Midterm 1 (retake) Flashcards

1
Q
Primary assessment of the circulation. Mark the incorrect answer!
A) Check for bleeding
B) Check mucous membranes and CRT
C) Check pulse rate and quality
D) Perform ECG and heart US examination
A

D) Perform ECG and heart US examination

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2
Q

Primary survey. Mark the incorrect answer!
A) Determine all organic disorders
B) Reveal direct life-threatening conditions
C) Check and stabilise circulation and respiration
D) Check and stabilise CNS

A

A) Determine all organic disorders (?)

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3
Q
Conditions of the musculoskeletal system requiring emergency care. Mark the incorrect answer
A) Open fracture
B) Intra-articular bone fracture
C) Patellar luxation
D) Severe muscular injury, laceration
A

C) Patellar luxation (?)

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4
Q

After a perivenous injection
A) The toes of the patient become swollen
B) A swelling develops at the injection site
C) The injection pressure drops
D) Apnea is frequent

A

B) A swelling develops at the injection site (?)

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5
Q
Which answer is wrong? Blood sampling may fail due to
A) Excessive strangulation
B) Hypovolemia
C) Excessive aspiration
D) Hypertension
A

D) Hypertension (?)

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6
Q
Which one is forbidden at the ICU?
A) Give medication
B) Give out information to the owner
C) Ask questions
D) Make notes in the treating chart
A

B) Give out information to the owner

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7
Q

Characteristic of canine chronic bronchitis
A) It is more common in old, large breed dogs
B) It is more common in young, small breed dogs
C) Inspiratory type dyspnoea
D) crackles and wheezes with ascultation

A

D) crackles and wheezes with ascultation

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8
Q
Which of the following features makes polyprolylene the most popular cardiovascular suture material?
A) Monofilament feature
B) Good tensile strength
C) Good knot security
D) Unique thrombophobic feature
A

A) Monofilament feature (?)

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9
Q

What does “atypical” operation mean?
A) One sort of life-saving surgeries
B) One sort of tumour removal procedures
C) Specific plastic surgical intervention
D) An individual procedure using the whole knowledge, experience and intuition of the surgeon

A

D) An individual procedure using the whole knowledge, experience and intuition of the surgeon

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10
Q
Which of the following suture patterns is tension relieving?
A) Simple interrupted
B) Purse string
C) Interrupted horizontal mattress
D) None of them
A

D) Interrupted horizontal mattress

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11
Q
Which of the following instrument is not the member of the abdominal instrumentation set?
A) Balfour self retaining retractor
B) Doyen clamp
C) Finochietto self retaining retractor
D) Atraumatic tissue forceps
A

C) Finochietto self retaining retractor

Also called: „rib spreader“

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12
Q

Which of the following prognostic factors had no impact on the disease free interval (DFI) in a retrospective study by McNiel et al (JAVMA, 1997) analysing cases with primary lung tumour removal via pulmonary lobectomy?
A) The histopathologic grade of the lung tumour
B) Clinical sigs
C) Regional lymphnode metastases
D) /-chemotherapy

A

D) /-chemotherapy

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13
Q
According to Shamir et al (JSAP, 2002), which of the following feature is incorrect concerning the typical canine population usually suffering from thoracic trauma
A) Male
B) Bite trauma
C) Bodyweight < 10 kg
D) Bodyweight <20 kg
A

C) Bodyweight < 10 kg

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14
Q

In the case of acute epistaxis/nasal bleeding
A) Immediate X-ray examination is required
B) Immediate rhinoscopy is required
C) as soon as possible haemostasis and coagulation profile laboratory tests are required
D) Nasal foreign body and fungal rhinitis can not be presumed in the background

A

C) as soon as possible haemostasis and coagulation profile laboratory tests are required (?)

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15
Q

Characteristic of aspiration pneumonia
A) Can be caused by megaoesophagus and laryngeal dysfunction
B) It’s prognosis can be influenced by the pH, volume and quality of the aspirated content
C) Glucocorticoid and furosemide are not recommended for it’s treatment
D) All the above mentioned are true

A

D) All the above mentioned are true

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16
Q

The point of maintenance infusion therapy is
A) treat dehydration
B) Replace obligatory fluid losses by an animal with anorexia and hypodipsia
C) Provide appropriate calorie intake
D) Giving low potassium containing infusions

A

B) Replace obligatory fluid losses by an animal with anorexia and hypodipsia

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17
Q

Choose the correct answer. Colloid infusions
A) Contain small molecular weight compounds
B) In a dosage less than 20 ml/kg/day they may induce coagulation
C) are used to treat dehydration
D) are used in hypovolemia combined with crystalloids

A

D) are used in hypovolemia combined with crystalloids

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18
Q
Which arytenoid structure is anchored during CAL
A) Processus muscularis
B) Processus cuneiformis
C) Processus corniculatus
D) None of them
A

D) None of them (?)

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19
Q

Which of the following categories is correct according to the wound edge approximation?
A) Skin - intradermal - subcutaneous - muscular - fascial
B) Interruped vs continuous
C) Appositional - interverting - tension relieving
D) Simple - mattress - cruciate

A

???

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20
Q
Which of the following suture materials is non-absorbable?
A) Polypropylene
B) Polydioxanone
C) Polyglactin
D) Polyglycolic acid
A

A) Polypropylene

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21
Q

Which answer is wrong? Benefits of a 3-way stopcock
A) Aseptic handling of venous catheter
B) Multiple infusions can be connected
C) Easier to apply small volume injections
D) It is harder for the anomal to pull the catheter from the vein

A

A) Aseptic handling of venous catheter

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22
Q

Which finding is incorrect about pneumonectomy cases in the retrospective multicenter study by Wavreille et al (Vet surg 2016)?
A) Primary lung tumours were represented in 52% of the indications
B) 76% of dogs and 80% of cats had postoperative respiratory complications
C) the acute perioperative (<24 hours) mortality was around 10%
D) “Subacute” (<2 weeks) postoperative mortality affected 1 dog and 2 cats

A

C) the acute perioperative (<24 hours) mortality was around 10%

23
Q
Which of the following suture materials is absorbable?
A) Polypropylene
B) Polyamide
C) both of them
D) none of them
A

D) none of them (?)

24
Q

A 12 year old cat presented with 5 days of anorexia. During physical examination you find the following parameters:
T: 38,6 C, HR: 160/min, RR: 20/min, CRT: <2 sec. The mucosal membranes are pink and dry. The skin turgor is is prolonged, the cat has enophtalmus and prolapsed nictating membranes. Based on the examination finding that the cat has
A) Hypovolemia
B) Dehydration
C) Hypovolemia and dehydration
D) The prolonged skin turgor because of her old age

A

B) Dehydration

25
Q

Which statement is incorrect regarding cervical tracheal resection/anastomosis?
A) Ventral cervical approach is usually applied
B) In adults even 50% of the tracheal length can be resected
C) In immature dogs even the 35% of the tracheal length can be resected
D) Either interrupted or continuous stiches are applicable for anatomosis

A

D) Either interrupted or continuous sticthes are applicable for anatomosis

26
Q

Characteristic of laryngeal paralysis
A) Usually old, large breed dogs are affected and the background is usually idiopathic
B) Its background cannot be a viral infection
C) Cannot be congenital
D) Endoscopy is unsuitable for diagnosis due to anaesthesia

A

A) Usually old, large breed dogs are affected and the background is usually idiopathic

27
Q

What does “3-metric” mean on a suture material pack?
A) The suture material has “grade 3” tensile strength
B) The suture material absorption time is 3 months
C) The suture material is 0,3 mm of diameter
D) The suture material is 0,3 meter (30 cm) long

A

C) The suture material is 0,3 mm of diameter

28
Q

Which statement is incorrect regarding thoracic tracheal resection/anatomosis
A) Right 2nd-4th intercostal lateralis thoracotomy is usually applied
B) In adults even the 50% of the tracheal length can be resected
C) In immature dogs even the 25% of the tracheal length can be resected
D) Only interrupted stitches are applicable for anastomosis

A

A) Right 2nd-4th intercostal lateralis thoracotomy is usually applied

29
Q

Characteristic of canine/feline bacterial pneumonia
A) Usually a primary disease
B) Good general condition, cough
C) Its background is usually a viral infection, foreign body or food aspiration
D) Normal body temperature, good general condition, good appetite

A

C) Its background is usually a viral infection, foreign body or food aspiration

30
Q

Characteristics of critical care. Mark the incorrect answer!
A) The order of examination and therapeutic methods are different than in non-emergency cases
B) Diagnostics and therapy overlap each other in order to gain time
C) The examination consists of two phases: primary and secondary survey
D) All emergency patients require intensive ward care

A

D) All emergency patients require intensive ward care

31
Q
Which of the following can you not give SC?
A) Microchip
B) Crystalloid infusion
C) Hormone implant
D) Injections containing glucose
A

D) Injections containing glucose

Jana: (crystalloid infusions)

32
Q

The peripheral venous catheter
A) Has a valve in the upper (coloured cap) connection port
B) The upper (coloured cap) connection port communicates freely with the vein
C) Has a valve in the rear (white cap) connection port
D) The rear (white cap) connection port is only suitable for inections

A

???

33
Q
Which of the following statement is incorrect? An active drain
A) is not recommended as flushing drain
B) can be open suction-drain
C) can be closed suction drain
D) is used as a flushing drain
A

A) is not recommended as flushing drain

34
Q
Which sign of the following reflects the most severe acute respiratory distress
A) Dyspnoe
B) Cyanosis
C) Hyperventilation
D) Labial breathing
A

A) Dyspnoe

35
Q
How many lung lobes does the dog have?
A) 5
B) 6
C) 7
D) 8
A

B) 6

36
Q

Which statement is incorrect regarding midline sternotomy?
A) It causes significantly bigger postoperative pain compared to lateral thoractomy
B) Oscillating saw or osteotome is necessary for the approach
C) Finochietto rib retractor or Gelpi retractor is applicable
D) It is indicated my mediastinal and/or bilateral thoracic conditions

A

A) It causes significantly bigger postoperative pain compared to lateral thoractomy (?)

37
Q
Which of the following sterilisation methods operates at the highest temperature?
A) Autoclave (steam)
B) Gamma-beam radiation
C) Ethylene-dioxide sterilisation
D) Dry heat sterilisation
A

D) Dry heat sterilisation

38
Q

Which of the following statement is correct? A passive drain
A) Is always a single-exit drain
B) can only be used as double exit drain
C) Is mostly used for flushing
D) Is more effective with a compression bandage on it

A

Is always a single-exit drain

39
Q
Which of the following USP numbers indicates the thickest suture material?
A) 0
B) 2-0
C) 2
D) 3-0
A

C) 2

40
Q
According to Poncet classification system for BAOS which is the most defining clinical condition of the grade III category?
A) Severity of stridor/stertor
B) Syncope
C) Duration of clinical signs
D) Grade 3 laryngeal collapse
A

C) Duration of clinical signs

41
Q
In which of the following breeds is the congenital laryngeal paralysis common?
A) Hungarian vizsla
B) Husky
C) Greyhound
D) Pointer
A

B) Husky

42
Q

In which of the following conditions is the rhinotomy not the primarily indicated therapy?
A) Nasal foreign body abscess
B) Nasopharyngeal polyp
C) Chronic, conservative therapy-resistant rhinitis
D) Nasal adenocarcinoma

A

D) Nasal adenocarcinoma

43
Q
According to WSAVA Vaccination Guidelines, issued in 2016, the last injection of puppy series is at the age of
A) 10 weeks
B) 12 weeks
C) 16 weeks
D) 18 weeks
A

B) 12 weeks

44
Q
What is the "Golden Period" in the treatment of fresh traumatic wounds?
A) 1-2 hrs from injury
B) 6-8 hrs from injury
C) 12-24 hrs from injury
D) 24-48 hrs from injury
A

B) 6-8 hrs from injury

45
Q
What is the normal heart rate per minute in dogs?
A) 90-150
B) 120-180
C) 40-80
D) 60-120
A

D) 60-120

46
Q
Which instrument is not member of the thoracic surgical set?
A) Balfour rib retractor
B) De Bakey/Satinsky vascular clamp
C) Mixter dissector
D) Long Mayo-Hegar needle holder
A

Long mayo Hagar needle holders

47
Q
Which of the following features defines the suture material's drainage ability?
A) Monofilament vs. multifilament
B) Tensile strength
C) Knot security
D) Absorption
A

Absorption

48
Q
Characteristic of feline asthma
A) Eosinophilia in 70% of the cases
B) Most common in Persian cats
C) The cytological and microbiological examination of bronchoalveolar lavage is highly important in its diagnosis
D) All coughing cats have asthma
A

C) The cytological and microbiological examination of bronchoalveolar lavage is highly important in its diagnosis

49
Q

Characteristic of canine chronic bronchitis
A) Bronchial pattern on X-ray
B) Mucopurulent discharge in the bronchi during bronchoscopy
C) Cytology and microbiology of BAL are required
D) All the above are true

A

D) All the above are true

50
Q
What is spongostan (tm)
A) Oxidated cellulose mesh
B) Gelatin sponge
C) Polypropylene mesh
D) Polyesther sponge
A

B) Gelatin sponge

51
Q
Which approach is recommended for nasal opening in brachycephalic breeds?
A) Dorsal rhinotomy
B) Ventral rhinotomy
C) Doral rhinotomy sinus trephination
D) Ventral rhinotomy sinus trephination
A

B) Ventral rhinotomy

52
Q

Which of the following clinical findings is not member of the diagnostic triad defining the absolute indication of surgery in case of thoracic trauma?
A) Status of the thoracic wall
B) Skin defect on the thoracic wall
C) Positive radiological finding of lung contusion
D) ARD

A

Skin defect on the thoracic wall

53
Q
Which is the upper most muscle layer to be incised during lateral thoracotomy?
A) Dorsal Latissimus m.
B) Dorsal serratus m.
C) Ventral serratus m.
D) M. cutaneus trunci
A

D) M. cutaneus trunci