SAM MTI QUESTIONS Flashcards
Q. Which of the following procedures has a modification called “ Roux-en-Y” technique?
-choledochotomy
-cholecystectomy
-cholecystoduodenostomy
-cholecystojejunostomy
-cholecystoduodenostomy
-cholecystojejunostomy ( more needed for this?)
Which of the following statements is incorrect?
The injuries of the tongue?
-are not to be operated on
-mostly heal with complications
-mostly approximated with metal clips or sutures
-always to be regarded as contaminated?
-are not to be operated on
Which of the following signs has the strongest diagnostic value in intestinal
intussusception?
-palpation of the invaginated intestinal section
-positive contrast abdominal GI radiography
-Lack of faeces
-Vomiting
-palpation of the invaginated intestinal section
Which of the following drugs is contraindicated in case of obstructive ileus?
-maropitant
-metoclopramide
-pantoprazole
-Tramado
-metoclopramide
Which clinical signs are characteristic for the following oesophageal diseases?
-Oesophagitis: odynophagia, regurgitation, salivation, food refusal
-Oesophageal foreign body: regurgitation, salivation, sometimes distended abdomen
-Spirocercosis: regurgitation, vomiting, weight loss, coughing, dyspnoea, rarely sudden
death
-All statements are true
-All statements are true
The suggested treatment option of severe FORL (Feline Odontoclastic resorptive lesion)
-Chemotherapy -A vitamine for 8 weeks
-Topical Chlorhexidine for 8 weeks
-Total tooth extraction or crown amputation
-Total tooth extraction or crown amputation
Q. Which of the followings can cause praehepatic icterus
-Haemolysis
-extrahepatic biliary duct occlusion
-hepatic lipidosis
-hepatic cirrhosis
-Haemolysis
what does “sceletonisation” mean?
-Cessation of the mesenterial blood supply of the intestinal section to be resected
-V-shaped excision of the mesentery
-Excision of the affected intestinal section
-Suturing of the V-shaped mesenteric defect
-Cessation of the mesenterial blood supply of the intestinal section to be resected
Which of the followings can not cause hepatic icterus?
-hepatic cirrhosis
-cholelithiasis
-cholangiohepatitis
-liver tumour
-cholelithiasis
What is the major difference between midline & incisional gastroscopy?
-Midline gastropexy uses seromuscular pattern, whilst the incisional operates with
penetrating sutures
-The techniques fix different areas of the stomach
-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
-Incisional gastropexy has just temporary efficacy
-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
According to Vasanjee et al Vet surg paper (2006) which of the following liver biopsy
techniques caused remarkable collateral tissue damage?
-ligature biopsy
-laparoscopic “ pinch” biopsy
-needle biopsy
-none of them
-laparoscopic “ pinch” biopsy
Which vessel is responsible for the blood supply of the caudal part of the right
pancreativ lobe?
-A. gastroduodenalis
-A.pancreaticoduodenalis cranialis?
- A pancreaticoduodenalis caudalis
-A. mesenterica caudalis
-A. mesenterica caudalis
Clinical signs of acute colitis in dog,cat?
-A large amount, watery diarrhoea
-Small amount, pudding like, mucoid, bloody(haematochezia)diarrhoea
-A small amount, watery diarrhoea with undigested food
-Large amount, mucoid,melenic diarrhoea
-Small amount, pudding like, mucoid, bloody(haematochezia)diarrhoea
Which suture technique is recommended for the closure of the colon in cats?¨
-single layer simple interrupted
-single or double layer simple interrupted or continuous
-single or double layer but always simple interrupted
-single or double layer but always simple continuous
-single or double layer but always simple continuous
Which statement is correct about canine portosystemic shunt (PSS)?
-The level of ammonia is usually low in the blood in portosystemic shunt
-The intrahepatic portosystemic shunt occurs mainly in small breed dogs
-The extrahepatic portosystemic shunt occurs mainly in large breeds
-In portal hypertension, the acquired portosystemic shunts will reopen in case of blood
pressure differences
-In portal hypertension, the acquired portosystemic shunts will reopen in case of blood
pressure differences
NOT characteristic of small bowel diarrhoea?
-large amount, watery faeces
-small amount , mucous faeces with streaks of fresh blood on the surface
-melaena
-undigested particles of food
-small amount , mucous faeces with streaks of fresh blood on the surface
Which is the first drug of choice in the treatment of primary Cu accumulation?
-D-penicillamine
-N-acetylcysteine
-Cyclosporine
-Amoxycillin
-D-penicillamine
Which hepatic division possess the gall bladder?
-Right division
-Central division
-Left division
-Caudal division
-Central division
Which of the following is the least effective in german shepherd´s perineal fistulation
-fistulectomy
-cyclosporine
-prednisolone
-conservative management
-fistulectomy
What statement is incorrect concerning perineal adenoma?
-its uncommon in females
-mostly occurs in males
-mainly originates from circumanal glands
-it originates from the anal sac in females
-it originates from the anal sac in females
Extracardiac murmurs typically
-have punctum maximum
-have no punctum maximum
-are due to valvular insufficiency
-are always systolic
-have no punctum maximum
What is the major difference between midline and incisional gastropexy?
-midline gastropexy uses seromuscular pattern, whilst the incisional operates operates with
penetrating sutures
-the techniques fix different areas of the stomach
-in the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
-Incisional gastropexy has just temporary efficacy
-in the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
Which additional laboratory parameter should be measured in case of an old cachectic
cat which diarrhoea?
-crp
-T4 level
-Calcium level
-ALT level
-T4 level
Which type of small intestinal obstruction has usually the poorest prognosis?
-Linear foreign body idegentest
-obturation
-ileus
-mesenteric torsion
-mesenteric torsion
. Which of the following methods is to be chosen as first in case of foreign body thoracic
-Pushing-down the foreign body into the stomach via orogastic tubation
-Endoscopic removal
-Laparotomy + gastrotomy + transluminal foreign body removal
-Thoracotomy + Oesophagotomy
-Endoscopic removal
Which of the following statements is incorrect regarding salivary mucocele?
-its etiology can be either traumatic or inflammatory
- its common in poodle
-it definitely indicates surgery
-its one of the effective treatments is puncture & content removal from the cyst
-its one of the effective treatments is puncture & content removal from the cyst
Which oral region is the mostly affected on by oral tumours?
-Soft palate
-Hard palate
-Gingiva
-Tongue
-Gingiva
Gastropexy: what does it mean?
-the gastric wall is sutured to the liver
-the duodenum is sutured to the abdominal wall
-the omentum is sutured to the gastric wall
-the gastric wall is sutured to the abdominal wall
-the gastric wall is sutured to the abdominal wall
Pancreatitis
-radiology is essential for its diagnosis
-is an inflammatory disorder of the endocrine part of the pancreas
-is very rare in cats
-can occur in mild as well in sever, fatal forms
-can occur in mild as well in sever, fatal forms
NOT true for EPI (exocrine pancreas insufficiency)
-There is breed predilection among German Shepherd dogs
-It is diagnosed with TLI-measurement
-Enzyme supplementation is necessary for life long
-Inappetence & recurrent large bowel diarrhoea are typical
-Inappetence & recurrent large bowel diarrhoea are typical
Which anal zone involves circumanal hepatoid glands?
-zona cutanea
-linea anorectalis
-zona intermedia
-zona columnaris
-zona cutanea
The most common indication of subtotal colectomy in cats is
-Congenital megacolon
-Primary idiopathic megacolon
-Secondary idiopathic
megacolon?
-Tertiary idiopathic megacolon
-Primary idiopathic megacolon
what does “epulis” mean?
-Benign papillomatous mass on the gingiva
-Benign fibromatous mass on the gingiva
-Benign melanoid mass on the gingiva
-Malignant fibromatous mass on the gingiva
-Benign fibromatous mass on the gingiva
Which of the following procedures is most frequently used for cholecystolith removal?
-Cholecystotomy
-Cholecystectomy
-Cholecystoenterostomy
-Choledochostomy
-Cholecystectomy
-Cholecystoenterostomy?
What is the major difference between midline & incisional gastropexy?
-Midline gastropexy uses seromuscular pattern, whilst the incisional operates with
penetrating sutures
-The techniques fix different areas of the stomach
-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
-Incisional gastropexy has just temporary efficacy
-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy
Which additional laboratory parameter should be measured in case of an old cachectic
cat with diarrhoea?
T4
Which of the followings does not usually cause large intestinal obstruction in small
animals?
-Colic tumour
-Constipation
-Colic dislocation
-Foreign body
-Foreign body
Which of the followings is not typical for vomitus?
-preceded by nausea
-active muscle contractions
-presence of gastric chyme
-eating the content
-eating the content
Which species has high incidence of large intestinal obstruction?
-dog
-cat
-ferret
-horse
-horse
Which of the following surgical procedures of the pancreas has the relatively lowest
risk of complication?
-partial pancreatectomy
-total pancreatectomy
-pancreatic abscess- omentalisation
-pancreas-excision biopsy
pancreatic abscess- omentalisation
Which of the pancreatic areas is the most accessible for surgical manipulation?
-the cranial part of the right lobe
-the caudal part of the right lobe
-the left part of the left lobe
-the right part of the left lobe
the caudal part of the right lobe
What is the appropriate diagnostic/therapeutic protocol in GDV?
-Stabilisation-gastrocentesis-adequate narcosis-surgery -orogastric tubation & gastric lavage
-Stabilisation-gastric lavage-gastrocentesis-surgery
-Stabilisation & gastrocentesis-adequate narciosis-orogastric tubation & gastric lavagesurgery
-Stabilisation-orogastric tubation & gastric lavage-gastrocentesis-adequate narcosis-surgery
-Stabilisation & gastrocentesis-adequate narciosis-orogastric tubation & gastric lavagesurgery
Which food component´s amount should be increased in case of acute large bowel diarrhoea?
-fat
-protein
-fibre
-carbohydrate
-fibre
Which of the followings is not typical for regurgitation?
-develops spontaneously
-preceded by nausea
-undigested food
-passive backflow
-preceded by nausea
Which of the following methods is to be chosen as the first in case of foreign body
caused thoracic (prediaphragmatic) oesophageal obstruction?
-Pushing down the foreign body into the stomach via orogastric tubation
-Endoscopic removal
-Laparotomy + gastrotomy + transluminal foreign body removal
-Thoracotomy + Oesophagotomy
-Endoscopic removal
Which of the following decisions is correct in case of fundus necrosis during GDV
surgery?
-Billroth I gastroduodenostomy
-Partial gastrectomy
-Euthanasia
-Reposition & gastropexy
Euthanasia
Which component is responsible for the closure of PSS in case of Ameroid ring
constrictor?
-Celophane
-Silk
-Kazein
-Nylon
-Kazein
Which of the following surgical procedures of the pancreas has the relatively lowest
risk of complication?
-partial pancreatectomy
-total pancreatectomy
-pancreatic abscess-omentalisation
-pancreas-excision biopsy
-pancreatic abscess-omentalisation
Which of the statement is correct for gastric diseases?
-Acute gastritis is usually is not a self-limiting problem, but it has an excellent prognosis
-Predisposing factors of gastric erosive- ulcerative disease include NSAIDs, metabolic diseases, corticosteroids
-Contrast radiography is the key diagnostic tool of gastric ulceration
-All statements are true
-Predisposing factors of gastric erosive-ulcerative disease include NSAIDs, metabolic
diseases, corticosteroids
For which of the following diseases is regurgitation is not a typical symptom?
-Myasthenia gravis
-Persistent right aortic arch
-Persistent ductus arteriosus
-Spirocercosis
-Persistent ductus arteriosus
. Cyanotic mucous membranes are related to
-acute left heart failure
-right heart failure
-shock
-anaemia
-shock
Granulomatous colitis is caused by
-Campylobacter coli
-Enteropathogenic Ecoli(EPEC)
-Adherent-invasive Ecoli(AIEC)
-Clostridium perfringens
-Adherent-invasive Ecoli(AIEC)
In case of parvoviral enteritis
-maropitant can be used as an antiemetic drug
-the patient musnt be feed till it has diarrhoea
-monotherapy with appropriate antiviral drug is enough for recovery
-the application of antibiotics is harmful & not suggested
-maropitant can be used as an antiemetic drug
Which BAOS surgery technique causes less wide soft palate?
-FFPP(folded flap palatoplasty)
-Soft palate resection
-Tonsillectomy
-Sacculectomy
-FFPP(folded flap palatoplasty)
Which procedure is adequate for irreponable cecum inversion?
-typhlotomy
-typhlectomy
-appendectomy
-subtotal colectomy
-typhlectomy
The chronic inflammatory enteropathy (CIE)
- involves lymphangiectasia as its subgroup
-is one of the chronic form of bacterial enteritis
-can result in protein-losing enteropathy
-is not known in cats
-can result in protein-losing enteropathy
Which breed is not predisposed for Cu accumulation?
-Bedlington terrier
-German Shepherd
-Labrador retriever
-Dalmation
-German Shepherd
Which statement is NOT characteristic about the primary copper (Cu) accumulation?
-Cu accumulation is caused by cholestasis
-Bedlington terrier, Labrador and probably the Dalmation have primer Cu accumulation
-The Cu accumulation mostly in the centrilobular zona
-Progressive, lifelong Cu accumulation
-Cu accumulation is caused by cholestasis
For which of the following diseases is vomitus not a typical symptom?
-Irritable bowel syndrome
-Acute pancreatitis
-Acute kidney injury
-Ileus
-Acute kidney injury
Which is associated with portal hypertension?
-Hepatic microvascular dysplasia
-Arterio-portal /arterio-venosus fistula
-Congenital portosystemic shunt
-Hepatic lipidosis
-Arterio-portal /arterio-venosus fistula
In case of intestinal obstruction
-acute vomiting is the most characteristic symptom
-urgent gastric lavage is required
-profuse, bloody diarrhoea is the most characteristic symptom
- most of the cases can be managed with conservative therapy
-acute vomiting is the most characteristic symptom
Why is the multifil suture material not recommended by the surgeries on the
gastrointestinal organs?
-Expensive
-High risk of septic consequences because of the drainage( caused by the suture material)
-Tensile security properties are worse
-Knot security properties are worse
-High risk of septic consequences because of the drainage( caused by the suture material)
Characteristics of lymphangiectasia
-severe, chronic large bowel diarrhoea
-ascites, poor body condition
-polyphagia, obesity
-hyperproteinaemia
-ascites, poor body condition
Which statement is NOT correct about feline hepatic lipidosis?
-it is characterised by intrahepatic cholestasis
-the bile acid, bilirubin, ALT and ALP are elevated in the blood. However, GGT can be
disproportionally low
-The clinical signs are the obese cat has weight loss, icterus, ptyalism, coagulopathy and
hepatopathy
-Elevated lipoprotein synthesis due to fasting, thereby decreases the triglyceride level in the
liver
-Elevated lipoprotein synthesis due to fasting, thereby decreases the triglyceride level in the
liver
The adherent invasive E.coli (AIEC) causes
-Neutrophylic cholangitis
-Acute haemorrhagic diarrhoea syndrome (AHDS)
-Granulomatosis colitis
-Chronic active hepatitis
-Granulomatosis colitis
Which statement is incorrect concerning perianal adenoma?
-It is uncommon in females
-It mostly occurs in males
-It mainly originates from circumanal glands
-It originates from the anal sac in females
-It originates from the anal sac in females
Which component is responsible for the closure of PSS in case of Ameroid ring
constrictor?
-Celophane
-Silk
-Kazein
-Nylon
-Kazein
In which of the following breeds is the congenital cleft palate common?
-German Shepherd
-Hungarian vizsla
-Yorkshire terrier
-French bulldog
-French bulldog
