Unit 1 - Cases 1-5 Flashcards

1
Q

Convert 1.63% to ppm

a. 16,300 ppm
b. 163,000 ppm
c. 1,630 ppm

A

a. 16,300 ppm

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2
Q

What is equivalent to ppm?

a. ug/g
b. ug/kg
c. mg/kg
d. mg/g

A

a. ug/g
c. mg/kg

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3
Q

Terry is a 7.5 year old Shiba Inu that had an acute onset of seizures. She was DOA to the clinic. There were no significant gross lesions and bright green colored pellets found in her stomach.

The substance found in the stomach is ______ because it is green.

a. Brodifacoum
b. Bromodialone
c. Strychnine
d. Bromethalin
e. Metaldehyde
f. Any of the above

A

f. Any of the above

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4
Q

Terry is a 7.5 year old Shiba Inu that had an acute onset of seizures. She was DOA to the clinic. There were no significant gross lesions and bright green colored pellets found in her stomach.

Which of the following does not correspond with the reported clinical signs?

a. Bromethalin
b. Brodifacoum
c. Strychnine
d. Zinc Phosphide
e. Metaldehyde

A

b. Brodifacoum

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5
Q

Terry is a 7.5 year old Shiba Inu that had an acute onset of seizures. She was DOA to the clinic. There were no significant gross lesions and bright green colored pellets found in her stomach.

Which sample would you like to collect in this situation?

a. Stomach content
b. Liver
c. Kidney
d. Brain
e. All of the above

A

e. All of the above

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6
Q

Terry is a 7.5 year old Shiba Inu that had an acute onset of seizures. She was DOA to the clinic. There were no significant gross lesions and bright green colored pellets found in her stomach.

Following stabilization and decontamination, how and where should the patient recover?

a. Light environment
b. Minimal handling
c. Quiet environment
d. Dark environment
e. Handling with frequent soothing muscle massages
f. Noisy environment

A

b. Minimal handling
c. Quiet environment
d. Dark environment

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7
Q

There is a great horned owl that is presenting with ataxia, it was grounded, and it was flopping around. The owl was humanely euthanized. On necropsy, you find that the owl was severely emaciated and there were no other gross lesions.

What differentials should be on your list regarding the clinical signs mentioned?

a. Strychnine
b. Organochlorines/Chlorinated hydrocarbons
c. Bromethalin
d. Organophosphates and Carbamates
e. Pentobarbitol

A

All of em

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8
Q

There is a great horned owl that is presenting with ataxia, it was grounded, and it was flopping around. The owl was humanely euthanized. On necropsy, you find that the owl was severely emaciated and there were no other gross lesions.

What post-mortem sample would you like to test?

a. Stomach contents
b. Feathers/skin
c. Fat
d. Liver
e. B and C
f. C and D

A

f. C and D

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9
Q

Fido, a 4 year old spayed female golden retriever was eating, playing, and drinking normally during the day. That evening, blood was reported to be present in the kitchen. Fido was found the next morning dead in a pool of blood.

At necropsy you find a hemothorax, hemopericardium, GI hemorrhage, submucosal hemorrhage, and hemorrhage in the bladder. What is your suspected class of toxicant?

a. Organochlorines
b. Chlorinated hydrocarbons
c. Anticoagulants
d. Metalloid phosphides

A

c. anticoagulants

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10
Q

Fido, a 4 year old spayed female golden retriever was eating, playing, and drinking normally during the day. That evening, blood was reported to be present in the kitchen. Fido was found the next morning dead in a pool of blood.

At necropsy you find a hemothorax, hemopericardium, GI hemorrhage, submucosal hemorrhage, and hemorrhage in the bladder. You suspect anticoagulants. What is the optimal post-mortem sample to collect for testing?

a. Liver
b. Lung
c. Heart
d. Stomach content

A

a. Liver

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11
Q

Fido, a 4 year old spayed female golden retriever was eating, playing, and drinking normally during the day. That evening, blood was reported to be present in the kitchen. Fido was found the next morning dead in a pool of blood.

At necropsy you find a hemothorax, hemopericardium, GI hemorrhage, submucosal hemorrhage, and hemorrhage in the bladder. You suspect anticoagulants.

What is the optimal antemortem sample to be collected for this suspected class, what would it be, and what color top tube?

a. Serum, red
b. Whole blood, purple
c. Serum, Tiger striped
d. Whole blood, red

A

b. Whole blood, purple

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12
Q

Fido, a 4 year old spayed female golden retriever was eating, playing, and drinking normally during the day. That evening, blood was reported to be present in the kitchen. Fido was found the next morning dead in a pool of blood.

At necropsy you find a hemothorax, hemopericardium, GI hemorrhage, submucosal hemorrhage, and hemorrhage in the bladder. You suspect anticoagulants.

If Fido had been brought in during the evening and was exhibiting dyspnea with these signs, what would your first step be?

a. Administer vitamin K1
b. Induce emesis
c. Give activated charcoal
d. Thoracocentesis

A

d. Thoracocentesis

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13
Q

Fido, a 4 year old spayed female golden retriever was eating, playing, and drinking normally during the day. That evening, blood was reported to be present in the kitchen. Fido was found the next morning dead in a pool of blood.

At necropsy you find a hemothorax, hemopericardium, GI hemorrhage, submucosal hemorrhage, and hemorrhage in the bladder. You suspect anticoagulants.

What other questions should you ask if anticoagulants are suspect?

a. Age
b. Health status
c. Medications
d. Color of suspect material
e. Nursing/Lactation statis

A

A. Age

B. Health Status

c. Medications

E. Nursing/Lactation status

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14
Q

Following treatment of anticoagulant rodenticides, what (if anything) should be done?

a. PT/PTT times
b. nothing
c. Test urine for the compound

A

A. PT/PTT times

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15
Q

It is Friday evening at 4:55. An owner calls and tells you that their dog at a bunch of Tomcat rodenticide. They live an hour from the clinic and the dog appears normal now. It is a St. Bernard puppy that is 1.5-2 months old.

What would you recommend to the owner?

a. Bring the bait box/label in with the puppy
b. He’ll probably be alright. Just wait and see
c. Give hydrogen peroxide (1 ml/kg)
d. Bring in and wait for the puppy in to get apomorphine
e. Bring the puppy in and give xylazine

A

a. Bring the bait box/label in with the puppy
c. Give hydrogen peroxide

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16
Q

It is Friday evening at 4:55. An owner calls and tells you that their dog at a bunch of Tomcat rodenticide. They live an hour from the clinic and the dog appears normal now. It is a St. Bernard puppy that is 1.5-2 months old.

Why is the compound of particular concern?

A

There is no antidote

17
Q

It is Friday evening at 4:55. An owner calls and tells you that their dog at a bunch of Tomcat rodenticide. They live an hour from the clinic and the dog appears normal now. It is a St. Bernard puppy that is 1.5-2 months old.

What do you have to monitor for during decontamination treatment?

a. Hyperkalemia
b. Hyperphosphatemia
c. Hyponatremia
d. Hypernatremia
e. Hypocalcemia

A

d. Hypernatremia

18
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

What should the owners be told?

a. He shoudl be okay until tomorrow. Bring him in then.
b. This is a possible medical emergency. Should be brought in now
c. Just give him some time, and if he gets worse then bring him in

A

b. This is a possible medical emergency. Should be brought in right now

19
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

On presentation Bruce is still ataxic, but otherwise appears healthy. You draw some blood and serum from to have a quick look to see if anything is off. Owners contracted the exterminator and find out that he had used rampage who’s active ingredient is rampage.

While you wait for the serum chemistry and CBC results, what can be done at this point and why?

a. Induce emesis. Clinical signs with cholecalciferol ocur rapidly in minutes
b. Administer activated charcoal. It’s too late to induce emesis.
c. Wait and see what the results are

A

b. Administer activated charcoal. It’s too late to induce emesis

20
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

On presentation Bruce is still ataxic, but otherwise appears healthy. You draw some blood and serum from to have a quick look to see if anything is off. Owners contracted the exterminator and find out that he had used rampage who’s active ingredient is rampage.

The likely cause of clinical signs is cholecalciferol. What would you expect the serum chemistry levels to show?

a. Increased Ca : Decreased P
b. Normal Ca : Decreased P
c. Increased Ca : Normal P
d. Increased Ca : Increased P

A

d. Increased Ca : Increased P

21
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

On presentation Bruce is still ataxic, but otherwise appears healthy. You draw some blood and serum from to have a quick look to see if anything is off. Owners contracted the exterminator and find out that he had used rampage who’s active ingredient is rampage.

The serum Ca and P come back with values of 10 and 8.5 respectively. Is there concern for soft tissue mineralization?

A

Yes

22
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

On presentation Bruce is still ataxic, but otherwise appears healthy. You draw some blood and serum from to have a quick look to see if anything is off. Owners contracted the exterminator and find out that he had used rampage who’s active ingredient is rampage.

What diagnostic procedure can be used to help verify mineralization?

a. Serum PTH
b. CBC
c. Serum chemistry
d. Rads

A

d. Rads

23
Q

Owners came home after shopping for several hours only to find out that Bruce, their young black lab, is not himself and is wobbling around. The owners remember that the local exterminator was working around the neighbors yard the other day. They call you to ask if they should bring Bruce in as it’s late and they can bring him in tomorrow.

On presentation Bruce is still ataxic, but otherwise appears healthy. You draw some blood and serum from to have a quick look to see if anything is off. Owners contracted the exterminator and find out that he had used rampage who’s active ingredient is rampage.

Which one of the following options is a viable treatment for cholecalciferol?

a. IV fluids
b. Furosamide
c. Prednisone
d. Salmon calcitonin
e. Pamidronate
f. All of the above
g. None of the above

A

F. all of the above