Unit 1 - Cases 6-12 Flashcards

1
Q

An owner is bringing Fluffy the cat in the day after she brought her dog Frank into the clinic for an annual examination. The owner called on their way and said that Fluffy is acting odd. Fluffy was outof her flea medication so she used Frank’s flea preventative on fluffy.

Frank’s flea medication is K9 advantix. The active ingredients are imidacloprid, permethrin, and pyriproxyfen.

What is the likely agent causing Fluffy’s issues?

a. Imidacloprid
b. Permethrin
c. Pyriproxyfen
d. This product is safe for cats. Look elsewhere.

A

B. Permethrin

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2
Q

An owner is bringing Fluffy the cat in the day after she brought her dog Frank into the clinic for an annual examination. The owner called on their way and said that Fluffy is acting odd. Fluffy was outof her flea medication so she used Frank’s flea preventative on fluffy.

The likely agent that is causing Fluffy’s issues is permethrin. What is the main complication that you would expect to see?

a. CNS depression
b. CNS stimulation
c. GI hemorrhage
d. Epistaxis

A

b. CNS stimulation

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3
Q

An owner is bringing Fluffy the cat in the day after she brought her dog Frank into the clinic for an annual examination. The owner called on their way and said that Fluffy is acting odd. Fluffy was outof her flea medication so she used Frank’s flea preventative on fluffy.

Fluffy is no exhibiting CNS stimulation due to the permethrin in the flea medication. The owner is worried and asks you if there is anything that can be done. Which of the following drugs would NOT be acceptable to stabilize fluffy?

a. atropine
b. propofol
c. methcarbamol
d. barbiturates
e. All are acceptable

A

a. atropine

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4
Q

An owner is bringing Fluffy the cat in the day after she brought her dog Frank into the clinic for an annual examination. The owner called on their way and said that Fluffy is acting odd. Fluffy was outof her flea medication so she used Frank’s flea preventative on fluffy.

Fluffy is exhibiting CNS stimulation signs due to permethrin toxicosis. You decide to apply ______ to Fluffy due to _______ caused by the clinical signs.

a. Heating pad : hypothermia
b. Cold packs - hyperthermia

A

a. cold packs - hyperthermia

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5
Q

An owner is bringing Fluffy the cat in the day after she brought her dog Frank into the clinic for an annual examination. The owner called on their way and said that Fluffy is acting odd. Fluffy was outof her flea medication so she used Frank’s flea preventative on fluffy.

Fluffy was diagnosed with permethrin toxicosis and is now home. If this happens again, what is the first thing to be done following exposure?

a. wash with soap and water
b. administer hydrogen peroxide
c. wait to see if signs develop

A

a. Wash with soap and water

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6
Q

While finishing up early mornign chores, a producer notices his dog Max acting strange. Max is a young and curious dog with no history of medical issues. Max begins to tremor when he is petted. There are various roddents around the premises. The owner uses bait stations around his livestock buildings and he and his wife use pesticides on garden plants.

Which pesticide would not be consistent with Max’s clinical signs? (Select all that apply)

a. Strychnine
b. Bromadiolone
c. Metaldehyde
d. Diphacinone

E. Bromethalin

A

B. Bromadiolone

D. Diphacinone

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7
Q

While finishing up early mornign chores, a producer notices his dog Max acting strange. Max is a young and curious dog with no history of medical issues. Max begins to tremor when he is petted. There are various roddents around the premises. The owner uses bait stations around his livestock buildings and he and his wife use pesticides on garden plants.

Upon arrival, Max appears to behaving seizures that started on the drive in. The owner says he uses a certain bait, but can’t remember what it was. ‘It’s a green block and I’m pretty sure it starts with a B’

Of these 4, which is most likely a toxicant?

a. Bromadiolone
b. Bromethalin
c. Brodifacoum
d. Barium

A

b. Bromethalin

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8
Q

While finishing up early mornign chores, a producer notices his dog Max acting strange. Max is a young and curious dog with no history of medical issues. Max begins to tremor when he is petted. There are various roddents around the premises. The owner uses bait stations around his livestock buildings and he and his wife use pesticides on garden plants.

Upon arrival, Max appears to behaving seizures that started on the drive in. The owner says he uses a certain bait, but can’t remember what it was. ‘It’s a green block and I’m pretty sure it starts with a B.’

You suspect bromethalin. What is the key to overcome bromethalin toxicosis?

a. decontamination
b. pamidronate
c. methylene blue
d. prussic acid

A

a. decontamination

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9
Q

While finishing up early mornign chores, a producer notices his dog Max acting strange. Max is a young and curious dog with no history of medical issues. Max begins to tremor when he is petted. There are various roddents around the premises. The owner uses bait stations around his livestock buildings and he and his wife use pesticides on garden plants.

Upon arrival, Max appears to behaving seizures that started on the drive in. The owner says he uses a certain bait, but can’t remember what it was. ‘It’s a green block and I’m pretty sure it starts with a B.’

Bromethalin is the causative agent. What is the best course of action at this point?

a. Induce emesis
b. Activated charcoal
c. Administer diazepam and relieve intracranial pressure

A

c. Administer diazepam and relieve intracranial pressure

This is because he is already exhibiting criminal signs

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10
Q

While finishing up early mornign chores, a producer notices his dog Max acting strange. Max is a young and curious dog with no history of medical issues. Max begins to tremor when he is petted. There are various roddents around the premises. The owner uses bait stations around his livestock buildings and he and his wife use pesticides on garden plants.

Upon arrival, Max appears to behaving seizures that started on the drive in. The owner says he uses a certain bait, but can’t remember what it was. ‘It’s a green block and I’m pretty sure it starts with a B.’

Bromethalin is the causative agent. What is Max’s prognosis?

a. excellent
b. good
c. guarded to poor

A

c. guarded to poor

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11
Q

Your patient is a 3 year old lab that is allowed to wander the neighborhood. It was observed walking home and at 1 house away it started to convulse. At presentation it is vomiting, foaming at the mouth, and has diarrhea.

Of the following differentials, which of the following does not fit?

a. Bromethalin
b. Strychnine
c. Amitraz
d. OP/Carbamate
e. Nicotine

A

c. Amitraz

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12
Q

Your patient is a 3 year old lab that is allowed to wander the neighborhood. It was observed walking home and at 1 house away it started to convulse. At presentation it is vomiting, foaming at the mouth, and has diarrhea.

The dog was treated with atropine and activated charcoal and clinical signs started to resolve. The toxic agent of concern likely belongs to which class?

a. Pyrethroids/Pyrethrins
b. OPs/Carbamates
c. Chlorinated Hydrocarbons
d. Neonicotinoids (Imidacloprid)

A

b. OPs/Carbamates

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13
Q

Your patient is a 3 year old lab that is allowed to wander the neighborhood. It was observed walking home and at 1 house away it started to convulse. At presentation it is vomiting, foaming at the mouth, and has diarrhea.

What is the mechanism of action of OPs/Carbamates?

a. Inhibit ACh
b. Inhibit glycine
c. Increase ACh
d. Inhibit ACh Esterase
e. Increase ACh Esterase

A

d. inhibit ACh Esterase

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14
Q

Your patient is a 3 year old lab that is allowed to wander the neighborhood. It was observed walking home and at 1 house away it started to convulse. At presentation it is vomiting, foaming at the mouth, and has diarrhea.

Methomyl (Carbamate) was detected. 2-PAM would have been a good choice for this compound.

a. True
b. False

A

b. False

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15
Q

There are large numbers of dead fish noted in a pond. The pond is next to a field.

What would be your top differential(s)?

a. Pyrethroids/Pyrethrins
b. OPs/Carbamates
c. Fipronil
d. Rotenone
e. Hydramethylon
f. Luferon

A

a. Pyrethroids/Pyrethrins
d. Rotenone

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16
Q

There are 2 labrador retrievers that are both 5 years old. In the morning and afternoon, they are in good health, playful, and eating and drinking fine. In the evening, they appear to be dull.

On physical examination, they are lethargic, ataxic, weakness has progressed to recumbency, bradycardic, and have mydriasis.

The clin path results show mild respiratory alkalosis and metabolic acidosis, hyperlactemia, and hyperglycemia.

Which of these compounds fits best?

a. Pyrethroids
b. Amitraz
c. Nicotine
d. OPs/Carbamates
e. Strychnine

A

b. Amitraz

17
Q

There are 2 labrador retrievers that are both 5 years old. In the morning and afternoon, they are in good health, playful, and eating and drinking fine. In the evening, they appear to be dull.

On physical examination, they are lethargic, ataxic, weakness has progressed to recumbency, bradycardic, and have mydriasis.

The clin path results show mild respiratory alkalosis and metabolic acidosis, hyperlactemia, and hyperglycemia.

You suspect Amitraz. What is the antidote for this compound (reverse the bradycardia)?

A

Yohimbine

18
Q

There are 2 labrador retrievers that are both 5 years old. In the morning and afternoon, they are in good health, playful, and eating and drinking fine. In the evening, they appear to be dull.

On physical examination, they are lethargic, ataxic, weakness has progressed to recumbency, bradycardic, and have mydriasis.

The clin path results show mild respiratory alkalosis and metabolic acidosis, hyperlactemia, and hyperglycemia.

You suspect Amitraz. This antidote is use to reverse the effects of the product ______ used as an emetic in cats.

A

Xylazine

19
Q

There are 2 labrador retrievers that are both 5 years old. In the morning and afternoon, they are in good health, playful, and eating and drinking fine. In the evening, they appear to be dull.

On physical examination, they are lethargic, ataxic, weakness has progressed to recumbency, bradycardic, and have mydriasis.

The clin path results show mild respiratory alkalosis and metabolic acidosis, hyperlactemia, and hyperglycemia.

You suspect Amitraz. Phenobarbitol is recommended as a supplemental treatment for amitraz.

a. True
b. False

A

b. False

20
Q

There are one month old calves that have recently moved into shed to get out of the rain and cold. Several of them got out of their pens. They are showing acute neurologic signs and 3 have died.

What differential(s) should be included?

a. OP/Carbamates
b. Strychnine
c. Pyrethroids/Pyrethrins
d. Bromethalin

A

All of them

21
Q

There are one month old calves that have recently moved into shed to get out of the rain and cold. Several of them got out of their pens. They are showing acute neurologic signs and 3 have died.

What should be done? Diagnostically and clinically?

a. Remove materials from calves
b. Place calves back in pens
c. Leave things as they are
d. Collect labels of products

A

a. Remove material from calves
b. Place calves back in pens
d. Collect labels of products

22
Q

There are one month old calves that have recently moved into shed to get out of the rain and cold. Several of them got out of their pens. They are showing acute neurologic signs and 3 have died.

Bifentrhin and Clorpyrifos (OPs) were detected. What class is biffenthrin?

a. Carbamate
b. Anticoagulant
c. Phenoxy herbicide
d. Pyrethrin/Pyrethroid
e. Metalloid phosphide

A

d. Pyrethrin/Pyrethroid

23
Q

There are one month old calves that have recently moved into shed to get out of the rain and cold. Several of them got out of their pens. They are showing acute neurologic signs and 3 have died.

You find a Pyrethrin/Pyrethroid. The calves are treated and recover. The area is cleaned. If samples were tested from calves dead for several days, what would be the optimal sample for the toxicants detected?

a. Brain
b. Whole blood
c. GI contents
d. Retina

A

c. GI contents

24
Q

A park area has just been sprayed with a herbicide product. Several dogs begin to exhibit clinical signs such as ataxia and vomiting. The dogs were brought in for examination with an increased respiratory rate and moist rales.

What is your top differential?

a. Round-up
b. 2,4 D
c. Paraquat
d. Atrazine

A

a. Round-up