practice questions Flashcards

1
Q
  1. Which of the Following Statements is TRUE concerning both ethylene glycol and cholecalciferol?
    a. Dogs are the most sensitive species
    b. They are absorbed mainly from the intact skin
    c. They are metabolizaed by hepatic alcohol dehydrogenase
    d. They cause precipitation of calcium in kidney tubules
    e. They are excreted unchanged in urine
A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. Less toxic to young calves (30 day old) than adult cattle is
    a. urea
    b. monensin
    c. sodium ion/water deprivation
    d. lead
    e. 2,4 - D
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Which of the following toxicants is MOST likely to cause degeneration and pale areas in the myocardium and skeletal muscles, as well as damage in the liver and kidney in most spp?
    a. organophosphate
    b. sodium ion/water deprivation
    c. monensin
    d. urea
    e. none of the above
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. What is the combination of blood chemistry, which BEST characterizes urea (NPN) toxicosis in ruminants?
    a. acidosis, hyperkalemia, hyperglycemia, and elevated BUN
    b. acidosis, hypoglycemia, normal BUN, and hypokalemia
    c. alkalosis, elevated BUN, hypokalemia, and hypoglycemia
    d. alkalosis, normal BUN, hyperglycemia, and hyperkalemia
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. The clinical signs associated with water deprivation/sodium ion toxicosis in swine are thought to be MAINLY caused by
    a. Elevated sodium in the neurons
    b. Elevated sodium in the plasma
    c. Eosinophilic perivascular cuffing
    d. Cerebral edema and over hydration of nerve cells
    e. Focal bilateral malacia of the spinal cord
A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Urea toxicosis is MAINLY due to
    a. accumulation of ammonia metabolite
    b. direct effect on rumen microflora
    c. direct stimulation of urea on the precursor of urease enzyme
    d. depletion of ammonia metabolite
    e. all of the above are correct
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. A toxicant which may cause signs in the horse similar to a human having a heart attack [tachycardia with possible arrhythmias, prominent jugular pulse, cold extremities, profuse sweating, fear, incoordination] is
    a. urea
    b. monensin
    c. lead d. inorganic arsenic e. CHC insecticides
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. Urea toxicosis in cattle is a common disease that is due to hydrolysis of urea to release ammonia which inhibits citric acid cycle resulting in CNS stimulation signs and muscle tremors that usually take several hours to develop.
    a. True
    b. False
A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. The MOST likely pathognomonic evidence of water deprivation/sodium ion toxicosis in swine is
    a. history of feeding sodium at 5%
    b. Clinical signs of intermittent conclusive seizures and maniacal signs
    c. eosinophilic meningoencephalitis
    d. prominent cerebral edema
    e. serum sodium level of 145 mEq/L and CSF sodium level of 140 mEq/L
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Feeding of urea as a source of inexpensive protein supplementation in cattle rations has become generally accepted. This is true in spite of the highly highly toxic effects occasionally encountered. Which of the following statements is TRUE?

a. Urea contains no protein as such but is broken down by rumen microflora to ammonia which is then utilized by the rumen microflora to form cellular protein which is utilized by the host
b. Chronic urea toxicosis leads to weight loss and poor performance
c. Urea toxicosis results most often from overfeeding, inadequate mixing, exposures to the concentrated premix, and is therefore a very uncommon occurrence in USA
d. Urea toxicosis produces all of the following postmortem findings: gastroenteritis, pneumonia, nephritis, hepatitis and mehemoglobinemia.
e. Urea toxicosis in mature cattle is treated by administration via stomach tube of 1 gallon of 5% kerosene to stop the production of ammonia

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. A feedlot steer that survived an overdose of monesin in the feed was found dead 3 weeks later. The MOST likely cause of death, if related to the monesisn toxicosis is
    a. persistent depolarization and arrhythmia as a result of the sodium and calcium channeleffects
    b. Pulmonary hypertension induced by the toxic cardiac changes caused by monensin
    c. Cardiac fibrosis and insufficiency as a result of cardiac muscle necrosis during acute monensin toxicosis
    d. cardiac insufficiency because of the monensin inhivition of sodium-postassium adenosine triphosphate (ATPase)
    e. Reduced energy levels in cardiac muscle following inhibition of oxidative phosphorylation by monensin
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following NPN sources is LEAST toxic?

a. ammonium sulfate
b. ammonium chloride
c. ammonium phosphate
d. biuret
e. urea

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. A dog has ingested large amounts of ice melts and showing signs that include vomiting polydipsia, polyuria, muscle fasciculations, sinus tachycardia, metabolic acidosis, and seizures is MOST likely poisoned with
    a. sodium chloride
    b. cholecalciferol
    c. metaldehyde
    d. 2,4-D
    e. urea
A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following statements about toxicokinetics of monensin is LEAST accurate?

a. Ruminants absorb 50% of orally administered monensin
b. Monogastric animals absorb most of the monensin they ingest
c. Monensin and its metabolites are mainly excreted in urine
d. Blood levels of monensin are relatively small in all species
e. Horses do not eliminate monensin as rapidly as cattle

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Muscle necrosis induced by ionophore toxicosis causes moderate to marked increase of

a. Lactic dehydrogenase (LDH)
b. Alkaline phosphatase (AP)
c. Creatinine phosphokinase (CPK)
d. Potassium
e. Calcium

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

All of the following factors increase urea toxicity EXCEPT

a. Hepatic insufficiency
b. Alkaline rumen pH
c. Dehydration
d. High Energy Diet

A

D

17
Q

Which of the following clinicopathological parameters is LEAST likely to be elevated in a horse poisoned with monensin?

a. Lactic dehydrogenase (LDH)
b. Alkaline phosphatase (AP)
c. Creatine phosphokinase
d. Calcium

A

D

18
Q

Urea is commonly used in ruminants as a feed additive because it is an exonomical and efficient source of protein and minerals such as sulfur and phosphorus

a. True
b. False

A

B

19
Q

Which of the following serum parameters is LEAST likely to be elevated in urea toxicosis?

a. ammonia
b. BUN
c. glucose
d. pH
e. Transaminases [ALT, AST]

A

D

20
Q

Which of the following about clinical signs of urea toxicosis is LEAST accurate?

a. Slow onset of clinical signs [24-48hrs]
b. nausea and salivation
c. muscle tremors and convulsive seizures d. Urination

A

A

21
Q

All of the following can be used in the treatment of ionophore toxicosis EXCEPT

a. selenium-vitamin E in cattle and swine
b. activated charcoal
c. mineral oil
d. digoxin
e. fluid therapy

A

D

22
Q

Which of the following statements about utilization of urea and other NPN sources in ruminants is LEAST accurate?

a. urea undergoes hydrolysis by urease enzymes in the rumen to produce ammonia and CO2
b. Biuret undergoes hydrolysis by biuretase enzyme in the rumen to produce ammonia and carbon dioxide
c. the optimum pH for urease reaction is alkaline [pH 7.7-8.0] and the optimum temperature is 49 C
d. Urea produces carbon dioxide and ammonia at a much slower rate than biurate hydrolysis
e. carbohydrates or volatile fatty acids are sources of carbon chain for microbial protein

A

D

23
Q

Which of the following tissues is LEAST likely to be a target for ionophore cell damage?

a. myocardium
b. CNS
c. Kidney
d. Skeletal muscles
e. diaphragm

A

C

24
Q

A horse that dies suddenly weeks or months after recovering from acute intoxication is MOST likely poisoned with

a. Urea
b. Monensin
c. Sodium ion-water deprivation
d. Fluoroacetate (compound 1080)
e. anticoagulant rodenticides

A

B

25
Q

The clinical signs associated with sodium ion intoxication in swine are throught to be MAINLY caused by eosinophlic perivascular cuffing.

a. True
b. False

A

B

26
Q
  1. Which of the following NPN sources is MOST toxic?
    a. ammonium sulfate
    b. ammonium chloride
    c. ammonium phosphate
    d. biuret
    e. urea
A

E

27
Q

Assuming rapid chemical anaylsis, sample preservation is MOST essential to making a diagnosis of

a. organophosphate
b. urea
c. lead d. monensin e. metaldehyde

A

B

28
Q

Urea toxicosis is usually associated with rumen alkalosis which results in rumen diagnosis of

a. True
b. False

A

B

29
Q

Which of the following clinicopathologic parameters is LEAST likely to be elevated in a horse poisoned with monensin?

a. Lactic dehydrogenase [LDH]
b. Alkaline phosphatase [AP]
c. Creatine phosphokinase [CPK]
d. PCV
e. Potassium

A

E

30
Q

Which of the following conditions is LEAST likely to elevate rumen pH?

a. Fasting
b. Protein overload such as soybean
c. Grain overload
d. Urea toxicosis

A

C

31
Q

Acute renal failure as a result of ethylene glycol toxicosis usually occurs how long after ingestion in the dog?

a. 1-6 hours after ingestion
b. 6-12 hours after ingestion
c. 12-4 hours after ingestion
d. 24-72 hours after ingestion
e. 5 days after ingestion

A

D

32
Q

Which of the following is LEAST likely a clinicopathologic change in ethylene glycol poisoning ?

a. hypercreatinemia
b. hyperphosphatemia
c. hyperkalemia
d. systemic alkalosis
e. high serum urea nitrogen [SUN]

A

D

33
Q

Which of the following statements about fomepizole [4-methyl pyrazole] is LEAST accurate?

a. It is a competitive inhibitor of alcohol dehydrogenase
b. It is used as antidote for ethylene glycol poisoning in dogs and cats
c. It inhibits formation of toxic metabolites
d. It is most effective with in 3 hrs or ethylene glycol ingestion
e. It does not increase serum osmolality or depress the CNS at recommended doses

A

B

34
Q

Adding 2% ferric chloride to urine sample results in purple color urine is used to detect the presence of which of the following toxicants in urine?

a. ethylene glycol
b. phenol
c. detergent
d. bleach
e. propylene glycol

A

B