NAVLE prep
A person calls to to say she adopted a friend's dog and requests a copy of
the dog'srecord and radiographs. The former owner is a client at your clinic.
medical
Which
of one
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
C - Giveonly
caller a copy of medical record and
radiographs
D - After physical exam, start a new medical record documenting
previous
E - Give aissues
summarized record with personal identifiers (vet, owner names)
blocked out
correct
answersA
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 ofVeterinarians
patient. the 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
increased showsand liver
bilirubin
enzymes.
The cat is diagnosed with extrahepatic biliary obstruction with accompanying
cholangitis
and inflammatory bowel disease. Which one of the following normal
anatomic
may features
predispose cats to this triad of
diseases?
A - Narrowing of the duodenum distal to the entry of the common bile and
pancreatic
duct
B - Common opening of the pancreatic and common bile ducts into
s
duodenum
C - Enlarged duodenal papilla in comparison to other
species
D - Decreased proportion of alpha-smooth muscle actin in muscle fibers of
wall bladder
the gall of in
cats
E - Decreased diameter and increa correct
answersB
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 biliary
extrahepatic
obstruction.
,Other possible etiologies of EHBO include neoplasia, biliary stricture,
duodenal
obstruction, diaphragmatic hernia, and parasitic
infection.
In all cases, there is a lack of bile entry into the intestinal tract, leading to
decreased
absorption of fat and fat soluble vitamins such as vitamin K, potentially
resulting in
coagulopathie
s.
Except in transient cases that are related to acute pancreatitis, surgical
intervention
relieve to
the obstruction is required as well as appropriate supportive care,
antimicrobial
treatment, and vitamin K
administration.
Most of a litter of European wild boar at a zoological park have died.
The surviving
piglets are in lateral recumbency with a frothy nasal discharge. Necropsy of
the piglets
reveals pulmonary edema and copious fluid in the trachea and bronchi
along with
grayish- white necrotic foci on the myocardium. Which one of the following
diseases
the most is likely
diagnosis?
A - Edema
disease
B-
Encephalomyocarditis
C - Glasser's
Disease
D - Porcine Respiratory and Reproductive
Syndrome
E - Pseudorabies correct
answersB
Encephalomyocarditis virus (EMCV) is caused by a cardiovirus in
the family
picornaviridae. Confusingly, the virus is named for its effects
on mice.
Think of rodents and exotic zoo mammals with EMCV. Pig-to-pig contact,
contamination
of swine feed and water by rodents or ingestion of dead rodents may
cause
See disease. edema and copious transudate in the respiratory tract,
pulmonary
causingZoo
failure. cardiac
outbreaks of EMCV have included lions, African elephants,
rhinos, llamas,
sloths, hippos, antelope and nonhuman primates. An outbreak of lion deaths
at a in
zoo Florida
the USA occurred after feeding them the carcass of an African
elephant
died of that had
EMCV.
Edema disease is a neurologic disease caused by a hemolytic
EscherichiaShiga
producing coli toxin e2 and F18 pili resulting in high mortality in recently-
weaned pigs.
Glasser's Disease, caused by Hemophilus parasuis is usually an acute
disease ofpigs
week-old 6 towhich
8 causes fibrinous arthritis, polyserositis, and
meningitis.
Porcine Reproductive and Respiratory Syndrome (PRRS), is an arterivirus
causing
reproductive failure and post-weaning respiratory
disease.
What is the main mode of transmission for feline
leukemia virus?
A - Aerosol
transmission
,B - Shedding of virus via
feces
C - Fomite
transmission
D - Shedding of virus via saliva correct
answersD
The correct answer is shedding of virus via saliva. The main mode of
transmission
saliva. is viaprolonged, close contact. Cats may shed the virus for
It requires
monthsTransmission
years. to may also occur through reuse of instruments and
blood.inVirus
shed is tears, urine, and
saliva,
feces.
You are working with a farmer who is having trouble with calves between
the age of 2
weeks and 6 months. They are alert, but weak, dyspneic and die
suddenly. On
necropsy
A - Copperthey have pale cardiac and skeletal muscles. What is the
farmer's problem?
deficiency
B - Sorghum
toxicity
C - Lightning
strike
D - Selenium deficiency correct
answersD
The correct answer is selenium deficiency. The pale muscle and clinical
signs are classic for vitamin E and selenium deficiency. This is important
to remember! Other things that should be on your differential list for this
case include cardiotoxic plants.
A 6-year old intact male domestic short haired cat presents with
acute onset
exophthalmos of the right eye in the past 2 days. He is painful on palpation
around
eye andhishead. The eye can be retropulsed with minimal resistance. He
has notinbeen
eating the past day and has a rectal temperature of 103.4F (39.7 C). What
is the most
likely
diagnosis?
A - Orbital
neoplasia
B - Retrobulbar
C - Anterior
abscess
uveitis
D - Glaucoma correct
answersB
The answer is a retrobulbar abscess. Acute, painful exophthalmos is
usually due abscessation.
retrobulbar to These lesions are usually painful and may be
swollen. are
animals These
frequently systemically ill with fever and leukocytosis. Causes of
abscesses include penetrating wounds, foreign bodies, spread from
retrobulbar
dental or sinus
infection, and hematogenous spread. Glaucoma does not cause
exophthalmos,
although, chronically it can cause buphthalmos which may appear
similar. also
uveitis Anterior
does not cause
exophthalmos.
You are an associate veterinarian paid a base salary of $55,000 annually,
plus a 8
bonus % on receipts above your monthly production goal of $23,000.
based
Bonuses
paid are Your last three month's
quarterly.
production were:
$23,000, $28,000, and
$27,000.
, How much is your quarterly
bonus?
A-
$670
B-
$840
C-
$720
D-
$810
E - $900 correct answersC
$720
If $23,000 is the monthly production goal, then the month you brought in
$23,000
not countdoestowards a
bonus.
In the second month, $ 28,000 = $5000
above goal
In the third month $ 27,000 = $4000
above goal
Total above production goal = $5000+
$4000= $9000
$9000 X (0.08 bonus rate) =
$720.
Many practices use a combination system with a base salary and a
production-based
bonus if you bring in more than a monthly production goal, but no
penaltythat
below if you are goal, which is good if you are a new graduate, and
monthly
helps in
traffic low at the
months
clinic.
A 10-year old female spayed Siamese cat presents for a new lump the
owner found
month a was spayed last year before she was adopted from the
ago. She
shelter. The
owner states that the lump has grown over the last month, and it doesn't
seem
the to On
cat. bother
exam, the 2 cm lump is located on the left 2nd mammary
gland,lumps
other and noare noted. The lump is freely moveable, and chest
radiographs
What is the chance
are clear.
that this tumor is
malignant?
A-
5%
B-
50%
C-
20%
D - 85% correct
answersD
70-90% of all feline mammary tumors are malignant. Spaying a cat before
6 months
age reduces of the risk for mammary tumors by
7 fold.
The statistics for dogs is a 50:50 chance of malignancy for a single
mammary mass.
This 25 year old Quarter Horse mare is presented for evaluation in July in
the northern She is diagnosed with pituitary pars intermedia dysfunction.
hemisphere.
Which
the one of medications would be most likely to be beneficial to
following
this mare?
A person calls to to say she adopted a friend's dog and requests a copy of
the dog'srecord and radiographs. The former owner is a client at your clinic.
medical
Which
of one
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
C - Giveonly
caller a copy of medical record and
radiographs
D - After physical exam, start a new medical record documenting
previous
E - Give aissues
summarized record with personal identifiers (vet, owner names)
blocked out
correct
answersA
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 ofVeterinarians
patient. the 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
increased showsand liver
bilirubin
enzymes.
The cat is diagnosed with extrahepatic biliary obstruction with accompanying
cholangitis
and inflammatory bowel disease. Which one of the following normal
anatomic
may features
predispose cats to this triad of
diseases?
A - Narrowing of the duodenum distal to the entry of the common bile and
pancreatic
duct
B - Common opening of the pancreatic and common bile ducts into
s
duodenum
C - Enlarged duodenal papilla in comparison to other
species
D - Decreased proportion of alpha-smooth muscle actin in muscle fibers of
wall bladder
the gall of in
cats
E - Decreased diameter and increa correct
answersB
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 biliary
extrahepatic
obstruction.
,Other possible etiologies of EHBO include neoplasia, biliary stricture,
duodenal
obstruction, diaphragmatic hernia, and parasitic
infection.
In all cases, there is a lack of bile entry into the intestinal tract, leading to
decreased
absorption of fat and fat soluble vitamins such as vitamin K, potentially
resulting in
coagulopathie
s.
Except in transient cases that are related to acute pancreatitis, surgical
intervention
relieve to
the obstruction is required as well as appropriate supportive care,
antimicrobial
treatment, and vitamin K
administration.
Most of a litter of European wild boar at a zoological park have died.
The surviving
piglets are in lateral recumbency with a frothy nasal discharge. Necropsy of
the piglets
reveals pulmonary edema and copious fluid in the trachea and bronchi
along with
grayish- white necrotic foci on the myocardium. Which one of the following
diseases
the most is likely
diagnosis?
A - Edema
disease
B-
Encephalomyocarditis
C - Glasser's
Disease
D - Porcine Respiratory and Reproductive
Syndrome
E - Pseudorabies correct
answersB
Encephalomyocarditis virus (EMCV) is caused by a cardiovirus in
the family
picornaviridae. Confusingly, the virus is named for its effects
on mice.
Think of rodents and exotic zoo mammals with EMCV. Pig-to-pig contact,
contamination
of swine feed and water by rodents or ingestion of dead rodents may
cause
See disease. edema and copious transudate in the respiratory tract,
pulmonary
causingZoo
failure. cardiac
outbreaks of EMCV have included lions, African elephants,
rhinos, llamas,
sloths, hippos, antelope and nonhuman primates. An outbreak of lion deaths
at a in
zoo Florida
the USA occurred after feeding them the carcass of an African
elephant
died of that had
EMCV.
Edema disease is a neurologic disease caused by a hemolytic
EscherichiaShiga
producing coli toxin e2 and F18 pili resulting in high mortality in recently-
weaned pigs.
Glasser's Disease, caused by Hemophilus parasuis is usually an acute
disease ofpigs
week-old 6 towhich
8 causes fibrinous arthritis, polyserositis, and
meningitis.
Porcine Reproductive and Respiratory Syndrome (PRRS), is an arterivirus
causing
reproductive failure and post-weaning respiratory
disease.
What is the main mode of transmission for feline
leukemia virus?
A - Aerosol
transmission
,B - Shedding of virus via
feces
C - Fomite
transmission
D - Shedding of virus via saliva correct
answersD
The correct answer is shedding of virus via saliva. The main mode of
transmission
saliva. is viaprolonged, close contact. Cats may shed the virus for
It requires
monthsTransmission
years. to may also occur through reuse of instruments and
blood.inVirus
shed is tears, urine, and
saliva,
feces.
You are working with a farmer who is having trouble with calves between
the age of 2
weeks and 6 months. They are alert, but weak, dyspneic and die
suddenly. On
necropsy
A - Copperthey have pale cardiac and skeletal muscles. What is the
farmer's problem?
deficiency
B - Sorghum
toxicity
C - Lightning
strike
D - Selenium deficiency correct
answersD
The correct answer is selenium deficiency. The pale muscle and clinical
signs are classic for vitamin E and selenium deficiency. This is important
to remember! Other things that should be on your differential list for this
case include cardiotoxic plants.
A 6-year old intact male domestic short haired cat presents with
acute onset
exophthalmos of the right eye in the past 2 days. He is painful on palpation
around
eye andhishead. The eye can be retropulsed with minimal resistance. He
has notinbeen
eating the past day and has a rectal temperature of 103.4F (39.7 C). What
is the most
likely
diagnosis?
A - Orbital
neoplasia
B - Retrobulbar
C - Anterior
abscess
uveitis
D - Glaucoma correct
answersB
The answer is a retrobulbar abscess. Acute, painful exophthalmos is
usually due abscessation.
retrobulbar to These lesions are usually painful and may be
swollen. are
animals These
frequently systemically ill with fever and leukocytosis. Causes of
abscesses include penetrating wounds, foreign bodies, spread from
retrobulbar
dental or sinus
infection, and hematogenous spread. Glaucoma does not cause
exophthalmos,
although, chronically it can cause buphthalmos which may appear
similar. also
uveitis Anterior
does not cause
exophthalmos.
You are an associate veterinarian paid a base salary of $55,000 annually,
plus a 8
bonus % on receipts above your monthly production goal of $23,000.
based
Bonuses
paid are Your last three month's
quarterly.
production were:
$23,000, $28,000, and
$27,000.
, How much is your quarterly
bonus?
A-
$670
B-
$840
C-
$720
D-
$810
E - $900 correct answersC
$720
If $23,000 is the monthly production goal, then the month you brought in
$23,000
not countdoestowards a
bonus.
In the second month, $ 28,000 = $5000
above goal
In the third month $ 27,000 = $4000
above goal
Total above production goal = $5000+
$4000= $9000
$9000 X (0.08 bonus rate) =
$720.
Many practices use a combination system with a base salary and a
production-based
bonus if you bring in more than a monthly production goal, but no
penaltythat
below if you are goal, which is good if you are a new graduate, and
monthly
helps in
traffic low at the
months
clinic.
A 10-year old female spayed Siamese cat presents for a new lump the
owner found
month a was spayed last year before she was adopted from the
ago. She
shelter. The
owner states that the lump has grown over the last month, and it doesn't
seem
the to On
cat. bother
exam, the 2 cm lump is located on the left 2nd mammary
gland,lumps
other and noare noted. The lump is freely moveable, and chest
radiographs
What is the chance
are clear.
that this tumor is
malignant?
A-
5%
B-
50%
C-
20%
D - 85% correct
answersD
70-90% of all feline mammary tumors are malignant. Spaying a cat before
6 months
age reduces of the risk for mammary tumors by
7 fold.
The statistics for dogs is a 50:50 chance of malignancy for a single
mammary mass.
This 25 year old Quarter Horse mare is presented for evaluation in July in
the northern She is diagnosed with pituitary pars intermedia dysfunction.
hemisphere.
Which
the one of medications would be most likely to be beneficial to
following
this mare?
