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Acvim Journals 2015-2019 > JVIM and JAVMA 2015-2017 > Flashcards

JVIM and JAVMA 2015-2017 Flashcards

1
Q

What association between glucose WB and Plasma and, peritneal fluid and peritoneal fluid supernatent to best to detect sepsis in dogs ?

A

whole blood to peritoneal fluid difference > 20 mg/dL had sens 40% and spec 100%

Hihger sens (85%) with plasma and PF or PF supernatent at 20 mg/dL

Plasma and plasma fluid was 100% spec at > 38 mg/dL

Usefulness of WB, plasma, PF, and PFS glucose concentrations obtained by a veterinary POC glucometer to identify septic peritonitis in dogs with peritoneal effusion JAVMA 2015

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2
Q

What cleaning solutions are best for endotracheal tube?

A

Chlorhexidine and hydrogen peroxide

Efficacy of endotracheal tube disinfection strategies for elimination of Streptococcus zooepidemicus and Bordetella bronchiseptica JAVMA 2015

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3
Q

What specific antigen may help to differentiate between blastomycosis and histoplasma infection in dogs?

A

rBAD-1

Evaluation of an enzyme immunoassay for antibodies to a recombinant Blastomyces dhesion-1 repeat antigen as an aid in the diagnosis of blastomycosis in dogs JAVMA 2015

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4
Q

Is leptospirosis vaccination associatied with increased risk for adverse reaction?

A

Yes - more likely to be lethargic, demonstrate inappetence, reaction at the injection site (including signs of tenderness or pain, cutaneous swelling or mass, local hair loss, or lameness in a limb close to the injection site), nonspecific vaccine reaction (including cough, nasal discharge, shivering, diarrhea, or vomiting

Incidence rates and risk factors for owner-reported adverse events following vaccination of dogs that did or did not receive a Leptospira vaccine JAVMA 2015

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5
Q

Are leptospiral vaccinations more likely to generate a hypersensitvity respsonse when compared to nonleptospiral?

A

No

Incidence rates and risk factors for owner-reported adverse events following vaccination of dogs that did or did not receive a Leptospira vaccine JAVMA 2015

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6
Q

What are the expected outcomes in dogs receiving radiation therapy for treatment of malignant melanoma?

A

Similar survival times to surgery
MST only impacted by disease stage, not subtype of radiation

Outcomes of dogs undergoing radiotherapy for treatment of oral malignant melanoma: 111 cases (2006-2012) JAVMA 2015

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7
Q

What effect does repeating petting session have on WBC, neutrophil, lymphocytes,parasite prevalence and cortisol levels in shelter dogs?

A

Only decreased cortisol levels

Effects of repeated petting sessions on leukocyte counts, intestinal parasite prevalence, and plasma cortisol concentration of dogs housed in a county animal shelter JAVMA 2015

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8
Q

What is the effect of feeding a urinary stone prevention diet on cats with FIC?

A

Reduced frequency and severity
Same cats continue to have similar number of recurrences

Comparison of foods with differing nutritional profiles for long-term management of acute nonobstructive idiopathic cystitis in cats JAVMA 2015

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9
Q

Is renomegaly a reliable predictor of ureteral obstruction in cats?

A

No

Kidney enlargement >5,1 cm was not associated with obstruction - but larger kidneys are present in ureteral obstruction
No diff in creatinine vs CKD cats compared to normal cats
Palpation is not reliable for renomegaly detection

Respective associations between ureteral obstruction and renomegaly, urine specific gravity, and serum creatinine concentration in cats: 29 cases (2006-2013) JAVMA 2015

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10
Q

Is percutaneous ethanol ablation a viable treatment option for te treatment of priary hyperparathyroidism in dogs?

A

Yes - 85% success rate
In these dogs, calcium normalized in 72 hours

Recurrence in 17/19 with 1 month follow up

Respective associations between ureteral obstruction and renomegaly, urine specific gravity, and serum creatinine concentration in cats: 29 cases (2006-2013) JAVMA 2015

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11
Q

What are known factors associated with pathologic fractures in dogs with primary bone neoplasia?

A

38% of dogs developed bone fracture
5X risk for femur, tibia, ula, humerus
Lytic lesions more likely

Femur > tibia > humerus > radius > ulna

Factors associated with pathological fractures in dogs with appendicular primary bone neoplasia: 84 cases (2007-2013) JAVMA 2015

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12
Q

What are the most common sites of cervical disc herniation in chondrodystrophoid dogs?

A

C2-C3 - Beagle, Dachshund, Shih Tzu, Pekingese

Cervical intervertebral disk herniation in chondrodystrophoid and nonchondrodystrophoid small-breed dogs: 187 cases (1993-2013) JAVMA 2015

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13
Q

What are the most common sites of cervical disc herniation in nonchondrodystrophoid dogs?

A

C4-C5 - Pomeranian, Torkie
C5-C6, C6-C7 - Yorkie, Chiuahua

  • *Yorkie has higher mean number of affected discs compared to dachshund
  • *Yorkie had longer mean recovery type

Cervical intervertebral disk herniation in chondrodystrophoid and nonchondrodystrophoid small-breed dogs: 187 cases (1993-2013) JAVMA 2015

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14
Q

What are two key factors associated with cervical disc herniation in nonchondrodystrophoid dogs?

A

Higher mean number of affected discs
longer recover times

Cervical intervertebral disk herniation in chondrodystrophoid and nonchondrodystrophoid small-breed dogs: 187 cases (1993-2013) JAVMA 2015

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15
Q

What are common risk factors for development of aspiration pneumonia after unilateral arytenoid lateralization

A

Megaesophagus
Opiod using during anesthesia
Previous aspiration pneumonia did not affect risk

Risk factors for the development of aspiration pneumonia after unilateral arytenoids lateralization in dogs with laryngeal paralysis: 232 cases javma 2016

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16
Q

What are the clinical signs of black walnut ingestion - how is ingestion of the wood of the tree different from ingestion of the nut?

A

Wood - more likely to have neuro signs
Nuts - more likely to have GI signs

1) Clinical signs associated with ingestion of black walnut tree (Juglans nigra) wood, nuts, and hulls in dogs: 93 cases (2001–2012) JAVMA 2016

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17
Q

What is the remission rate of IMPA in dogs receiving cyclosporine therapy?

A

~70% - similar to prednisone
secondary infection occured in 2/10 of patients

Comparison of the efficacy of prednisone and cyclosporine for treatment of dogs with primary immune-mediated polyarthritis javma 0216

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18
Q

is there clinical benefit to administration of intraoperative lidocaine CRI for septic peritonitis?

A

Yes - increased odds of survival 8.77

Effect of intraoperative constant rate infusion of lidocaine on short term survival of dogs with septic peritonitis: 75 cases javma 2016

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19
Q

What is te reobstruction rate for patients undergoing urtetral surgyer w/ or w/o stent placement?

A

22% - no sig difference in reobstruction rate bt
time to reobstruction 203 days
most commonly d/t stones
Infection more likely in those w/ stents

Outcomes of ureteral surgery and ureteral stenting in cats: 117 cases (2006–2014) JAVMA 2016

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20
Q

Is a percutaneous hydraulic occluder a viable treatment option for cats?

A

Demonstrated successful in 3 cats
cystoscopy-assocated urethral tear, constipation, stranguria, hematuria, UTI as complications

Use of a percutaneously controlled hydraulic occluder for treatment of refractory urinary incontinence in three female cats JAVMA

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21
Q

What was the most common lab abnormality in Shih tzus with hepatocutaneous syndrome?

A

ALP
Microcytosis is also seen

Hepatocutaneous syndrome in Shih Tzus: 31 cases (1996–2014)
JAVMA 2016

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22
Q

What are two identified risk factors for leptospirosis infection?

A

Exposure to water and wild life

**Dematitis or otitis present in 14% of cases

Characterization of leptospirosis among dogs in Oregon, 2007–2011 JAVMA 2016

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23
Q

Are xylazine and dexmedeomidine effect at inducing emesis in cats?

A

43% xylazine, 58% of dexmedetomidine

2) Evaluation and comparison of xylazine hydrochloride and dexmedetomidine hydrochloride for the induction of emesis in cats: 47 cases

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24
Q

What is the recommended isolation period of dogs diagnosed with H3N2 virus?

A

Minimum of 3 weeks

Prolonged intermittent virus shedding during an outbreak of canine influenza A H3N2 virus infection in dogs in three Chicago area shelters: 16 cases (March to May 2015) JAVMA 2016

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25
What were the chocardiographic and histopathologic changes noted in a group of Rhodesian Ridgebacks with sudden death?
None were noted. Autosomal recessive Asymptomatic Ventricular arrhythmias in Rhodesian Ridgebacks with a family history of sudden death and results of a pedigree analysis for potential inheritance patterns JAVMA 2016
26
What is the efficacy of maropitant in cats w/ induced nausea with dexmedetomidine or morphine?
Improved vomiting, signs of nausea did not vary amongs dogs that did or did not receive maropitant Effects of maropitant in cats receiving dexmedetomidine and morphine JAVMA 2016
27
What are key differences in dogs undergoing splenectomy with benign vs malignant lesions.
PCV - higher in benign MST - 436 d vs 110 day More likely to have hypoechoic lesion in malignant Incidence of malignancy and outcomes for dogs undergoing splenectomy for incidentally detected nonruptured splenic nodules or masses: 105 cases (2009–2013) JAVMA 2016
28
What is the most important factor associated with development of diskospondylitis post decompressive surgery for IVDD?
Size - > 20 kg GSD in uinivariate Only occured in 2% of cases Risk factors for diskospondylitis in dogs after spinal decompression surgery for intervertebral disk herniation JAVMA 2016
29
What factors increase the likelihood for diagnosis of a heart base mass on survey thoracic radiographs?
Mass like opacity cranial to the heart that are effacing or sillhouting with the cardiac sillhouette or tracheal deviation Overal survery is a specific but poorly sensitive test Sensitivity, specificity, and interobserver variability of survey thoracic radiography for the detection of heart base masses in dogs JAVMA 2016
30
What is the survival rate of septic cats?
33% most cats were septic on arrival most were peritonitis Epidemiology of systemic inflammatory response syndrome and sepsis in cats hospitalized in a veterinary teaching hospital JAVMA 2016
31
What are the expected symptoms of diphenhydramide toxiciosis in dogs?
infrequent and mild Severe toxicity can be observed at doses of 45 mg/kg PO is most common route for toxicosis Diphenhydramine exposure in dogs: 621 cases (2008–2013) JAVMA 2016
32
What connection is there between laryngeal edema and function?
Up to 54% of patients with cough for any reason are likely to have laryngeall edema 19% of coughing dogs w/o other airway disease have either paresis or paralysis; cause and effect is unknown Laryngeal structure and function in dogs with cough JAVMA 2016
33
Is trazodone a reasonable anxiolytic for cats prior to treatment?
yes no sig differene in tpr or bp bt trazodone and non trazodone groups Efficacy of a single dose of trazodone hydrochloride given to cats prior to veterinary visits to reduce signs of transport- and examination-related anxiety JAVMA 2016
34
What is the most common leptospiral serovar amongst infected dogs in North America?
L. kirschneri serovar grippotyphosa Variable-number tandem-repeat analysis of leptospiral DNA isolated from canine urine samples molecularly confirmed to contain pathogenic leptospires JAVMA 2016
35
What are the expected outcomes for cats treated with famciclovir for the treatment of ocular, respiratory or dermatolig c disease related to feline herpes virus?
Greater improvement in 90 mg/kg vs 40 mg/kg PO q 8 hr shorter time to clinical improvment, shorter treatment times minimal side effects 10/59 - diarrhea, anorexia, increased thirst w/o change to USSG, vomiting JAVMA 2016
36
What was the most common initial radiographic change noted in juvenile dogs with diskospondylitits?
Narrowed disc space and subluxation of adjacent vertebrae end plate lysis noted later in disease Dogs had known blunt trauma, dog bite or systemic illness JAVMA 2016
37
What improves the treatment success of giardia duodenalis in group- housed dogs?
Removal from primary housing after 5 days to allow for compelte cleaning Febendazole was used daily for 10 days Tear film concentrations of doxycycline following oral administration in ophthalmologically normal dogs JAVMA 2016
38
What are key differences in the epidemiology of FCE vs acute noncopmpressive nucleous puplposus extrusion of the spinal cord due to disk herniation in dogs? (Royal Veterinary Hospital)
FCE = English Staffordshire Bull Terriers, non-painfull, younger, L4-S3 Lesion IVDD herniations = Border Collies older, C1-C5, painful, ambulatory at discharge
39
What is the most common reason for esophageal surgery in dogs? In cats?
FB. Stricture. Good short term outcome (90% survival rate) Long term - persistent regurgitation, stricture Perioperative morbidity and outcome of esophageal surgery in dogs and cats : 72 cases JAVMA 2016
40
What are the most common breeds associated with Tetralogy of Fallot?
Terrier (texts will say Keeshond and English Bull dog 4) Epidemiological, clinical, and echocardiographic features and survival times of dogs and cats with tetralogy of Fallot: 31 cases (2003–2014) JAVMA 2016
41
What is the estimated survival time of dogs with Tetralogy of Fallot?
Age at death: 23.4 months Survival time from diagnosis to cardiac related eath was related to murmur - shorter for low grade murmur Epidemiological, clinical, and echocardiographic features and survival times of dogs and cats with tetralogy of Fallot: 31 cases (2003–2014) JAVMA 2016
42
What joint is most likely affected by erosive IMPA? What size dog?
Carpal Small dogs Dogs can respond well to immune suppressive therapy Clinical features and pathological joint changes in dogs with erosive immune-mediated polyarthritis: 13 cases (2004–2012) JAVMA 2016
43
What is the frequency of incidental adrenal gland masses?
9.3% - more likely in older ALP and USG not related Prevalence of adrenal gland masses as incidental findings during abdominal computed tomography in dogs: 270 cases (2013–2014 JAVMA 2016
44
What is the correlation between BCS and CaOx stones?
Positive Dogs in this study with CaOx stones did not ave acidic urine or CaOx crystalluria at the time of diagnosis Comparison of body condition score and urinalysis variables between dogs with and without calcium oxalate uroliths JAVMA 2016
45
Is trazodone an effective anxiolytic for hospitalized dogs?
Reduced lip licking, panting and whining; reduced number of stress related behaviors and frenetic and freeze behaviors JAVMA 2016
46
Is there a benefit to concurrent administration of furosemdie and cyclophosphamide in regards to hemorrhagic cystitis?
Overall prevalence 3.6% - seems to help Incidence of sterile hemorrhagic cystitis in tumor-bearing dogs concurrently treated with oral metronomic cyclophosphamide chemotherapy and furosemide: 55 cases (2009–2015) JAVMA 2016
47
Which of the following is effected by hospitalization? a) gastric emptying c) gastric pH
Emptying but not pH Effect of hospitalization on gastrointestinal motility and pH in dogs JAVMA 2017
48
What is the primary factor associated with seropositivity for feLV and FIV?
Unhealthy In general: Ault, clinical disease, sexually intact male Resp disease FIV < feLV Oral disease FIV > feLV Bite wounds FIV > feLV Cats acquired as a newly adopted pet (maybe age related) less likely to test positive 4) Seroprevalences of feline leukemia virus and feline immunodeficiency virus infection in cats in the United States and Canada and risk factors for seropositivity
49
What are the key differences between a laprascopic and exploratory laparotomy for dogs with GI obstruction?
Longer w/ lap vs not Possible conversion to exploratory lap from laprascopic 3 out of 16 did not have complete exam 1) Diagnostic usefulness of laparoscopy versus exploratory laparotomy for dogs with suspected gastrointestinal obstruction JAVMA 2017
50
How does CT compare to abdominal ultrasound in diagnosis of mechanical obstruction - time, positive detection rate
Ct shorter Ct was consistently correct Ultrasonographic and computed tomographic characterization and localization of suspected mechanical gastrointestinal obstruction in dogs JAVMA 2017
51
How does feline facial pheromone effect stress scores on shelter cats?
No sig difference Owner-reliqunquished, cats in feral vs adult room were more stressed Longer stay in holding room resulted in lower Effect of a synthetic feline facial pheromone product on stress scores and incidence of upper respiratory tract infection in shelter cats JAVMA 2017
52
How does mast cell percentage in normal vs allergic vs locall MCT compare?
0% vs 0.05 (up to 0.55%) vs 0.4% (up to 77.4%) Normal sized LN still had possible mets - recommend always aspirate local LN in dogs w/ MCT Cytologic comparison of the percentage of mast cells in lymph node aspirate samples from clinically normal dogs versus dogs with allergic dermatologic disease and dogs with cutaneous mast cell tumors JAVMA 2017
53
What are some benefits in ureteral bypass device vs stent in cat?
Shorter procedure and hospitalization time Less likely to be symptomatic w/ UTI signs Decreased risk of occlusion Comparison between double-pigtail ureteral stents and ureteral bypass devices for treatment of ureterolithiasis in cats JAVMA 2017
54
What condition is most highly associated with aortic thromboemboism in dogs?
PLN Multicenter evaluation of signalment and comorbid conditions associated with aortic thrombotic disease in dogs JAVMA 2017
55
What breed may have an enhanced risk for ATE?
Shetland Sheepdog Multicenter evaluation of signalment and comorbid conditions associated with aortic thrombotic disease in dogs JAVMA 2017
56
What is the most significant predictor of survival time in dogs with hemangiosarcoma treated with splenectomy and chemotherapy?
Histologic grade 1 yr survival 42% vs 16% if mitotic figures < 11 **Many chemotherapy protocols used, 30 dog study Evaluation of clinical and histologic factors associated with survival time in dogs with stage II splenic hemangiosarcoma treated by splenectomy and adjuvant chemotherapy: 30 cases (2011–2014) JAVMA 2017
57
What are key differences in anaphylaxis and sepsis at the time of hospital admission?
Anaphylaxis - higher eosinophil count, higher AST, lower blood pH, shorter duration of signs, collapse more likely SIRS criteria met Sepsis - sig higher bands, serum glob, serum ALP, lower BG, longer duratio nof signs, abdominal pain, inappatence **Both had effsion, intestinal thickening, thickened GB wall; no difference in BP Comparison of clinical findings between dogs with suspected anaphylaxis and dogs with confirmed sepsis JAVMA 2017
58
What is isoniazid and what are the toxic manifestations? | What factors are associated with increased liklihood of survival?
Isonicotinic - treatment of tuberculosis Seizures and other CNS; GI, cardiovascular, resp possible but less common 61/87 survived Increased survival with lower dose and administration of pyridoxine (vitamin B6) Toxicosis d/t GABA inhibition d/t degredation of B6 and enhanced clearance Isoniazid toxicosis in dogs: 137 cases (2004–2014) JAVMA 2017
59
Is there benefit to administration of diphenhydramine prior to surgical removal of mast cell tumors?
No Antihistaminic and cardiorespiratory effects of diphenhydramine hydrochloride in anesthetized dogs undergoing excision of mast cell tumors JAVMA 2017
60
Is a point of care urine culture system an adequate substitute for testing through a reference lab?
Sens 93% and Spec 100% Not good at establishing susceptibility (40% accuracy) Clinical performance of a commercial point-of-care urine culture system for identification of bacteriuria in dogs JAVMA 2017
61
What are some noted coagulation abnormalities noted in cats with confirmed sepsis?
Prolonged Ptt, increased d-dimers, protein c and antithrombin DIC uncommon Clinical, laboratory, and hemostatic findings in cats with naturally occurring sepsis JAVMA 2017
62
What is the anticipated survival rate and associated factors for dogs treated outpatient for parvo virus?
25% mortality rate Dogs fed q 2-4 hr had a lower mortality rate age, bw, sex not significant treatment not controlled but most received SQ fluids, Maropitant, 1/2 received Convenia Evaluation of mortality rate and predictors of outcome in dogs receiving outpatient treatment for parvoviral enteritis JAVMA 2017
63
What is effect of BW and brachycephaly in dogs in regards to heat tolerance?
BW sig impaccts Bracycephaly sig impacts Effect of brachycephaly and body condition score on respiratory thermoregulation of healthy dogs JAVMA 2017
64
Is gabapentin a viable treatment to mitigate stress in cats prior to veterinary examination?
Yes Sedation occurs which resolves w/in 8 hr Effects of a single preappointment dose of gabapentin on signs of stress in cats during transportation and veterinary examination Javma 2017
65
What is the survival benefit of metastasectomy in osteosarcoma patients previously treated w/ amputation and chemotherapy?
MST w/o tx - ~ 50 days MST w/ 232 days Dogs w/ only pulmnary metastasis seemed to haev a survival benefit Prognosis for dogs with stage III osteosarcoma following treatment with amputation and chemotherapy with and without metastasectomy JAVMA 2017
66
What are the possible systemic effects of cutebrebra infection?
SIRS - 50% dog, 14% of cats (all dogs <4.5KG) 40% dogs had DIC (none in cats) Overall mortality 17%

Acvim Journals 2015-2019 (11 decks)

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