NAVLE prep questions & Answers(Latest Update)

A person calls to to say she adopted a friend's dog and requests a copy of the dog's medical record and radiographs. The former owner is a client at your clinic. Which one of the following choices is the most appropriate action to take? A - Require original owner consent or court order to release information B - Give caller a copy of medical record only C - Give caller a copy of medical record and radiographs D - After physical exam, start a new medical record documenting previous issues E - Give a summarized record with personal identifiers (vet, owner names) blocked out - A According to the AVMA's Principles of Veterinary Medical Ethics (2008 revision) "Ethically, the information within veterinary medical records is considered privileged and confidential. It must not be released except by court order or consent of the owner of the patient. Veterinarians should secure a written release to document that request." A 5 year old domestic short-haired spayed female cat is presented with the complaints of anorexia, chronic vomiting, and weight loss. Physical examination reveals icterus, dehydration, and fever. Thickened small intestinal loops are appreciated with abdominal palpation, and serum biochemistry shows increased bilirubin and liver enzymes. The cat is diagnosed with extrahepatic biliary obstruction with accompanying cholangitis and inflammatory bowel disease. Which one of the following normal anatomic features may predispose cats to this triad of diseases? A - Narrowing of the duodenum distal to the entry of the common bile and pancreatic ducts B - Common opening of the pancreatic and common bile ducts into duodenum C - Enlarged duodenal papilla in comparison to other species D - Decreased proportion of alpha-smooth muscle actin in muscle fibers of the wall of the gall bladder in cats E - Decreased diameter and increa - B In cats, there is a common opening of the pancreatic and common bile ducts into the duodenum. It is thought that this may predispose them to ascending cholangitis and pancreatitis after vomiting associated with inflammatory bowel disease, resulting in extrahepatic biliary obstruction.