Physical Exam Topo

Question 1

PULSE TAKING

Pulse taking from metatarsal?

Answer 1

Dorsal pedal artery

[Cranial tibial a. – Dorsal MT – Dorsal pedal]

Question 2

PULSE TAKING

Which artery is used for pulse taking in each species?

CA, EQ, RU

Answer 2

CA – femoral a.
EQ – facial a.
RU – coccygeal a. (but also facial and palmar aa.)

Question 3

INTRAVENOUS INJECTION

Where to give I.V. for each species?
CA, EQ, RU

Answer 3

CA - External jugular, cephalic, saphenous vv.
EQ - External jugular v.
RU – Cranial vena cava, v. jugularis, (also; sinus orbitalis, dorsal ear)

Question 4

BLOOD DRAINING

Where to draw blood for each species?
CA, EQ, RU, SUS

Answer 4

CA – Cephalic, saphenous vv.
EQ – External jugular v.
RU – Cranial vena cava, coccygeal v.
SUS – Cranial vena cava, auricular v.

Question 5

EQUINE RECTALS

What can you find in a rectal examination?

Answer 5

Left kidney; caudal part 
Root of mesentery 
Caecum 
Colon 
Cecal, Mesenteric lymph nodes

Question 6

EQUINE RECTALS

Can you palpate the spermatic cord?

Answer 6

Yes

Question 7

EQUINE RECTALS

Which kidney can you palpate?

Answer 7

Caudal part of left kidney

[since the right kidney is fused with the head of caecum]

Question 8

EQUINE RECTALS

Which inguinal ring can you feel?

Answer 8

Deep Inguinal ring

Question 9

EQUINE RECTALS

What urogenital lig. Can be used for orientation during a rectal examination?

Answer 9

Lig. Renolieanlis

Question 10

RUMINANT RECTALS

Which diverticulum can you feel?

Answer 10

Sub-urethral diverticulum

Question 11

RUMINANT RECTALS

What can you find in a rectal examination?

Answer 11

Left - Rumen, abomasum, spleen (also, any bony dislocations)
Middle – Both kidneys, left ureter, ovaries
Right - Small intestines, caudal flexure of duodenum, bladder, uterus, colon

Question 12

PUNCTA MAXIMA
EQUINE:

Valve Left side
Pulmonary:
Aorta:
LAV:

Valve Right side
RAV:

Answer 12

Eq
Valve Left side 
Pulmonary Tr. 3 i.c. Distal third
Aorta 4 i.c. (5 cm below shoulder)
LAV 4-5 i.c. - Distal third

Valve Right side
RAV 3-4 i.c. - Distal portion

Question 13

PUNCTA MAXIMA
RUMINANT:

Valve Left side
Pulmonary:
Aorta:
LAV:

Valve Right side
RAV:

Answer 13

Ru
Valve Left side 
Pulmonary Tr. 2-3 i.c. - Distal third
Aorta 3-4 i.c.(2 cm below shoulder)
LAV 4 i.c - Distal third

Valve Right side
RAV 3 i.c. - Distal portion

Question 14

PUNCTA MAXIMA
CANINE:

Valve Left side
Pulmonary:
Aorta:
LAV:

Valve Right side
RAV:

Answer 14

Ca 
Valve Left side
Pulmonary Tr. 3 i.c. (above sternum)
Aorta 4 i.c. (shoulder level)
LAV 5 i.c. - Distal third

Valve Right side
RAV 4 i.c. - Distal portion

Question 15

LUNG BOARDERS
EQUINE:

of ribs:

List the 4 intercostal spaces associated with the caudal lung boarder, and at what level they can be found.

Answer 15

Eq - 18 Ribs

1. 17th i.c. at the level of the Vertebral Column
2. 16th i.c. at the level of the Tuber Coxae
3. 14th i.c. at the level of the Tuber Ischiadicum
4. 9th i.c. at the level of the Shoulder Joint

Question 16

LUNG BOARDERS
CANINE:

of ribs:

List the 4 intercostal spaces associated with the caudal lung boarder, and at what level they can be found.

Answer 16

Ca - 13 ribs

1. 12th i.c. at the level of the Vertebral Column
2. 11th i.c. at the level of the Tuber Coxae
3. 10th i.c. at the level of the Tuber Ischiadicum
4. 8th i.c. at the level of the Shoulder Joint

Question 17

LUNG BOARDERS
RUMINANT:

of ribs:

List the 4 intercostal spaces associated with the caudal lung boarder, and at what level they can be found.

Answer 17

Ru - 13 ribs

1. 12th i.c. at the level of the Vertebral Column
2. 11th i.c. at the level of the Tuber Coxae
3. –N/A– at the level of the Tuber Ischiadicum
4. 8th i.c. at the level of the Shoulder Joint

N/A = non-applicable