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SAM II Final

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Student created questions to study material for SAM II final Summer 2015
curfman.melissa
Quiz by curfman.melissa, updated more than 1 year ago
curfman.melissa
Created by curfman.melissa over 9 years ago
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Resource summary

Question 1

Question
What is the best way to tell the difference between exophthalmos vs. buphthalmos?
Answer
  • Visual inspection
  • Breed predilection
  • Ability to retropulse the exophthalmic eye
  • Ability to retropulse the buphthalmos eye

Question 2

Question
Buphthalmos can indicated which of the following and what are the Ddx's?
Answer
  • Increased extraocular pressure
  • Increased intraocular pressure
  • Intraocular neoplasia
  • Glaucoma
  • Genetic defect

Question 3

Question
Treat the patient not the blood test when it comes to anemia
Answer
  • True
  • False

Question 4

Question
A dog presents with 24hr history of weakness and anorexia the clinical exam shows pale mm and tachycardia. The owner compliant is red urine. Hematology detects a moderate anemia (PCV 25%), non-regenerative, normocytic, normochromic. The serum is red discolored. What is your likely dx?
Answer
  • Intravascular hemolytic anemia
  • Bone marrow destruction
  • Blood loss anemia
  • Extravascular hemolysis

Question 5

Question
What is the characteristic RBC feature of IMHA on blood smear examination?
Answer
  • Echinocytes
  • Schistocytes
  • Spherocytes
  • Heinz bodies
  • Howell Jolly Bodies

Question 6

Question
A collapsed dog with tachycardia has IMHA, with PCV of 10%, TSP of 72g/L, ISA: positive. What blood product would you transfuse?
Answer
  • Whole blood
  • Fresh whole blood
  • Packed cells
  • Fresh frozen plasma
  • Platelet

Question 7

Question
A dog has been Dx with IMHA. This dog is a diabetic. What would be your immunosuppressive of choice?
Answer
  • Prednisolone
  • Mycophenolate mofetil
  • Cyclosporin
  • Azathioprine

Question 8

Question
The image below is the ventral abdomen of a Miniature Schnauzer. This is an example of which hemostatic abnormality
Image:
a6fbbf46-9a19-4e5d-9a6b-4987a22b8220 (image/jpg)
Answer
  • Primary hemostasis
  • Secondary hemostasis

Question 9

Question
A miniature schnauzer with primary hemostasis has a platelet count of 64,000/uL. What is the most likely etiology of the petechiation?
Answer
  • Thrombocytopenia
  • Thrombocytopathy
  • Coagulopathy due to factor deficiency
  • Fibrinolysis increased

Question 10

Question
A Doberman has been diagnosed with vWD. There are a number of therapies available for managing hemorrhage crises or used in the anticipation of surgery in this disease. Which is NOT a treatment option?
Answer
  • Fresh whole blood
  • Plasma
  • Fresh frozen plasma
  • Cryoprecipitate
  • Desmopressin

Question 11

Question
Regarding IMTP therapy. Which statement is INCORRECT?
Answer
  • Initial therapy includes prednisolone at immunosuppressive doses
  • Vincristine will decrease hospitalization time
  • Human immunoglobulin infusion is considered the standard of care in severe thrombocytopenia patients at risk of bleeding--less bleeding episodes and shorter hospitalization than vincristine
  • Thromboprophylaxis (clopidogrel or aspirin) is generally started on day three of IMTP therapy

Question 12

Question
Joey, 6 yo MN Golden retriever is Dx w/ an osteosarcoma. The owner wants curative intent. What are your treatment recommendations?
Answer
  • Start him on chemotherapy only
  • Amputate the limb
  • Amputation + chemotherapy combination
  • Radiation therapy of sarcoma
  • Pain killers--it's a poor prognosis

Question 13

Question
What is not a prognosticator for OSA in a dog?
Answer
  • Age, >7yrs is worse
  • Location, proximal humerus is worse
  • ALKP, failure to decline to normal by D40 is worse
  • Metastasis, presence has a shorter MST

Question 14

Question
Joey comes to your clinic for a 7 day follow-up check post-cyclophosphamide (CHOP). His neutrophil count is 1200cells/uL What do you suggest to Joey's owner?
Answer
  • Give the vincristine but at a 25% reduced dose
  • Substitute with a non-myelotoxic drug
  • Postpone chemotherapy for 7 days and prescribe Abx (TMS)
  • Stop chemotherapy altogether

Question 15

Question
Joey comes to your clinic for a 7 day follow-up check post-doxorubicin (CHOP). His neutrophil count is 300cells/uL. Joey has a fever. What do you suggest to Joey's owner?
Answer
  • Recommend repeat sampling in 7 days to see if he has recovered from his nadir
  • Substitue doxorubicin in the future with dactinomycin
  • Send Joey home with TMS course of Abx
  • Admit Joey to the isolation facility and start with broad spec Abx

Question 16

Question
Joey has peripheral lymphadenopathy with a T cell lymphoma but is otherwise healthy. Lymphoma cells are found in his spleen and liver with FNA but not in the bone marrow. Classify his lymphoma
Answer
  • Multicentric, T-cell, Stage IV, substage a
  • Multicentric T cell, stage V, substage a
  • Multicentric, T cell, stage IV, substage b
  • Extranodal lymphoma
  • Acute lymphocytic leukemia

Question 17

Question
When we consider Joey's lymphoma. Which is a negative prognosticator?
Answer
  • Stage
  • Location (multicentric)
  • Immunophenotype (T cell)
  • Grade

Question 18

Question
Tigger the 12 yo FN Siamese presents with a mammary mass. What is the first thing you recommend?
Answer
  • FNA
  • Biopsy
  • Radical bilateral, stage mastectomy
  • Three thoracic radiographs
  • Coagulation profile

Question 19

Question
Pilot 14 yr MN, Chow presents with an ulcerated swollen mass on his muzzle. FNA confirms it is a MCT. The owner has very limited funds. What is the best option for him?
Answer
  • Curative intent--surgery, radiation and vinblastine/CCNU
  • TKI-toceranib
  • Palliative steroid therapy with H1 and H2 blockers
  • NSAID and tramadol
  • Doxorubicin single agent chemotherapy

Question 20

Question
Pilot, 14 yo MN chow w/ MCT on palliative treatment. Owner 1 day later decides she wants to proceed w/ definitive treatment for MCT. Grade patnaik III. What is your Rx?
Answer
  • Radiation (LINAC)
  • Chemo CCNU and vinblastine
  • Chemotherapy Masivet
  • Sx/radiation for locoregional control + chemo for distant (L&M) and long term masivet

Question 21

Question
What is expected MST in dog that had splenectomy for hemoabdomen but no follow up chemo?
Answer
  • 3 weeks-3 months
  • 3-6 months
  • 6-12 months
  • 2 yrs

Question 22

Question
In which order are these tests done? Fluorsecin stain, Scrimer tear test, tonometry
Answer
  • FS, STT, TM
  • TM, FS, STT
  • STT, FS, TM
  • STT, TM, FS

Question 23

Question
Which of the following in INCORRECT when performing a Fluorescein stain?
Answer
  • It's ok to touch the cornea w/ end of dye strip
  • You should flush out left over dye after eye examined
  • Look at cornea with cobalt blue, not woods
  • Nasolacrimal patency can be checked

Question 24

Question
Which test evaluate extraocular muscles
Answer
  • Maze
  • Vestibulo-ocular (oculovestibular or oculocephalic)
  • PLR and menace
  • Dazzle reflex

Question 25

Question
What is this called? Pick the best answer
Image:
74831a06-0721-4687-9fe8-0359d571fce6.JPG (image/JPG)
Answer
  • Mydriasis
  • Anisocoria
  • Horner's syndrome
  • Haws

Question 26

Question
Which of the following is NOT necessary when performing menace response?
Answer
  • Don't move hand too fast or too close in front of eye
  • Cover eye not being tested
  • Don't touch hairs that are sticking out
  • Look for consensual response

Question 27

Question
Normal IOP in dogs and cats is?
Answer
  • 0-10mmHg
  • 5-15mmHg
  • 10-25 mmHg
  • 25-30 mmHg
  • >30mmHg

Question 28

Question
What would you do first?
Image:
c5e12dc0-e25f-4a70-bbab-a0db89b03e9e.JPG (image/JPG)
Answer
  • IOP
  • Fluorescein stain
  • Refer

Question 29

Question
The most appropriate word to describe this
Image:
c3ef2170-a0f5-4687-86ab-d9ad3f61b2a0.JPG (image/JPG)
Answer
  • Panophthalmitis
  • Buphthalmos
  • Exophthalmos
  • Proptosis

Question 30

Question
for the most protosed eyes, what treatment will be needed?
Answer
  • Same treatment as glaucoma
  • Exenteration
  • Enucleation
  • Temporary tarsorrhaphy (lateral canthotomy may also be needed)

Question 31

Question
Which one of the following is NOT found w/ acute glaucoma?
Answer
  • Cloudy cornea
  • Blindness
  • Buphthalmia
  • Red eye
  • Painful eye

Question 32

Question
Glaucoma can be caused by any of the following except?
Answer
  • Intraoccular neoplasia
  • Lens luxation
  • Uveitis
  • Abnormal iridocorneal angle
  • Optic nerve atrophy

Question 33

Question
Which of the following is the name for aberrant cilia erupting from Meibomian gland openings?
Answer
  • Ectopic cilia
  • Hordeolum
  • Blepharitis
  • Distichia
  • Chalazion
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