NAVLE prep questions W W
1. A person calls to to say she adopted a friend's dog and requests a copy o
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f the dog's medical record and radiographs. The former owner is a client at yo
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ur clinic. Which one of the following choices is the most appropriate action
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to take?W
A - Require original owner consent or court order to release information
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B - Give caller a copy of medical record only
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C - Give caller a copy of medical record and radiographs
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D- W
After physical exam, start a new medical record documenting previous
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sues
E- W
Give a summarized record with personal identifiers (vet, owner names)
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locked out: A W W
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 privilege
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d and confidential. It must not be released except by court order or consent of the
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Wowner of the patient. Veterinarians should secure a written release to document th
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at request."
W
2. A 5 year old domestic short-
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haired spayed female cat is presented with the complaints of anorexia, chro
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nic vomiting, and weight loss.
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Physical examination reveals icterus, dehydration, and fever. Thickened small
W W W W W W W W
Wintestinal loops are appreciated with abdominal palpation, and serum bioch
W W W W W W W W W
emistry shows increased bilirubin and liver enzymes.
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The cat is diagnosed with extrahepatic biliary obstruction with accompanyin
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g cholangitis and inflammatory bowel disease. Which one of the following n
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ormal anatomic features may predispose cats to this triad of diseases?
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A- W
WNarrowing of the duodenum distal to the entry of the common bile and
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ancreatic ducts W
1W/W185
, NAVLE prep questions
W W
B - Common opening of the pancreatic and common bile ducts into duode-
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W num
C - Enlarged duodenal papilla in comparison to other species
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2W/W185
, NAVLE prep questions W W
D - Decreased proportion of alpha-
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smooth muscle actin in muscle fibers of the wall of the gall bladder in cat
W W W W W W W W W W W W W W
s
E- W
Decreased diameter and increased branching of the hepatic ducts in c
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mparison to other species: B W W W W
In cats, there is a common opening of the pancreatic and common bile ducts into t
W W W W W W W W W W W W W W W
he duodenum. It is thought that this may predispose them to ascending cholangitis
W W W W W W W W W W W W
Wand pancreatitis after vomiting associated with inflammatory bowel disease, resul
W W W W W W W W W
ting in extrahepatic biliary obstruction.
W W W W
Other possible etiologies of EHBO include neoplasia, biliary stricture, duodenal ob
W W W W W W W W W W
struction, diaphragmatic hernia, and parasitic infection.
W W W W W
In all cases, there is a lack of bile entry into the intestinal tract, leading to decrease
W W W W W W W W W W W W W W W W
d absorption of fat and fat soluble vitamins such as vitamin K, potentially resulting
W W W W W W W W W W W W W W
in coagulopathies.
W
Except in transient cases that are related to acute pancreatitis, surgical interventio
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n to relieve the obstruction is required as well as appropriate supportive care, anti
W W W W W W W W W W W W W
microbial treatment, and vitamin K administration.
W W W W W
3. Most of a litter of European wild boar at a zoological park have died. The
W W W W W W W W W W W W W W W
surviving piglets are in lateral recumbency with a frothy nasal discharge. Ne
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cropsy of the piglets reveals pulmonary edema and copious fluid in the trac
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hea and bronchi along with grayish-
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Wwhite necrotic foci on the myocardium. Which one of the following disease
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s is the most likely diagnosis?
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A - Edema disease
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B - Encephalomyocarditis
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C - Glasser's Disease
W W W
D - Porcine Respiratory and Reproductive SyndromeE - Pseudorabies: B
W W W W W W W W W
Encephalomyocarditis virus (EMCV) is caused by a cardiovirus in the family W W W W W W W W W W W
cornaviridae. Confusingly, the virus is named for its effects on mice.
W W W W W W W W W W
Think of rodents and exotic zoo mammals with EMCV. Pig-to-
W W W W W W W W W
3W/W185
, NAVLE prep questions
W W
pig contact, contamination of swine feed and water by rodents or ingestion of dea
W W W W W W W W W W W W W
d rodents may cause disease. See pulmonary edema and copious transudate in t
W W W W W W W W W W W W
he
4W/W185
1. A person calls to to say she adopted a friend's dog and requests a copy o
W W W W W W W W W W W W W W W
f the dog's medical record and radiographs. The former owner is a client at yo
W W W W W W W W W W W W W W
ur clinic. Which one of the following choices is the most appropriate action
W W W W W W W W W W W W W
to take?W
A - Require original owner consent or court order to release information
W W W W W W W W W W W
B - Give caller a copy of medical record only
W W W W W W W W W
C - Give caller a copy of medical record and radiographs
W W W W W W W W W W
D- W
After physical exam, start a new medical record documenting previous
W W W W W W W W W W W
sues
E- W
Give a summarized record with personal identifiers (vet, owner names)
W W W W W W W W W W W
locked out: A W W
According to the AVMA's Principles of Veterinary Medical Ethics (2008 revision)
W W W W W W W W W W
"Ethically, the information within veterinary medical records is considered privilege
W W W W W W W W W
d and confidential. It must not be released except by court order or consent of the
W W W W W W W W W W W W W W W
Wowner of the patient. Veterinarians should secure a written release to document th
W W W W W W W W W W W W
at request."
W
2. A 5 year old domestic short-
W W W W W
haired spayed female cat is presented with the complaints of anorexia, chro
W W W W W W W W W W W
nic vomiting, and weight loss.
W W W W
Physical examination reveals icterus, dehydration, and fever. Thickened small
W W W W W W W W
Wintestinal loops are appreciated with abdominal palpation, and serum bioch
W W W W W W W W W
emistry shows increased bilirubin and liver enzymes.
W W W W W W
The cat is diagnosed with extrahepatic biliary obstruction with accompanyin
W W W W W W W W W
g cholangitis and inflammatory bowel disease. Which one of the following n
W W W W W W W W W W W
ormal anatomic features may predispose cats to this triad of diseases?
W W W W W W W W W W
A- W
WNarrowing of the duodenum distal to the entry of the common bile and
W W W W W W W W W W W W W
ancreatic ducts W
1W/W185
, NAVLE prep questions
W W
B - Common opening of the pancreatic and common bile ducts into duode-
W W W W W W W W W W W W
W num
C - Enlarged duodenal papilla in comparison to other species
W W W W W W W W W
2W/W185
, NAVLE prep questions W W
D - Decreased proportion of alpha-
W W W W W
smooth muscle actin in muscle fibers of the wall of the gall bladder in cat
W W W W W W W W W W W W W W
s
E- W
Decreased diameter and increased branching of the hepatic ducts in c
W W W W W W W W W W W
mparison to other species: B W W W W
In cats, there is a common opening of the pancreatic and common bile ducts into t
W W W W W W W W W W W W W W W
he duodenum. It is thought that this may predispose them to ascending cholangitis
W W W W W W W W W W W W
Wand pancreatitis after vomiting associated with inflammatory bowel disease, resul
W W W W W W W W W
ting in extrahepatic biliary obstruction.
W W W W
Other possible etiologies of EHBO include neoplasia, biliary stricture, duodenal ob
W W W W W W W W W W
struction, diaphragmatic hernia, and parasitic infection.
W W W W W
In all cases, there is a lack of bile entry into the intestinal tract, leading to decrease
W W W W W W W W W W W W W W W W
d absorption of fat and fat soluble vitamins such as vitamin K, potentially resulting
W W W W W W W W W W W W W W
in coagulopathies.
W
Except in transient cases that are related to acute pancreatitis, surgical interventio
W W W W W W W W W W W
n to relieve the obstruction is required as well as appropriate supportive care, anti
W W W W W W W W W W W W W
microbial treatment, and vitamin K administration.
W W W W W
3. Most of a litter of European wild boar at a zoological park have died. The
W W W W W W W W W W W W W W W
surviving piglets are in lateral recumbency with a frothy nasal discharge. Ne
W W W W W W W W W W W
cropsy of the piglets reveals pulmonary edema and copious fluid in the trac
W W W W W W W W W W W W
hea and bronchi along with grayish-
W W W W W
Wwhite necrotic foci on the myocardium. Which one of the following disease
W W W W W W W W W W W
s is the most likely diagnosis?
W W W W W
A - Edema disease
W W W
B - Encephalomyocarditis
W W
C - Glasser's Disease
W W W
D - Porcine Respiratory and Reproductive SyndromeE - Pseudorabies: B
W W W W W W W W W
Encephalomyocarditis virus (EMCV) is caused by a cardiovirus in the family W W W W W W W W W W W
cornaviridae. Confusingly, the virus is named for its effects on mice.
W W W W W W W W W W
Think of rodents and exotic zoo mammals with EMCV. Pig-to-
W W W W W W W W W
3W/W185
, NAVLE prep questions
W W
pig contact, contamination of swine feed and water by rodents or ingestion of dea
W W W W W W W W W W W W W
d rodents may cause disease. See pulmonary edema and copious transudate in t
W W W W W W W W W W W W
he
4W/W185
