REVISED PHARMACOLOGY
(VTNE) FINAL EXAM
QUESTIONS AND ANSWERS
What adverse side effect can occur in cats given metoclopramide?
Cyanosis
Dilated and fixed pupils
Aggressive behavior
Estrus behavior - CORRECT ANSWER -*Aggressive behavior*
Explanation - Rare side effects that can occur are nervous, jittery, or aggressive behaviors. The antidote
for these types of behaviors is diphenhydramine (Benadryl). Head bobbing can also rarely occur as a side
effect of Reglan s(metoclopramide).
A s20-kg spatient sis sbeing ssent shome son sfamotidine sto shelp swith spotential sesophagitis. sHow smany
s10 smg stablets sshould sbe ssent shome swith sthe sowner, sif sthe spatient srequires s0.5 smg/kg sPO sBID sx
s7 sdays?
14
40
,21
7 s- sCORRECT sANSWER s-*14*
Explanation s- sTo scorrectly sanswer sthe squestion, sthe sfollowing smath sshould shave sbeen sperformed:
20 skg sx s(0.5 smg/kg) s= s10 smg s(This sis sthe samount sthe spatient sneeds sper sdose, swhich sis
sequivalent sto s1 stablet.)
1 sx s2= s2 s(This sis sthe snumber sof spills sneeded sper sday, ssince sthe sdosing sis sBID.)
2 sx s7= s14 s(This sis sthe snumber sof spills sneeded sfor sthe s7 sday streatment scourse.)
Which sdrug sis sknown sas san sACE-inhibitor?
Metoclopramide
Enalapril
Diphenhydramine
Acepromazine s- sCORRECT sANSWER s-*Enalapril s*
Explanation s- sAce-inhibitors slike senalapril sare svasodilators swhich sblock sangiotensin-converting
senzyme sto sprevent sangiotensin sII s(a svacosconstrictor) sand saldosterone s(causes ssodium sretention)
sfrom sforming.
Ace-inhibitors shelp sto srelax ssmooth smuscle sin sthe sarterioles sand sveins. sThey sare smost scommonly
sused sin scases sof sheart sand skidney sdisease.
-Note sthat sace-inhibitor sdrugs susually send sin sa s"pril" s(benazapril, scaptopril, senalapril, setc.)
,Valium sis soften sgiven swith sketamine sto sprovide swhich seffect?
Increased sheart srate
Muscle srelaxation
Increased scardiac scontractility
Increased smuscle stone s- sCORRECT sANSWER s-*Muscle srelaxation*
Explanation s- sKetamine scan scause smuscle srigidity. sValium s(diazepam) sis soften sgiven swith sketamine
sto sprovide smuscle srelaxation.
A s5-year sold sfemale sspayed sYorkie spresents swith sa shistory sof sdecreased svision. sThe sdoctor sasks
syou sto sperform stonometry son sthis sdog. sWhich sof sthe sfollowing smay sbe sused sas sa stopical
sanesthetic sto sthe seyes sso sthat syou smay scheck sthe sintraocular spressures swith syour sTonopen?
Benzocaine
Proparacaine
Lidocaine
Bupivacaine s- sCORRECT sANSWER s-*Proparacaine s*
Explanation s- sProparacaine sis sa stopical sanesthetic sfor sthe seyes. sThe sother schoices sshould snot sbe
sused sin sthe seyes. sThe sother soptions sare slocal sanesthetic sagents sbut sare slikely sto scause
sirritation sand/or scorneal sulceration.
, Keratoconjunctivitis ssicca s(dry seye) scan sresult sfrom sthe suse sof swhich smedication?
Trimethoprim-sulfa s(TMS)
Enalapril
Cyclosporine
Prednisone
Enrofloxacin s- sCORRECT sANSWER s-*Trimethoprim-sulfa s(TMS) s*
Explanation s- sThe ssulfa sdrugs scan scause sdry seye sin ssome spatients sand stherefore soveruse sshould
sbe savoided. sIf sa spatient sis sstarted son sa ssulfa sdrug, stear sproduction sshould sbe smonitored.
Why sshould satropine, sa scompetitive santagonist sof sacetylcholine sreceptors, sbe sused scautiously sin
shorses s(i.e. swhat sis sa smajor sside seffect sof sthe sdrug)?
Excessive suse scan sresult sin sbradycardia
Excessive suse scan sresult sin sdiarrhea
Excessive suse scan sresult sin sintense sconstriction sof sthe spupil
Excessive suse scan sresult sin sintestinal sstasis s(colic) s- sCORRECT sANSWER s-*Excessive suse scan sresult sin
sintestinal sstasis s(colic)*
(VTNE) FINAL EXAM
QUESTIONS AND ANSWERS
What adverse side effect can occur in cats given metoclopramide?
Cyanosis
Dilated and fixed pupils
Aggressive behavior
Estrus behavior - CORRECT ANSWER -*Aggressive behavior*
Explanation - Rare side effects that can occur are nervous, jittery, or aggressive behaviors. The antidote
for these types of behaviors is diphenhydramine (Benadryl). Head bobbing can also rarely occur as a side
effect of Reglan s(metoclopramide).
A s20-kg spatient sis sbeing ssent shome son sfamotidine sto shelp swith spotential sesophagitis. sHow smany
s10 smg stablets sshould sbe ssent shome swith sthe sowner, sif sthe spatient srequires s0.5 smg/kg sPO sBID sx
s7 sdays?
14
40
,21
7 s- sCORRECT sANSWER s-*14*
Explanation s- sTo scorrectly sanswer sthe squestion, sthe sfollowing smath sshould shave sbeen sperformed:
20 skg sx s(0.5 smg/kg) s= s10 smg s(This sis sthe samount sthe spatient sneeds sper sdose, swhich sis
sequivalent sto s1 stablet.)
1 sx s2= s2 s(This sis sthe snumber sof spills sneeded sper sday, ssince sthe sdosing sis sBID.)
2 sx s7= s14 s(This sis sthe snumber sof spills sneeded sfor sthe s7 sday streatment scourse.)
Which sdrug sis sknown sas san sACE-inhibitor?
Metoclopramide
Enalapril
Diphenhydramine
Acepromazine s- sCORRECT sANSWER s-*Enalapril s*
Explanation s- sAce-inhibitors slike senalapril sare svasodilators swhich sblock sangiotensin-converting
senzyme sto sprevent sangiotensin sII s(a svacosconstrictor) sand saldosterone s(causes ssodium sretention)
sfrom sforming.
Ace-inhibitors shelp sto srelax ssmooth smuscle sin sthe sarterioles sand sveins. sThey sare smost scommonly
sused sin scases sof sheart sand skidney sdisease.
-Note sthat sace-inhibitor sdrugs susually send sin sa s"pril" s(benazapril, scaptopril, senalapril, setc.)
,Valium sis soften sgiven swith sketamine sto sprovide swhich seffect?
Increased sheart srate
Muscle srelaxation
Increased scardiac scontractility
Increased smuscle stone s- sCORRECT sANSWER s-*Muscle srelaxation*
Explanation s- sKetamine scan scause smuscle srigidity. sValium s(diazepam) sis soften sgiven swith sketamine
sto sprovide smuscle srelaxation.
A s5-year sold sfemale sspayed sYorkie spresents swith sa shistory sof sdecreased svision. sThe sdoctor sasks
syou sto sperform stonometry son sthis sdog. sWhich sof sthe sfollowing smay sbe sused sas sa stopical
sanesthetic sto sthe seyes sso sthat syou smay scheck sthe sintraocular spressures swith syour sTonopen?
Benzocaine
Proparacaine
Lidocaine
Bupivacaine s- sCORRECT sANSWER s-*Proparacaine s*
Explanation s- sProparacaine sis sa stopical sanesthetic sfor sthe seyes. sThe sother schoices sshould snot sbe
sused sin sthe seyes. sThe sother soptions sare slocal sanesthetic sagents sbut sare slikely sto scause
sirritation sand/or scorneal sulceration.
, Keratoconjunctivitis ssicca s(dry seye) scan sresult sfrom sthe suse sof swhich smedication?
Trimethoprim-sulfa s(TMS)
Enalapril
Cyclosporine
Prednisone
Enrofloxacin s- sCORRECT sANSWER s-*Trimethoprim-sulfa s(TMS) s*
Explanation s- sThe ssulfa sdrugs scan scause sdry seye sin ssome spatients sand stherefore soveruse sshould
sbe savoided. sIf sa spatient sis sstarted son sa ssulfa sdrug, stear sproduction sshould sbe smonitored.
Why sshould satropine, sa scompetitive santagonist sof sacetylcholine sreceptors, sbe sused scautiously sin
shorses s(i.e. swhat sis sa smajor sside seffect sof sthe sdrug)?
Excessive suse scan sresult sin sbradycardia
Excessive suse scan sresult sin sdiarrhea
Excessive suse scan sresult sin sintense sconstriction sof sthe spupil
Excessive suse scan sresult sin sintestinal sstasis s(colic) s- sCORRECT sANSWER s-*Excessive suse scan sresult sin
sintestinal sstasis s(colic)*
