Progressive Ethmoid Hematoma

Question 1

Definitive diagnosis of progressive ethmoid hematoma in horses is made by

a. endoscopic examination
b. hx and clinical examination
c. CT
d. histopathologic examination

Answer 1

D

Question 2

What is the prognosis for long-term resolution of progressive ethmoid hematoma?

a. grave no matter what treatment is performed
b. good if treated with intralesional formalin
c. guarded to poor no matter what treatment is performed
d. good if treated with surgical excision and cryotherapy of the base

Answer 2

C

Question 3

In what breed have there been no reports of progressive ethmoid hematoma

a. warmblood
b. arabian
c. tennessee walking horse
d. standardbred

Answer 3

D

Question 4

What causes the color variations of the progressive ethmoid hematoma when viewed through a video endoscope?

a. age of the lesion
b. fibrosis of the mass
c. type and distribution of hemoglobin pigments
d. none of the above

Answer 4

C

Question 5

What is the most common clinical sign observed in horses with progressive ethmoid hematoma?

a. coughing
b. epistaxis
c. head pressing
d. respiratory distress

Answer 5

B

Question 6

Which survey radiographic view most consistently demonstrates the lesion associated with progressive ethmoid hematoma?

a. dorsoventral
b. oblique
c. lateral
d. none of the above

Answer 6

C

Question 7

Diagnostic differentials after visualization of the mass lesion with the video endoscope should include all of the following except?

a. pulmonary neoplasia
b. nasal trauma
c. nasal neoplasia
d. mycotic rhinits

Answer 7

A

Question 8

What is the most substantial complication after surgical excision of a progressive ethmoid hematoma?

a. facial deformity
b. respiratory distress
c. wound dehisence
d. hemorrhage

Answer 8

B

Question 9

Formalin (10%) treatment for progressive ethmoid hematoma in the horse is administered via which route?

a. intralesional injection
b. intravenous injection
c. intramuscular injection
d. a nasogastric tube placed in the stomach

Answer 9

A

Question 10

To monitor for recurrence after treatment of a progressive ethmoid hematoma, repeat endoscopic examinations should be performed at ___ intervals for ___

a. 2 week; 2 years
b. 1 month; 1 year
c. 3 to 6 month; 5 years
d. 1 year; 10 years

Answer 10

C