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Emergency Final
Emergency Final
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1
What is the treatment of choice for ventricular fibrillation?
atropine and or epinephrine with repeated doses
lidocaine
electrical defibrillation
atropine
2
In a gravity fed IV fluid system, the rate of administration is
programmed to deliver over a set amount of time without interference
monitored and controlled by a photoelectric eye that counts the drops
controlled by a sensor above the drip chamber that adjusts the rate
largely dependent on the patient's position and manually adjusted
3
Blood transfusions should be administered and completed within __ hours.
8
6
10
4
4
___ fluids have a lesser osmolality than blood and provide greater proportion of water than of electrolytes.
hypervolemic
hypertonic
isotonic
hypotonic
5
When applying casting materials around the limb, overlap successive layers by:
1/4-1/2
1/2-3/4
1/3-1/2
1/8-1/4
6
A critical horse needs fluids during surgery. He has been anesthetized but which route will you use for fluids?
enteral/nasogastric
intravenous
intraosseus
subcutaneous
7
What color EKG leads goes on the left thoracic limb?
white
red
black
green
8
Patient A is colt who didn't receive passive transfer. Patient B has hypoalbuminemia. What do they both need?
blood albumin transfusions
ringer lactate solution transfusions
plasma transfusions
factor VIII transfusions
9
Granulation tissue is made up of new capillaries, __ and ____.
neutrophils; fibroblasts
fibroblasts; monocytes
neutrophils; fibrous tissue
fibroblasts; endothelial cells
10
Which of the following seeks wellness by keeping elements of nature in balance and also means the science of life?
Shiatsu
Homeopathy
Aromatherapy
Ayurveda
11
Which of the following is not a sign of 10% dehydration
pronounced loss of skin turgor
sunken eyes
weak pulses
bradycardia
12
A major crossmatch is:
agglutination reaction between the donor RBC's and the recipient plasma
agglutination reaction between the donor RBC's and the recipient RBC's
agglutination reaction between the donor plasma and the recipient RBC's
a normal rouleaux formation of RBC's
13
Your hospitalized patient acquires a FUO. He has an IVC. You will:
remove and replace the catheter in a different vein as a precaution
remove the catheter, bathe the site and contact the vet
do nothing to the catheter but monitor and treat the fever
avoid excess movement of the catheter but flush it with saline repeatedly
14
You are applying an occlusive nonadherent primary layer bandage, which:
will allow air to penetrate the wound
is used only temporarily to help debride the wound
will not directly contact the wound surface, because it is non adherent
will retain moisture and remain impermeable to air
15
What is the drug of choice for a patient with eclampsia?
calcium gluconate
butorphanol
lidocaine
cyclosporine
16
Nasogastric intubation in horses:
should be performed in all patients examined for abdominal pain
is useful to induce vomiting
should be used with caution as it tends to contribute to excessive gas
is appropriate only if it is clear the horse has iluem
17
What color EKG lead goes on the right thoracic limb?
white
green
black
red
18
In most cases, the single best way to track changes in hydration and body water is through
assessment of skin turgor
frequent monitoring of body weight
monitoring urine output
monitoring urine specific gravity
19
When applying a bandage on the lower limb of a horse, apply topical medication, nonadhering dressing and then
rolled conforming gauze, brown gauze, elastic wrap and a padded layer
rolled conforming gauze, padded layer, conforming gauze, elastic wrap
a padded layer, rolled conforming gauze, brown gauze and elastic wrap
a padded layer, rolled conforming gauze, elastic wrap and brown gauze
20
Why must the thick bandage placed under a large animal limb splint extend well above and below the splint?
to prevent pressure sores
to make removing it easier
to adequately provide support
to keep foreign material from getting into the wound
21
Which of the following is not a common small animal emergency?
urethral obstruction
acute abdomen
all of the above are common small animal emergencies
respiratory distress
22
What color EKG lead goes to the right rear limb?
red
white
black
green
23
Which of the following medicinal systems is based on the principle that 'like cures like'?
TCM
Homeopathy
Ayurveda
Allopathy
24
Which drug is given to induce emesis in a toxicity patient?
apomorphine
furosemide
epinephrine
lidocaine
25
Which of the following is not a category of analgesics?
locals
alpha 2 agonists
opioids
tetracyclines
26
The vet performs a chest tap on a horse; this most likely indicates that
this patient recieved a chest tube sutured into position
a laceration of the thoracic wall was sealed during evacuation of air
anesthetic/analgesic was delivered via thoracocentesis
the pleural space of horse with pneumothorax was reduced w thoracocentesis
27
To improve your patient's BP you administer ___, a synthetic catecholamine, in hopes of causing vasoconstriction
dopamine
nitroglycerin
dilantin
dilitiazem
28
What is the first thing a tech should get from phone triage of an owner worried about their pet?
a name and phone number where the caller can be contacted if disconnected
whether the animal is experiencing life threatening breathing
whether the animal has difficulty breathing
none of the above
29
Which of the following is not a factor when choosing the type of wound closure to use on an injured patient?
time since injury
location of the wound
degree of wound contamination
past inoculations or vaccinations
30
An animal that assumes the praying or play bowing position most likely has __ pain.
abdominal
neurologically induced
thoracic
musculoskeletal
31
In a volumetric pump fluid system:
the required volume of fluids can be programmed to be delivered over time
a photoelectric eye counts the drips of solution as administered
a sensor above the drip chamber adjusts the rate of drops per minute
the rate is also largely dependent on the patient's position
32
When performing chest compressions on an animal that weighs more than 15lb, the animal should be placed in a
sternal recumbent position
ventral position
lateral recumbent position
standing position with the chest draped over the arm
33
In dogs and cats, normal systolic is ___mmHg and normal diastolic is ___mmHg. This is required for adequate perfusion.
80-140; 50-80
85-100; 70-90
80-90; 60-70
100-120; 70-90
34
What item does not belong on/in the crash cart?
laryngoscope
microchip scanner
suction device
ekg
35
When removing an equine limb cast, the cuts in the cast should be made longitudinally along
the cranial and caudal surfaces
no area; the cuts should not be made longitudinally
the dorsal and palmar surfaces
the medial and lateral surfaces
36
Loss of skin turgor begins at __% dehydration.
5-6
10-12
<5
6-8
37
Which of the following is not a part of the specialized cardiac conduction system?
QR node
atrioventricular node
sinoatrial node
bundle of his
38
Which of the following drugs could be used as a premed for a blood transfusion?
butorphanol
furosemide
lidocaine
diphenhydramine
39
Allowing a wound to heal completely without surgical closure is known as __ healing.
first intention
third intention
second intention
non intention
40
Which local analgesic has a longer duration of action?
lidocaine
furosemide
meloxicam
bupivicaine
41
A patient experiencing pain will have dilated eyes.
true
false
42
DIC is primarily a disorder of the body's __ function.
clotting
neurologic
renal
hepatic
43
How might a broom handle be used in the application of an equine limb cast?
is threaded thru loop of wire attached to the hoof wall to apply traction
keep limb at 45 degree angle from body
it is not used
it is incorporated to add additional strength
44
Which of the following is portable device than can provide ventilatory support during CPCR
flow by
ambu bag
nasal cannula
nebulizer
45
___ is an example of a synthetic colloid.
Lactated Ringer solution
hetastarch
hypertonic saline
0.9% saline
46
After taking a history, in most toxicity cases the immediate next step is
to induce emesis
to give antibiotics
discharge the patient
to watch for signs of toxicity
47
Which category of analgesics can be reversed?
locals
opioids
alpha 2's
NSAID's
48
How soon after injury is wound healing initiated?
1-2 hours
immediately
10 minutes
30 minutes
49
Which of the following is most accurate?
decubital ulcers are generally easy to treat
decubital ulcers form over bony prominences
if animal has decubital ulcer it should remain recumbent and immobile
active, well muscled animals are at the greatest risk of decub ulcers
50
Endangerment sites for massage includethe
paws
area over the kidneys
area over the liver
ears
51
After performing CPR on a dog, it develops opisthotonus w rigidity in all 4 limbs. Where is the lesion, what prognosis?
cerebrum; poor
brainstem; grave
intervertebral disk; fair
brainstem; fair
52
The length of one massage stroke is called the
continuity
excursion
duration
depth
53
The goal of post event massage is to
teach physical awareness of the body
loosen phlegm congestion in the body
prevent injury during the event
flush out metabolic waste
54
_ measures expired dioxide; __ indicates non invasive measurement of hemoglobin-oxygen saturation
capnography; pulse oximetry
capnography; blood gas analysis
pulse oximetry; capnography
blood gas analysis; capnography
55
Upon injury, a significant increase in wound strength begins to occur:
within 2-4 hours
immediately
within 3-5 days
within 12-24 hours
56
What is the modality that provides both therapy and diagnostic imagery using high frequency sound waves?
cryotherapy
electrical stimulation
ultrasound
low light laser
57
The QT interval represents:
biphasic ventricular repolarization
atrial depolarization
the total electrical systole
the mean electrical axis
58
All crystalloid IV solutions contain __ in water and are characterized by their ___.
electrolytes; osmolality
high molecular weight molecules; alkalinizing effects
chloride; acidifying effects
sodium; hypotonicity
59
Which of the following is typically used to treat heart failure and pulmonary edema?
lidocaine
dobutamine
furosemide
dopamine
60
The massage strokes that is a gliding movement that follows the contour of the body is called
effleurage
petrissage
friction
coupage
61
P has estimated ongoing losses for 3 hrs totaling 150ml. What will you add to the maintenance rate to account for loss?
30 ml
15 ml
450 ml
50 ml
62
You can't hit a neonate's vein. What is next best option for quick delivery of fluids?
IO
IM
SC
Surgical implant
63
Which of the following is not a key aspect of recumbent care?
do not apply fluoroscein stain to the corneas of a patient under GA
taking care of the patient's airways involving humidification and suction
appropriate bedding and padding can reduce the incidence of bed sores
none of the above; all are key aspects of recumbent care
64
What is the goal for the patient during CPCR?
DOA
ROSC
triage
CPA
65
Horse with colon impaction is receiving IVF. The impaction will be treated using which route?
peripheral IV route
subcutaneous route
enteral route via nasogastric tube
intraosseus route
66
The exercise program for an equine in a limb cast is best described as
outside to go to the bathroom only
stall confinement only
pasture walking several times a day
light exercise
67
The __ of the BP cuff should approximately __ of the circumference of the limb at the site of cuff placement.
width; 40%
circumference; 30%
length; 40%
diameter; 30%
68
You are giving hetastarch to a patient during CPR. What is the greatest risk of administration of a synthetic colloid?
increased risk of bleeding
all of the above
coagulopathy
undesirable need for transfusion
69
Which of the following statements regarding the podiatry of a dog is true?
trim from the side of the dog toe nail and work towards the tip
it is not painful to grind the toenail until the nub of the quick appears
dog nails are weight bearing; if kept long can support posture of the dog
you should not be able to slide anything under the nail as the dog stands
70
Constricted pupils are called:
miasmic
misappropriated
mydriatic
miotic
71
If the skin surrounding a wound is very tight and under tension:
wound contraction will be limited
epithelialization can happen more rapidly
time to granulation tissue formulation is shortened
fibroblast migration is accelerated and healing maximized
72
Abrasions should be treated by:
no surgical intervention; healing should be allowed to occur
third intention healing
second intention healing
first intention healing
73
What is the ideal route of drug administration during CPCR in advanced life support?
intravenous route with jugular cutdown
intratracheal route
endotracheal route with hypertonic saline
intracardiac route with synthetic colloids or hypertonic solution
74
When performing cardiac compressions on a dog that weighs 9lb, what is the point of compression?
over the 8th rib
over the widest part of the chest
directly over the heart
directly over the sternum
75
The avg HR (in bpm) can be calculated by counting the number of
millimeters between two R waves and dividing by 1500
millimeters between two R waves and dividing by 3000
QRS complexes in predetermined time period & mutliplying by specific factor
P waves in a predetermined time and multiplying that by QRS complexes
76
What is not a sign of an acute hypersensitivity reaction?
pruritis
erythema
urticaria
alopecia
77
This route can be used to deliver large volumes of fluid for slow absorption over time and gradual fluid replacement
intraosseous
subcutaneous
enteral
IV volumetric pump
78
What drugs can be administered safely via the endotracheal route?
epinephrine and naloxone only
atropine, lidocaine, epinephrine, naloxone, vasopressin
dopamine, epinephrine
corticosteroids, atropine, vasopressin
79
Arterial blood samples should be drawn from the __ or femoral artery.
cephalic
dorsal metatarsal
saphenous
caudal
80
The application of electrical current to elicit a muscle contraction or __ is used for muscle strengthening.
ultrasound
NMES
low light laser
cryotherapy
81
If an IVC is being placed in the jugular vein, the vessel should be occluded at the
knee, or just above it
patient's elbow
thoracic inlet
base of the throat
82
You are careful to avoid any folds or wrinkles in a bandage because otherwise:
it can cause pressure necrosis
the limb can refracture
the cast will not stay on
the limb may become infected
83
What is the treatment for epistaxis?
naloxone
epinephrine
calcium gluconate
lidocaine
84
What is the name of the acupuncture point that is located near the nasal philtrum and can be stimulated during CPA?
main meridian
governor vessel 26
channel vessel
reiki vessel
85
An animal with kidney disease may display which of the following conditions?
BMBT
megaesophagus
azotemia
melena
86
Your patient experiences an acute bleeding episode. You are prepared to begin transfusion if the PCV drops below
20-25%
30-35%
50%
40-45%
87
A patient has an increased CRT (longer than 2 sec); what does this mean?
decreased perfusion of oxygen into tissues
lung disease
decreased oxygen
tachycardia
88
The condition in which air becomes trapped between the body wall and the lung is called:
subcutaneous emphysema
pneumothorax
flail chest
hemothorax
89
Which anticoagulant is used primarily in transfusion medicine?
EDTA
citrate
heparin
sodium fluoride
90
What category of analgesics have very limited use in cats?
opioids
alpha 2's
NSAIDs
locals
91
Which of the following is a synonym of 'trigger point massage'?
goniometry
myotherapy
applied kinesiology
homeopathy
92
About two thirds of TBW in mammals is made up of
ECF
ICF
ISF
IVF
93
What is the treatment for acute allergic reaction?
oxytocin
lidocaine
diphenhydramine
naloxone
94
Blistering at the site of a burn indicates a ___ degree burn.
second
fourth
third
first
95
Which is a non-weight bearing sling applied to the pelvic limb to protect the hip joint?
modified robert jones bandage
carpal flexion sling
ehmer sling
spica splint
96
Patient has full thickness burns which are heavily contaminated. You apply
a sterile, occlusive primary bandage layer with heavily padded second layer
a sterile wet to dry primary bandage layer
a sterile, dry to dry primary bandage layer
antibiotic ointment
97
Butorphanol is a __ agonist and a ___ antagonist
sigma; kappa
delta; mu
kappa; mu
mu; kappa
98
Which of the following is an effective technique for controlling exuberant granulation tissue?
surgical excision
electrocautery
cryotherapy
all of the above
99
The ___ is the most commonly applied distal limb bandage in small animals.
modified robert jones
ehmer
velpeau
robert jones
100
What is the treatment for opioid overdose?
lidocaine
naloxone
diphenhydramine
furosemide