COMPLETE QUESTIONS AND CORRECT SOLUTIONS |ALREADY
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name at least 3 bloodwork abnormalities seen with chronic renal failure - SOLUTION-1 azotemia
2 elevated phosphorus
3 non regenerative anemia
4 metabolic acidosis
5 isosthenuric 1.008-1.012
treatment of chronic renal failure involves fluids, vit B, and a diet high in ______ -
SOLUTIONprotein/ phosphorus
what is your top differential and diagnostic test of choice for a dog with:
- severe azotemia
-icterus, vomiting, lethargy, anorexia, dehydration
- neutrophilic leukocytosis
- not up to date on vaccines - SOLUTION-leptospirosis
serology (agglutination test)
treatment for Lepto in dogs - SOLUTION-1 penicillin
2 ampicillin
3 doxycycline
,what is your top differential and diagnostic test of choice for a male dog with:
- dysuria, hematuria, stranguria
- painful on bladder palpation - SOLUTION-urolithiasis
UA/ urine C&S, rads/ ultrasound
treatment for urolithiasis
struvite vs urate vs cysteine vs calcium oxalate - SOLUTION-struvite- antibiotics for uti, acidifying
diet, usually 2nd to uti urease producing bacteria making bladder pH too alkaline (coffin / roof
appearance)
urate- dalmatians or portosystemic shunts, alkalinizing diet for tx, reduce protein, give
allopurinol
cysteine- barely visible on rads, need US, alkalinizing diet for tx (prism appearance)
calcium oxalate - need surgical removal, (monohydrate- picket fences, second to ethylene glycol
tox, vs dihydrate- square envelopes )
mitral valve insufficiency is the most common cause of congestive heart failure in dogs. name 3
components of DMVD treatment - SOLUTION-3D's
1 Diet- decrease sodium Na
2 diuretics
3 dilation- vasodilators ace I (enalapril )
the most common congenital heart defects in dogs is _____ which involves ____ to _____
shunting - SOLUTION-PDA patent ductus arteriosis
,left to right shunting
congenital pulmonic stenosis is caused by dysplasia of the pulmonic valve and is the second
most common congenital heart defect in dogs. what does it look like on rads and what is
the treatment of choice - SOLUTION-revers D heart shape on rads sx balloon dilation
valvuloplasty
name at least 3 treatment components of dilated cardiomyopathy - SOLUTION-1 diuretics-
furosemide
2 pimobendan
3 Acei-enalapril
4 digoxin if tachycardia or beta blocker
pulsus paradoxes (exaggerated increase and decrease in in arterial pressure with expiration and
inspiration) and electrical alternans (alternating every other height of QRS complexes) are signs
of what - SOLUTION-pericardial effusion
cardiac tamponade involves pericardial effusion/ fluid in pericardial cavity interfering with
______ - SOLUTION-right heart function
ECG shows premature wide and bizarre QRS-T complexes. what is this abnormality called and
how would you treat it - SOLUTION-VPC's premature ventricular contractions
Ventricular tachycardia if 3 in a row > 180 bpm
TX lidocaine/ anti arrhythmic
name at least 3 possible underlying causes of cataracts (opacity of lens) - SOLUTION-1 diabetes
mellitus
, 2 congenital- mini schnauzer
3 trtauma
4 infection
5 toxicity
name at least 3 abnormalities on bloodwork you would expect to see in a dog with cushings
disease - SOLUTION-1 stress leukogram
2 elevated PCV
3 elevated ALP
4 elevated cholesterol
5 elevated glucose
6 low BUN
7 low USG
what is the most common cause of cushing disease in dogs - SOLUTION-85% pituitary
dependent (pituitary gland adenoma)
15 % adrenal gland hyperplasia (50/50 benign/ malignant)
Low dose dex diagnostic shows that cushing's is pituitary dependent if (low/high) at 4 hours
and
(low/high) at 8 hours - SOLUTION-low at 4 hours
high at 8 hours
name at least 3 blood work abnormalities consistent with addison's disease - SOLUTION-1 Na:K
< 27
2 elevated calcium
3 low chloride