Simple mastectomy (mammectomy)
Regional mastectomy
Bilateral mastectomy
Lumpectomy
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The correct answer is bilateral mastectomy. Due to the fact that most
mammary masses in cats are malignant with high chance for metastasis,
radical bilateral mastectomy is often indicated. Although these studies may
be too recent for boards to have caught up with, there is increasing
evidence that for unilateral mammary tumors, a unilateral mastectomy may
be just as efficacious as bilateral.
Most cats have type A blood. This makes transfusion of cats with type B blood
potentially problematic. Which feline breeds are most likely to have type B blood?
,British Shorthair, Devon Rex
Tonkinese, Oriental Shorthair
Siamese, domestic long hair
Oriental Shorthair, Siamese
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A
Besides the domestic short and long haired breeds, Tonkinese, Oriental
Shorthairs and Siamese are typically blood type A.
Common B blood type breeds include British Shorthairs, Devon and
Cornish Rex, Ragdolls, Scottish Fold, Persians, and Himalayans.
A cat presents after having fallen from a high rise. On physical examination, the cat is
dyspneic, there is blood and abrasions around the mouth, and there are decreased
lung sounds dorsally. What should you do next?
Thoracocentesis
CBC/Chemistry panel
Debride and clean all skin wounds
Thoracic radiographs
Administer 40 ml/kg of an isotonic crystalloid
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The correct answer is thoracocentesis. This cat has traumatic
pneumothorax. Thoracocentesis is indicated prior to any other treatments
or diagnostic tests as the pneumothorax is the cat's most immediately life
threatening problem. The other choices would probably all be indicated
after the chest tap is perform
,Yogi, a MN 9-year old Siamese, is being treated for chronic renal failure. He presents
for his routine examination and bloodwork. His renal panel shows: BUN 48 mg/dL,
creatinine 4.0 mg/dL, phosphorus 10.2 mg/dL, calcium 12 mg/dL, albumin 3.5 g/dL,
potassium 4.8 mEq/L. USG 1.008, negative sediment, negative urine culture, blood
pressure 148/110 mmHg. Which of the following medications would be indicated for
this cat?
RenaKare (potassium supplement)
Epakitin (calcium based phosphorus binder)
Aluminum hydroxide (phosphorus binder/antacid) ]
Calcitriol (Vitamin D)
Amlodipine (calcium channel blocker)
Clavamox (antibiotic)
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c
Phosphorus is absorbed in the intestine and stored in bone. Kidneys
excrete the excess phosphorus not needed. When renal function is
compromised, the kidneys can no longer perform this function, thus
leading to hyperphosphatemia. Cats with increasing phosphorus levels
should be placed on a phosphorus binder. If the calcium is also elevated,
as is the case with this cat, a non-calcium based binder should be chosen
to prevent exacerbation of the hypercalcemia. The most commonly used
non-calcium-based binder is aluminum hydroxide.
If this cat had normal calcium, Epakitin would also be an acceptable
choice.
Many times in CRF, the potassium also starts to decrease and this should be
supplemented in those cases. This cat has a normal potassium level.
Amlodipine is indicated in cats with systemic hypertension; this cat has a
normal blood pressure.
Clavamox is an antibiotic often chosen for treatment of urinary tract
infection if sensitive. This cat had a negative urine culture.
Calcitriol is recommended for some cats in CRF due to the inability of the
kidneys to activate Vitamin D. Calcitriol should not be used until the
, phosphorus is less than 6 mg/dL and used with extreme caution in cases
where calcium is already elevated. In such cases, the best indication for use
of calcitriol is an elevated parathyroid hormone level, which could be
elevated from secondary renal hyperparathyroidism.
An unvaccinated domestic short hair is brought to your clinic after biting a human.
What is the best course of action?
Euthanize and test, or quarantine for 10 days in an approved facility
Vaccinate immediately and quarantine for 10 days
Vaccinate after 6 month quarantine
Confine pet and observe for 10 days
Vaccinate immediately and quarantine for 45 days
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The best answer is to euthanize and test or quarantine for 10 days in an
approved facility. You may confine the cat and observe it for 10 days if it is
vaccinated.
A 3-yr-old indoor only spayed female domestic short-haired cat presents with hair
loss on the ventral abdomen. Analysis of the hairs shows blunt, "barbered" tips,
although no crusts or excoriations are present. Which of the following is the LEAST
likely cause?
Psychogenic alopecia
Food allergy
Atopic dermatitis
Flea allergy dermatitis
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