NAVLE prep questions Questions and
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A person calls to to say she adopted a friend's dog and requests a copy
of the dog's medical record and radiographs. The former owner is a
client at your clinic. Which one of 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 only
C - Give caller a copy of medical record and radiographs
D - After physical exam, start a new medical record documenting
previous issues
E - Give a summarized record with personal identifiers (vet, owner
names) blocked out
Ans: A
According to the AVMA's Principles of Veterinary Medical
Ethics (2008 revision)
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"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 of the patient.
Veterinarians 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 shows increased bilirubin and liver
enzymes.
The cat is diagnosed with extrahepatic biliary obstruction with
accompanying cholangitis and inflammatory bowel disease. Which one
of the following normal anatomic features may predispose cats to this
triad of diseases?
A - Narrowing of the duodenum distal to the entry of the common bile
and pancreatic ducts
B - Common opening of the pancreatic and common bile ducts into
duodenum
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C - Enlarged duodenal papilla in comparison to other species
D - Decreased proportion of alpha-smooth muscle actin in muscle
fibers of the wall of the gall bladder in cats
E - Decreased diameter and increa
Ans: B
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 extrahepatic biliary 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 coagulopathies.
Except in transient cases that are related to acute pancreatitis,
surgical intervention to relieve the obstruction is required as
well as appropriate supportive care, antimicrobial treatment,
and vitamin K administration.
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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
is the most likely diagnosis?
A - Edema disease
B - Encephalomyocarditis
C - Glasser's Disease
D - Porcine Respiratory and Reproductive Syndrome
E - Pseudorabies
Ans: B
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 disease. See pulmonary
edema and copious transudate in the respiratory tract, causing
cardiac failure. Zoo outbreaks of EMCV have included lions,
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