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Vet Reception Midterm Review > Midterm Review > Flashcards

Midterm Review Flashcards

1
Q

What info would you collect as a basic hx for a first-time kitten visit?

A 
o Breed and dsh, dmh, dlh and colour
o Age
o Sex
o Any previous medical history that’s known
o Normal behaviour and temperament
o Any questions or concerns?
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2
Q

What are 5 imp things to discuss with a client during a first-time kitten visit? Give examples for each

A 
o Kitten socialization and fear periods
o FLUTD and blocking	
o Nutrition	
o Litter box tips	
o Preventative healthcare - monthly preventatives and vaccines
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3
Q

What info would you collect as a basic hx for a second-time kitten visit?

A

o How did the pet do after the last visit?
o Any questions or concerns?
o How are they using the litterbox? – start to discuss prevention
o Any destructive or biting behaviours? – start to discuss prevention

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4
Q

What are 5 imp things to discuss with a client during a second-time kitten visit? Give examples for each

A 
o Teething	
o Enrichment
o Nutrition
o Scratching opportunities 
o Preventative healthcare - monthly preventatives and vaccines
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5
Q

What info would you collect as a basic hx for a third-time kitten visit?

A 
o How did they do after the last visit?
o How’s the toothbrushing going?
o How’s nail trimming going?
o Questions or concerns?
o How’s the litterbox use going?
o Any destructive behaviours present? Preventing these?
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6
Q

What are 5 imp things to discuss with a client during a third-time kitten visit? Give examples for each

A

o Nutrition for the next 12 months
o Spay/neuter plans
o Enrichment & behaviour
o Litter box issues
o Breed-specific medical issues and preventatives
o Preventative healthcare - monthly preventatives and vaccines

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7
Q

What info would you collect as a basic hx for a first-time puppy visit?

A 
o Species, breed, colour
o Age
o Sex
o Any previous medical history that’s known
o Normal behaviour and temperament
o Any questions or concerns?
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8
Q

What are 5 imp things to discuss with a client during a first-time puppy visit? Give examples for each

A 
o Puppy socialization and puppy classes
o Breed concerns
o Nutrition
o Housetraining
o Preventative healthcare - monthly preventatives and vaccines
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9
Q

What info would you collect as a basic hx for a second-time puppy visit?

A

o How did the pet do after the last visit?
o How are the things we discussed last time going (housetraining, nutrition, behaviour, etc.)?
o Any questions/concerns?

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10
Q

What are 4 imp things to discuss with a client during a second-time puppy visit? Give examples for each

A

o Teething
o Enrichment and physical activity
o Nutrition
o Preventative healthcare

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11
Q

What info would you collect as a basic hx for a third-time puppy visit?

A

o How did they di after the last visit?
o Questions/concerns?
o How is training going?
o Travel plans?

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12
Q

What are 5 imp things to discuss with a client during a third-time puppy visit? Give examples for each

A 
o Nutrition
o Exercise and activity
o Spay/neuter plans
o Breed-specific medical concerns and prevention
o Parasite control for the next year
o Vaccines plan
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13
Q

Age breakdown for cats

A

o Kitten < 1 year
o Adult – 1-8 years
o Senior – 9-13 years
o Geriatric – 14+ years

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14
Q

Age breakdown for dogs

A

o Puppy – less than 1 year
o Adult – 1-5/10 years
o Senior – giant breed ~5 years, medium breeds ~8 years, small breeds ~10 years

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15
Q

What info would collect as a basic hx for a cat adult wellness exam?

A
  • Any clinical symptoms present?
  • Any behavioural concerns?
  • Nutritional concerns?
  • Any changes in the home or lifestyle of the pet?
  • Any questions or concerns?
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16
Q

The layout of a cat’s adult wellness exam?

A
  • Collect hx
  • Physical exam (from nose to tail)
  • Vaccines for adult cats
  • Parasite control
  • Discuss common issues with cats and preventatives
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17
Q

Vaccines for adult cats?

A
  • FVRCP q 3 years
  • FeLV q 2 years
  • Rabies q 1-3 years
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18
Q

Common issues for adult cats?

A
  • Dental prophylaxis – specifically FORL & stomatitis: discuss dental care and health
  • Obesity: discuss nutrition
  • Behavioural issues: discuss prevention and solutions
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19
Q

What info would collect as a basic hx for a dog adult wellness exam?

A
  • Any clinical symptoms present?
  • Any behavioural concerns?
  • Nutritional concerns?
  • Any changes in the home or lifestyle of the pet?
  • Any questions or concerns?
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20
Q

The layout of a dog’s adult wellness exam?

A
  • Collect hx
  • Physical exam (from nose to tail)
  • Vaccines for adult cats
  • Parasite control
  • Discuss common issues with dogs and preventatives
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21
Q

Vaccines for adult dogs?

A
  • DAP(P) q 3 years
  • Rabies q 1-3 years
  • Bordetella and/or parainfluenza q 6 months - yearly
  • Leptospirosis and Lyme q yearly
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22
Q

Common issues for adult dogs?

A
  • Dental prophylaxis: discuss dental care and health
  • Obesity: discuss nutrition
  • Behavioural issues: discuss prevention and solutions
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23
Q

Age breakdown for senior cat apts?

A 
- Senior ~ 9 years
  Wellness exams q 6 months
  Bloodwork q 12 months
  Bloodwork ill patient q 6 months
- Geriatric ~ 14 years
  Wellness exams q 3-6 months depending on health
  Bloodwork q 6 months
  Bloodwork ill patient q 3 months
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24
Q

Discussions to have with senior cat clients?

A
  • Appetite and thirst?
  • Energy levels?
  • Engagement with family?
  • Play time decreasing?
  • How they sleep? (Arthritic pain vs CHF)
  • Where they sleep? (Not jumping anymore)
  • Attitude changes?
  • Development of specific symptoms?
  • Any questions or concerns?
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25
Q

Senior cat journal topics…

A 
o Appetite
o Thirst
o Urination
o Mobility
o QOL
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26
Q

Things to keep an eye out for to do with senior cats? What could they indicate?

A

o Appetite changes in cats much more significant than dogs
o Hyperthyroidism = increase appetite
o Kidney disease, hypothyroidism, and diabetes = decreased or pickier appetite
o Mouth cancer = not swallowing/chewing properly

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27
Q

The layout of the cat’s senior wellness exam?

A
  • Vaccine assessment: senior = FVCRP & Rabies q 3 yr & geriatric = none
  • Parasite prevention
  • Weight check-ins
  • Nutritional assessment
  • Physical exam (bloodwork routine)
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28
Q

Discussions to have with senior dog clients?

A
  • Appetite and thirst levels?
  • Energy levels?
  • Engagement with family and environment?
  • Play time?
  • Sleeping habits?
  • Attitude changes?
  • Specific questions or concerns?
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29
Q

Senior dog journal topics…

A 
o Appetite
o Thirst
o Urination
o Mobility
o QOL discussions
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30
Q

Vaccine assessment for senior dogs?

A
  • DAP(P) q 3 years
  • Rabies q 1-3 years
  • Bordetella and/or parainfluenza q 6 months - yearly
  • Leptospirosis and Lyme q yearly
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31
Q

The layout of the dog’s senior wellness exam?

A
  • Vaccine assessment
  • Parasite prevention
  • Weight check-ins
  • Nutritional assessment
  • Physical exam (bloodwork routine)
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32
Q

3 types of regulated mobile veterinary services permitted by the NSVMA?

A

o Ambulatory Care animal services
o Small Animal Mobile Clinic
o Small Animal Remote Services

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33
Q

Things to consider for farm calls?

A
  • Farm location
  • Proper and clear directions
  • Where are the animals that need an examination?
  • Should another person join the veterinarian?
  • Set up billing arrangements with the clinic
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34
Q

What can home calls provide? (examples)

A
  • Tx
  • Exams
  • Dx
  • Euthanasia
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35
Q

What can you NEVER do during a house call?

A
  • NO RADIOLOGY
  • Sx
  • ANESTHETIC
36
Q

Advantages of mobile pet services? (5+ examples)

A
  • Ideal for animals who can’t or don’t travel
  • Ideal for animals who are fearful of the veterinary clinic
  • Ideal for owners with limitations
  • Ideal for stay-at-home parents with kids
  • Useful if there’s no vehicle in a rural area or area where taxis won’t travel with the animal
  • It’s less stressful for the animal and the owner
37
Q

Disadvantages of mobile pet services? (5+ examples)

A
  • Much more expensive
  • Limitations
  • More people = more money
  • May need a second trip for things missed or forgotten
  • Hard to schedule
  • Puts veterinary at risk
38
Q

Questions to consider when booking house calls?

A
  • Client info
  • Patient info
  • History of condition
  • Assessment of urgency of appointment
  • Quote/billing
39
Q

Who should be performing the predental sx consult?

A

The veterinarian who will be performing the sx

40
Q

Patients need ____ before a dental sx?

A

A full physical exam

41
Q

Where can you never do a presurgical consult?

A

Over the phone!

42
Q

Parts of the predental consult?

A

a. Visual exam of the mouth
b. Discussion and explanation to owner
c. Putting results into perspective to realise what’s causing the issue (extractions, biopsy, etc.)
d. Discussion of Tx plan
e. Create an estimate
f. Discussion on estimate

43
Q

Purpose of a predental consult?

A 
o Access overall patients health
o Access stage of dental disease
o Create a Tx plan
o Create an estimate
o Discuss reality of costs with client
o Create trust and communication in preparation for day of procedure
44
Q

Parts of a presurgical consult?

A

o Full physical exam
o Full assessment of what needs surgery, often needing bloodwork
o Create a Tx plan
o Create an estimate
o Discuss plan with client
o Discuss reality of costs with client
o Create trust and communication in preparation for day of procedure

45
Q

Why would a spay/neuter be delayed?

A
  • In heat dog
  • Pregnant
  • Missed medical concern
46
Q

What’s the goal of presurgical bloodwork?

A
  • Try to identify hidden illnesses before sx
  • Reduces patient death
  • Improve patient’s health
  • Allows vet to safely administer anesthetic
47
Q

Death risks due to anesthetic?

A

o Healthy animals = 0.05-0.1%

o Sick animals = 1-2%

48
Q

What does an anesthetic do to the patient’s body?

A
  • Suppress brain function
  • Drops BP
  • Slows HR
  • Slows RR
  • Slows basal metabolic rate which drops body temperature
  • DOES NOT provide pain relief, just disconnects body from brain
  • You need to provide pain relief along with the anesthetic
49
Q

Two different kinds of pain meds used?

A
  • Opioids

- NSAIDS

50
Q

Questions to ask during presx bloodwork exam?

A
  • Appetite and thirst, any changes?
  • Any clinical signs of illness (V/D/C/S)
  • Energy and attitude?
  • Last meal was when?
  • Last dose of each medication was when?
  • Any known allergies?
  • Any previous issues with anesthesia?
  • Any other supplements or medications (flea meds, dewormers, herbals, the owners arthritis pills, etc.)
  • When was last litter or heat?
51
Q

Is chronic intermittent vomiting an emergency?

A

NO - Make apt for next couple days!

52
Q

Is acute severe vomiting an emergency?

A

YES - Determine whether they must come in right now or later today!

53
Q

What if the dog is unvaccinated against parvo?

A

Book apt right away! treat as parvo case!

54
Q

Questions to ask client about vomiting patient?

A
  • Any known cause?
  • When did it start?
  • What does the vomit look like?
  • Any other symptoms present or previously seen?
  • Describe what the vomiting looks like when the animal is doing it? Possibly regurgitation?
  • Any concurrent information?
  • On any medications?
  • Any known allergies?
  • Any previous hx of vomiting?
55
Q

Physical exam of vomiting patient?

A
  • BAR vs. QAR vs. depressed vs. comatose
  • Signs of abdominal pain (hunched, curled, vocalising when moving, etc.)
  • Hydration status
  • Careful exam of the entire GI system (mouth – anus)
  • Abdominal palpations
56
Q

There’s ___ quick fix for itchy patients?

A

NO

57
Q

Three types of allergies?

A
  • Atopy
  • Food
  • FAD
58
Q

There’s no ___ for allergies?

A

CURE

59
Q

You can add ___ to the patient’s files to remember what their skin looked like last apt?

A

PHOTOS

60
Q

Timeline for itchy patient exams?

A
  • Exam and history ~ 10 mins
  • Testing ~ 20 mins
  • Sedate and shave patient ~ 2-3 hours
  • Tx plan must be made
  • Meds must be administered or prescribed
  • Discuss findings with client and client education
  • Discussion on how this will be an ongoing issue
  • CAN TAKE UPWARDS OF MULTIPLE HOURS
61
Q

___% of apts are dermatological?

A

40%

62
Q

Important things to keep in mind when booking a skin apt?

A
  • First-time appointments are booked as an hour-long apt.
  • Schedule skin apts in between routine or wellness apts so the veterinarian and techs have time to look over the results and decompose in between patients.
  • Recurrent skin patient apts should be scheduled for longer than a first-time skin patient.
  • Many skin patients will require routine blood work and check-ups.
  • Educating clients is key to minimizing frustration!
63
Q

Examples of EMERGENCIES that must be booked in asap?

A
  • Overweight cat who hasn’t eaten in over 24 hours
  • Cat who’s straining to urinate for more than 48 hours
  • Senior dog who has DJD and can no longer stand
  • Patient who’s gait is affected
  • Acute eye damage or green discharge from the eyes
  • Respiratory distress in cats
  • Collapsed patient
  • Patient who has consumed toxins or FBs
  • HBC and acute injuries
  • Seizures (first-time or longer than 5 mins)
  • Bloated dog
64
Q

Examples of things that may seem like emergencies but can wait?

A
  • Skin patients (except for if there’s head tilt)
  • Ear infections
  • Conditions that are getting better
  • Limping patients who are still able to walk
65
Q

What are nosocomial infections?

A

Infections acquired in hospital

66
Q

What is an aseptic technique?

A

Describes various precautions taken to prevent nosocomial infections

67
Q

4 main sources of contamination?

A

o Operative personnel
o Surgical equipment and instruments
o Patient
o Surgical environment

68
Q

Instruments should be kept ___ and ____ immediately after use

A

Moist and washed

69
Q

Cleaning agents should have a ____ pH?

A

Neutral

70
Q

Labeling info for packing packs?

A

o Contents of the pack (gown, drape, towel, etc.)
o Size and type (S, M, L, 20X30, Blue/Green, etc.)
o Date of sterilization
o Initials

71
Q

A surgical needle is comprised of?

A

The point, body, and swaged edge

72
Q

Characteristics of suture materials?

A

o Tensile strength – Amount of force in psi until material will break
o Memory – Ability for the suture to return to its natural packaged state
o Flexibility - The ease in which the material can be manipulated
o Absorbability – Suture material is either absorbable or nonabsorbable
o Capillarity – The ability for microbes to wick and be carried into the site sutured
o Color – Some material is dyed to aid in identification, this is particularly helpful when sutures need to be visualized for placement/removal
o Knot security – Ability to remain knotted, multifilament usually remains a little more secure then monofilamented

73
Q

4 common suture materials?

A

o Common absorbable non-synthetic suture
o Common absorbable synthetic suture
o Common non-absorbable natural suture
o Common non-absorbable synthetic suture

74
Q

What is a tonopen?

A

Measures intraocular pressure

75
Q

What is a suction unit?

A

Removes bodily fluids

76
Q

What is an otoscope?

A

Visual examination of the middle and outer ear, upper throat, and nasal passageways

77
Q

What is an ophthalmoscope?

A

Tool for examination and dx of eye conditions

78
Q

What is an infusion pump?

A

“IV fluid pump” to administer fluids during sx

79
Q

What is a BAIR Hugger?

A

Heated blanket/wrap used for patients recovering from sx

80
Q

What is a doppler?

A

Old school monitoring device for BP and HR

81
Q

What is an electrocardiogram?

A

A test that detects and records the strength and timing of the electrical activity in the heart

82
Q

What position should you lay the patient in for an ECG?

A

Right lateral side!

83
Q

Factors that contribute to less contamination?

A

Proper cleanliness and preparation prior to surgery

84
Q

Sx attire?

A

o Scrubs! Bring extra!
o Surgery hood – no hair exposed in surgery suite
o Surgical masks
o Surgery shoes – specific to surgery room

85
Q

Important things to remember to stay sterile?

A

o Do not reach over sterile fields when passing equipment
o Hold packs away from the body to open
o Gowns are considered sterile at the front above the waist only and the shoulders down the arms
o Keep hands clasped in front of you, close to the body and above the waist or above the surgery table
o Important to pass each other back-to-back while in the surgical suite
o If an unsterile item touches a sterile item, both are now unsterile

86
Q

Basic materials needed in Sx suite?

A 
o Blade(likely #10) 
o Suture material(s) 
o Individually wrapped instruments 
o Suction hose/tips 
o Extra sterile gauze 
o  Sterile flush
87
Q

Steps to cleaning the Sx suite?

A

o Start with spot cleaning from top to bottom
o Lights collect dust and are easily missed
o Spot clean walls
o Disinfect all tables
o Allowing for appropriate contact time
o Drain and clean trough
o The surgery suite should have it’s own broom and mop used only for this room
o Sweep and mop all areas of the floor
o Allow to air dry

Vet Reception Midterm Review (1 decks)

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