mineral deficiency might result in Pica

A

Pica = deprived appetite
Phosphorous is most common.
Can also be due to CNS disease

66
Q

Clinical signs of Magnesium deficiency

A

‘Grass staggers; Sensititve to sound/hand clap. Ears twitching, collapses, champing of jaws, muscle tremor

67
Q

How should magnesium deficiency be treated?

A

STAND BEHIND COW, Administer Ca boroglutinate with Mg hypophosphate into MILK VEIN.
Prevention is better ADD Magnesium flakes to water or bolus dry cows. Avoid K fertiliser when it is a known problem

68
Q

Severe hypocalcemia would be then the blood concentration is less than

A

<1.2mmOL.
Urgent disease IV
Give some SC to act as reservoir
Lateral recumbancy, decreased cardiac output, muscle flaccidity

69
Q

Potential adverse effects when treating hypocalcimia

A

Atrial systole –> Cardiac arrest if administered IV too quickly.
Measure HR during treatment

70
Q

How to prevent milk fever

A
Low calcium in dry cow ration.
High calcium in milk cow ration
Mg supply (required for some absorption co-factors)
Drench at calving if at risk e.g. twins
-Older, fatter, channel breeds
71
Q

Hows suffering from hypophospatemia are said to be

A

‘Happy Downers’
Difficult to diagnose- if no response to calcium or magnesium,. Give Fostons IV.
Check there aren’t any other reasons for being a downer cow (mastitis/broken leg).

72
Q

What does DCAB stand for (in ruminant nutrition)

A

Dietary cation anion balance.
Cations: Na and K (Cat-ions are POSITIVE)
Anions Cl and S (Are negative)

73
Q

What should the DCAB balance be?

A

Anions should be more than cations.
I.e. more negative than positive
(Na+K) - (Cl+S) < -200!!

74
Q

How is this ideal -200mmol/kg be achieved?

A

Decrease K in diet or ADD anions to diet, magnesium chloride, magnesium sulphate.
Add anionic salts but are very unpalatable and can decrease palatability

75
Q

What should the ruminants pH be?

A

Aim for 5.5 to 6.5.

If it drops below 5. TOO MANY ANIONS ARE BEING ABSORBED

76
Q

How are epigenetics and obesity in horses related

A

Horses future is predetermined.

Pre-programming determined by maternal diet

77
Q

Equine metabolic syndrome is the horse preparing itself for a

A

poor diet in later life

78
Q

____increases with obesity.

________decreases with obesity

A

Tumour Necrosis Factor (TNF) increases with obesity.

Adiponectin decrease with obesity. Normally adiponectin decreases insulin resistance

79
Q

Obesity results in what three things

A
  1. Chronic inflammation
  2. Insulin resistance (see adiponectin)
  3. Decreased blood flow = Laminitis
80
Q

For obese horses what is better

a) 1 large meal or
2) Several smaller meals

A

Several smaller meals is better as prevents peaks in insulin.

81
Q

How does soaking hay help provide ‘nutritional support’ to obese horses?

A

Soaked hay has half the calories BUT also results in loss of nutrients (leach into water)
HR must be above 80bpm/ 30 minutes/ per 24hrs

82
Q

Problems associated with obesity in DOGS and CATS

A

CATS: Hepatic lipodosis, D.mellitus, urethral obstruction
DOGS: Pancreatitis, Degren orthopaedic disorders.
-Respiratory
-Orthopaedic
- Neutrological

83
Q

How does the composition of senior diets compare to junior diets.

A

Senior diets contain MORE protein and LESS calories.

Don’t need as much for maintenance

84
Q

BCS range for dogs

A

Should be recorded every consultation 1-9

85
Q

Weekly weight loss should not exceed ___% of body mass per week

A

2% / week is the maximum rate of loss that should be achieved.

86
Q

In dalmations protein is somethings restricted. Why is this and why might it be detrimental?

A

To prevent urolithiasis.

In growing dogs this protein restriction can lead to dilated cardiomyopathy

87
Q

Deficiency in taurine in cats can lead to

A

Dilated cardiomyopathy or retinal degeneration. This is normally seen when unsupplemented vegetarian diets are being offered

88
Q

Too much protein, not enough energy will change urea in what way

A

too much protein, not enough energy will INCREASE urea

89
Q

Which three areas do you examine on a horse for BCS

A

0-5 BCS

  • Neck - nuchal ligment run along neck/supraorbital fossa ABOVE EYES
  • Middle (shoulder blades to hips)
  • Bottom (hips, pelvis, hind quarters)
90
Q

What would you expect for a horse with a BCS of 3

A
No fat above nuchal ligament 
Hollow above eyes
Ribes easily felt but not seen. 
Hand forms a slight cup along backbone
Pelvic bones felt bit not seem
Rump is in an upside down C.