Sam 2 Flashcards
Which macrocyclic lactone is used in our university clinic as part of the complex treatment of heartworm?
a. Selamectin
b. Ivermectin
c. Moxidectin
d. Milbemycin oxime
c. Moxidectin
How can you distinguish between a ventricular and a supraventricular arrhythmia on the ECG?
a. /the QRS complex is always wide in ventricular arrhythmias
b. /The QRS complex is always of normal width in the case of supraventricular arrhythmia
c. / P-wave is always visible in front of QRS complex in supraventricular arrhythmias
d. / P-wave never seen in supraventricular arrhythmias before QRS complex
a. /the QRS complex is always wide in ventricular arrhythmias
What modality is used in two dimensional real time imaging of cardiac structures?
a. B-mode
b. Color doppler
c. M-mode
d. Spectral doppler
c. M-mode
Which of the following is the main “shock organ” of the horse and the dog?
a. Liver
b. Lung
c. GI tract
d. Pancreas
c. GI tract
Not typical clinical sign in cats in case of so called riding thrombus:
a. Caudal limb paralysis
b. Loud vocalization
c. Dyspnoe
d. Loss of femoral pulse(s)
c. Dyspnoe
What changes do you expect to find in case of severe pulmonic stenosis?
/ Left ventricular concentric hypertrophy
/ Right ventricular concentric hypertrophy
/ Left ventricular dilation
/ Right ventricular dilation
/ Right ventricular concentric hypertrophy
What is the most important compensation priority during heart failure?
Maintenance of systemic venous blood pressure
Maintenance of systemic arterial blood pressure in vital organs
Keeping systemic arterial blood pressure low in non-vital organs
Maintenance of systemic arterial blood pressure in vital organs
Reduction of ventricular afterload during heart failure
a. Always beneficial
b. Should only be used in mild heart failure
c. Should only be used in severe heart failure
d. Extremely risky
c. Should only be used in severe heart failure
In which clinical category can ascites occur in canine heartworm disease? During the 2. category During the 3. category During the 2. and 3. category During none of them
During the 3. category
NOT characteristic of feline hypertrophic cardiomyopathy (HCM)? May cause thromboembolism May cause sudden death Often has long survival Causes right sided heart dilation
Causes right sided heart dilation
How can you determine the left atrial-aortic ratio (LA/AO) during the echocardiography?
a. Measure the diameter of the aorta and the diameter of the left atrium in the same long axis view
b. Measure the diameter of the aorta and the diameter of the left atrium in the same short axis view
c. Measure the diameter of the aorta in short axis and measure the diameter of the left atrium in long axis view
d. Measure the diameter of the left atrium in short axis and measure the diameter of the aorta in long axis view
a. Measure the diameter of the aorta and the diameter of the left atrium in the same long axis view ??
c. Measure the diameter of the aorta in short axis and measure the diameter of the left atrium in long axis view ??
Classification of pimobendan:
a. ACE inhibitor
b. Ca-channel sensitizer and phosphodiesterase inhibitor
c. A bipyridine derivative
d. Ca-channel sensitizer and alpha-adrenergic blocker
b. Ca-channel sensitizer and phosphodiesterase inhibitor
Which drug does not have a significant diuretic effect in small animals? a. Furosemide
b. Torasemide
c. Spironolactone
d. Hydroclorothiazide
c. Spironolactone
acemaker implantation is justified:
a. For the treatment of supraventricular tachycardias
b. For the treatment of ventricular tachycardias
c. For treatment of 3rd-degree AV block
d. For treatment of 1st- degree AV block
c. For treatment of 3rd-degree AV block
What is the most common cardiac disease in cats? a. ARVC
b. DCM
c. HCM
d. RCM
c. HCM
What medicine should be given to a dog with grad B2 mitral valve disease (MMVD)?
a. ACE inhibitor
b. Pimobendan
c. Furosemide
d. None of them
b. Pimobendan
Electrosurgery. Pick the false answer!
a. In a monopolar system, a large-surface return electrode must be placed on the
patient ́s body
b. In monopolar systems, if the contact surface between the return electrode and body
is small, burns may occur
c. Forceps-like bipolar systems do not require large-surface return electrode
d. The efficiency and patient safety of the monopolar system is better
d. The efficiency and patient safety of the monopolar system is better
What is the most reliable diagnostic method in pneumothorax
a. Radiography
b. Physical examination
c. Ultrasonography
d. Thoracoscopy
a. Radiography
Which of the following organs is the source of MDF release in shock?
a. Liver
b. Lung
c. GI tract
d. Pancreas
d. Pancreas
What medicine should be given to a dog with grade B1 mitral valve disease (MMVD)?
a. ACE inhibitor
b. Pimobendan
c. Furosemide
d. None of them
d. None of them
PDA means…
a. Abnormally directed Botallo ligament
b. Patency of the botallo duct
c. Abnormally directed aortic arch
b. Patency of the botallo duct
What is the goal of asepsis?
a. To prevent contamination
b. To reduce contamination
c. To allow contamination
d. All the above
a. To prevent contamination
The most common heart disease in cats:
a. Mitral endocardosis
b. Hypertrophic cardiomyopathy
c. Subvalvular aortic stenosis (SAS)
d. PDA
b. Hypertrophic cardiomyopathy
Which is the wrong answer? Supraventricular arrhythmias are
a. Caused by atrial disease (e.g. dilation)
b. Often caused by extracardiac diseases (e.g. pancreatitis)
c. Sometimes caused by fibrosis of the AV-node
d. Maybe caused by increased vagal tone
c. Sometimes caused by fibrosis of the AV-node
Suture types. Pick the false answer!
a. One or more tissue layer may be used according to the tissue type
b. For wound closure, “layer to layer”, inverting and relaxing techniques may be used
c. The pattern may be interrupted or continuous
d. Regardless of the suture type, the knots should be placed on the wound line
d. Regardless of the suture type, the knots should be placed on the wound line
The most common heart disease in dogs
a. Mitral endocardosis
b. Dilated cardiomyopathy
c. Subvalvular aortic stenosis (SAS)
d. PDA
a. Mitral endocardosis
Both digoxin, calcium channel blockers (e.g. diltiazem) and beta-blockers (e.g. atenolol):
a. Reduce the conduction velocity in the AV node
(decrease AV nodal conduction)
b. Increase the rate of conduction in the AV node
c. Reduce the contractility of the heart
d. Increase the contractility of the heart
a. Reduce the conduction velocity in the AV node
In which alteration is the dislocation of the cardiac dullness can be characteristic?
a. In lung edema
b. In lung fibrosis
c. For a space occupying mass within the thoracic cavity
d. In pleural effusion
d. In pleural effusion
How the heart will respond to increased preload?
a. Responds with eccentric hypertrophy
b. Reacts with concentric hypertrophy
c. Responds by decreasing the contractions
d. The heart cannot respond
a
An ECG is most appropriate (indicated if: (More than one correct answer is possible)
a. When the heart rate of a cat arrived for vaccination is 150 bpm
b. When a cat that had an accident has 200 bpm heart rate
c. When a cat with a body temperature of 40.8 C has a heart rate of 190 bpm*
d. When a cat that arrived for flea prevention has 120 bpm heart rate
A or D
Electrosurgery. pick the false answer!
a. The thermocauter is a metal device heated by fire
b. The electrocauter is a metal device heated by direct current
c. Electrosurgical devices are “cold”, they increase the temperature of treated tissue
applying for alternating current
d. All three methods allow controllable and safe surgical intervention
d. All three methods allow controllable and safe surgical intervention
Which step is incorrrect after ECG examination of an animal with ventricular arrhythmia:
a. Blood test, abdominal ultrasound
b. cTroponin-I measurement
c. Administration of digoxin
d. Ehocardiography
c. Administration of digoxin
What is not typical of surgery of PDA?
Left sided 4th intercostal throacotomy
Ligature and bisection of the Botallo duct
High risk intraoperative complication
Circumcostal sutures for the colsure of the chest
Circumcostal sutures for the colsure of the chest
PRAA means…
a. abnormally directed Botallo ligament
b. Patency of the Botallo duct
c. Abnormally directed aortic arch
d. Abnormally directed subclavia artery
c. Abnormally directed aortic arch
Which is the wrong answer?… may play a role in the progression of heart failure:
a. Chronic activation of the renin-angiotensin-aldosterone system and the sympathetic
nervous system
b. Decrease number and function of cardiac acetylcholine receptors (down regulation)
c. The production of inflammatory mediators and free radicals
d. Poor blood supply to the heart muscle despite increased oxygen and energy
demands
b. Decrease number and function of cardiac acetylcholine receptors (down regulation)
Which of the following parameters decreases in DIC?
a. Fibrinogen
b. D-dimer
c. APTT
d. FDP
a. Fibrinogen
Tying surgical knots. Pick the false answer! (more than one correct answer is possible?
a. In surgery at least two half-knots with opposite direction are considered to be a knot
b. Fewer knots (3-4) for synthetic monofilament and more knots (5-6) for
multifilament materials are needed for secure fastening
c. Two-handed, one-handed and instrumental knotting may be performed
d. Instrumental knotting is safer for ligating large vessels and bundle of tissues
b. Fewer knots (3-4) for synthetic monofilament and more knots (5-6) for
multifilament materials are needed for secure fastening
Can ultrasonography be applied for the diagnosis of diaphragmatic hernia
a. Yes
b. no
c. Maybe d. Never
yes
hat is NOT characteristic of feline hypertrophic cardiomyopathy (HCM)?
a. May cause thromboembolism
b. May cause sudden death
c. Often has long survival
d. Causes right sided heart dilation (it cause left sided heart failure)
d. Causes right sided heart dilation (it cause left sided heart failure)
Which statement is true regarding the antigen test result in canine heartworm disease?
a. Strength of reaction does not matter regarding the number of worms within the affected animal
b. Strength of reaction is often related to the number of worms within the affected animal
c. Strength of re
a. Strength of reaction does not matter regarding the number of worms within the affected animal
Which does not belong to the abnormal remodelling process of the heart?
a. Embryonic MHC receptors appearing on the cell membrane of myocardial fibers
b. Macroscopic transformation of the heart (dilation, hypertrophy)
c. Changes in the function of myocardial fibers (contractility, arrhythmias)
d. Changes in myocardial cell connections
d. Changes in myocardial cell connections
The most important medications to treat congestive heart failure
a. ACE inhibitors (enalapril, benazepril)
b. Beta-receptor blockers (atenolol, cavediol)
c. Loop-diuretics (furosemide, torsemide)
d. Pimobendan, levosimedan
c. Loop-diuretics (furosemide, torsemide)
Which answer is wrong? Consequences of right sided heart failure
a. Pulmonary edema
b. Thoracic fluid accumulation in dogs
c. Congestive liver
d. Ascites
a. Pulmonary edema
Which step is incorrect after ECG examination of a spaniel 3rd-degree AV block?
a. Determination of the potassium level
b. Administration of atropine
c. Administration of diltiazem
d. Administration of prednisolone, doxycycline
b. Administration of atropine
C. Administration of diltiazem
=reversible cause of AV block