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SAM 4 > SAM MTI QUESTIONS > Flashcards

SAM MTI QUESTIONS Flashcards

1
Q

Q. Which of the following procedures has a modification called “ Roux-en-Y” technique?

-choledochotomy
-cholecystectomy
-cholecystoduodenostomy
-cholecystojejunostomy

A

-cholecystoduodenostomy

-cholecystojejunostomy ( more needed for this?)

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2
Q

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?

A

-are not to be operated on

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3
Q

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

A

-palpation of the invaginated intestinal section

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4
Q

Which of the following drugs is contraindicated in case of obstructive ileus?

-maropitant
-metoclopramide
-pantoprazole
-Tramado

A

-metoclopramide

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5
Q

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

A

-All statements are true

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6
Q

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

A

-Total tooth extraction or crown amputation

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7
Q

Q. Which of the followings can cause praehepatic icterus

-Haemolysis

-extrahepatic biliary duct occlusion

-hepatic lipidosis

-hepatic cirrhosis

A

-Haemolysis

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8
Q

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

A

-Cessation of the mesenterial blood supply of the intestinal section to be resected

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9
Q

Which of the followings can not cause hepatic icterus?

-hepatic cirrhosis
-cholelithiasis
-cholangiohepatitis
-liver tumour

A

-cholelithiasis

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10
Q

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

A

-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy

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11
Q

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

A

-laparoscopic “ pinch” biopsy

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12
Q

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

-A. mesenterica caudalis

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13
Q

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

A

-Small amount, pudding like, mucoid, bloody(haematochezia)diarrhoea

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14
Q

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

A

-single or double layer but always simple continuous

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15
Q

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

A

-In portal hypertension, the acquired portosystemic shunts will reopen in case of blood
pressure differences

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16
Q

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

A

-small amount , mucous faeces with streaks of fresh blood on the surface

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17
Q

Which is the first drug of choice in the treatment of primary Cu accumulation?

-D-penicillamine
-N-acetylcysteine
-Cyclosporine
-Amoxycillin

A

-D-penicillamine

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18
Q

Which hepatic division possess the gall bladder?

-Right division
-Central division
-Left division
-Caudal division

A

-Central division

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19
Q

Which of the following is the least effective in german shepherd´s perineal fistulation

-fistulectomy
-cyclosporine
-prednisolone
-conservative management

A

-fistulectomy

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20
Q

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

A

-it originates from the anal sac in females

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21
Q

Extracardiac murmurs typically

-have punctum maximum
-have no punctum maximum
-are due to valvular insufficiency
-are always systolic

A

-have no punctum maximum

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22
Q

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

A

-in the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy

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23
Q

Which additional laboratory parameter should be measured in case of an old cachectic
cat which diarrhoea?

-crp
-T4 level
-Calcium level
-ALT level

A

-T4 level

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24
Q

Which type of small intestinal obstruction has usually the poorest prognosis?

-Linear foreign body idegentest
-obturation
-ileus
-mesenteric torsion

A

-mesenteric torsion

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25
Q

. 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

A

-Endoscopic removal

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26
Q

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

A

-its one of the effective treatments is puncture & content removal from the cyst

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27
Q

Which oral region is the mostly affected on by oral tumours?

-Soft palate
-Hard palate
-Gingiva
-Tongue

A

-Gingiva

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28
Q

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

A

-the gastric wall is sutured to the abdominal wall

29
Q

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

A

-can occur in mild as well in sever, fatal forms

30
Q

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

A

-Inappetence & recurrent large bowel diarrhoea are typical

31
Q

Which anal zone involves circumanal hepatoid glands?

-zona cutanea
-linea anorectalis
-zona intermedia
-zona columnaris

A

-zona cutanea

32
Q

The most common indication of subtotal colectomy in cats is

-Congenital megacolon

-Primary idiopathic megacolon

-Secondary idiopathic
megacolon?

-Tertiary idiopathic megacolon

A

-Primary idiopathic megacolon

33
Q

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

A

-Benign fibromatous mass on the gingiva

34
Q

Which of the following procedures is most frequently used for cholecystolith removal?

-Cholecystotomy
-Cholecystectomy
-Cholecystoenterostomy
-Choledochostomy

A

-Cholecystectomy
-Cholecystoenterostomy?

35
Q

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

A

-In the framework of incisional gastropexy scarification of the stomach serosa is done unlike
midline gastropexy

36
Q

Which additional laboratory parameter should be measured in case of an old cachectic
cat with diarrhoea?

A

T4

37
Q

Which of the followings does not usually cause large intestinal obstruction in small
animals?

-Colic tumour
-Constipation
-Colic dislocation
-Foreign body

A

-Foreign body

38
Q

Which of the followings is not typical for vomitus?

-preceded by nausea
-active muscle contractions
-presence of gastric chyme
-eating the content

A

-eating the content

39
Q

Which species has high incidence of large intestinal obstruction?
-dog
-cat
-ferret
-horse

A

-horse

40
Q

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

A

pancreatic abscess- omentalisation

41
Q

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

A

the caudal part of the right lobe

42
Q

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

A

-Stabilisation & gastrocentesis-adequate narciosis-orogastric tubation & gastric lavagesurgery

43
Q

Which food component´s amount should be increased in case of acute large bowel diarrhoea?

-fat
-protein
-fibre
-carbohydrate

A

-fibre

44
Q

Which of the followings is not typical for regurgitation?

-develops spontaneously
-preceded by nausea
-undigested food
-passive backflow

A

-preceded by nausea

45
Q

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

A

-Endoscopic removal

46
Q

Which of the following decisions is correct in case of fundus necrosis during GDV
surgery?

-Billroth I gastroduodenostomy
-Partial gastrectomy
-Euthanasia
-Reposition & gastropexy

A

Euthanasia

47
Q

Which component is responsible for the closure of PSS in case of Ameroid ring
constrictor?

-Celophane
-Silk
-Kazein
-Nylon

A

-Kazein

48
Q

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

A

-pancreatic abscess-omentalisation

49
Q

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

A

-Predisposing factors of gastric erosive-ulcerative disease include NSAIDs, metabolic
diseases, corticosteroids

50
Q

For which of the following diseases is regurgitation is not a typical symptom?

-Myasthenia gravis
-Persistent right aortic arch
-Persistent ductus arteriosus
-Spirocercosis

A

-Persistent ductus arteriosus

51
Q

. Cyanotic mucous membranes are related to

-acute left heart failure
-right heart failure
-shock
-anaemia

A

-shock

52
Q

Granulomatous colitis is caused by
-Campylobacter coli
-Enteropathogenic Ecoli(EPEC)
-Adherent-invasive Ecoli(AIEC)
-Clostridium perfringens

A

-Adherent-invasive Ecoli(AIEC)

53
Q

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

A

-maropitant can be used as an antiemetic drug

54
Q

Which BAOS surgery technique causes less wide soft palate?

-FFPP(folded flap palatoplasty)
-Soft palate resection
-Tonsillectomy
-Sacculectomy

A

-FFPP(folded flap palatoplasty)

55
Q

Which procedure is adequate for irreponable cecum inversion?

-typhlotomy
-typhlectomy
-appendectomy
-subtotal colectomy

A

-typhlectomy

56
Q

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
A

-can result in protein-losing enteropathy

57
Q

Which breed is not predisposed for Cu accumulation?

-Bedlington terrier
-German Shepherd
-Labrador retriever
-Dalmation

A

-German Shepherd

58
Q

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

A

-Cu accumulation is caused by cholestasis

59
Q

For which of the following diseases is vomitus not a typical symptom?

-Irritable bowel syndrome
-Acute pancreatitis
-Acute kidney injury
-Ileus

A

-Acute kidney injury

60
Q

Which is associated with portal hypertension?

-Hepatic microvascular dysplasia
-Arterio-portal /arterio-venosus fistula
-Congenital portosystemic shunt
-Hepatic lipidosis

A

-Arterio-portal /arterio-venosus fistula

61
Q

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
A

-acute vomiting is the most characteristic symptom

62
Q

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

A

-High risk of septic consequences because of the drainage( caused by the suture material)

63
Q

Characteristics of lymphangiectasia

-severe, chronic large bowel diarrhoea
-ascites, poor body condition
-polyphagia, obesity
-hyperproteinaemia

A

-ascites, poor body condition

64
Q

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

A

-Elevated lipoprotein synthesis due to fasting, thereby decreases the triglyceride level in the
liver

65
Q

The adherent invasive E.coli (AIEC) causes

-Neutrophylic cholangitis
-Acute haemorrhagic diarrhoea syndrome (AHDS)
-Granulomatosis colitis
-Chronic active hepatitis

A

-Granulomatosis colitis

66
Q

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

A

-It originates from the anal sac in females

67
Q

Which component is responsible for the closure of PSS in case of Ameroid ring
constrictor?

-Celophane
-Silk
-Kazein
-Nylon

A

-Kazein

68
Q

In which of the following breeds is the congenital cleft palate common?

-German Shepherd
-Hungarian vizsla
-Yorkshire terrier
-French bulldog

A

-French bulldog

69
Q
A

SAM 4 (16 decks)

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