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AAVSB Veterinary Technician National Exam Sample Questions (Q1008-Q1013):

NEW QUESTION # 1008
Which organ system includes the kidneys?

Answer: C

Explanation:
Renal is a descriptive term for kidney, hepatic for liver, endocrine for hormones, and integumentary for skin/nails/hooves.


NEW QUESTION # 1009
When monitoring a diabetic ketoacidotic (DKA) hospitalized patient, you note lethargy, weakness, and muscle tremors. You are concerned the patient may even be having focal seizures.
What could be the explanation for these findings?

Answer: B

Explanation:
DKA patients are often very sick and have electrolyte abnormalities, blood sugar abnormalities, etc. They require close monitoring and a careful balance of insulin CRIs (or short-acting insulin intermittent injections) and sometimes dextrose CRIs. If they receive too much insulin, or the hyperglycemia, severe dehydration, and ketosis they originally presented with are not properly corrected before starting insulin, the patient's blood sugar can drop. Signs of hypoglycemia can include lethargy, weakness, seizures, ataxia, muscle tremors, or stupor.
Signs of hyperglycemia include increased drinking and urination and, for chronic cases, weight loss, appetite changes (increased or decreased), lethargy, depression, and vomiting.
Hypoglycemia can induce seizures when the blood sugar drops too low. However, once the sugar levels are corrected, the patient's risk of seizures returns to normal. Unless the patient already has an underlying seizure disorder, this history wouldn't fit with new-onset seizures.
Hyperthermia can cause a variety of clinical signs. However, patients who present with DKA may be hypothermic due to severe dehydration and shock, so hyperthermia would not be the likely cause of the clinical signs witnessed.


NEW QUESTION # 1010
A three-year-old Great Dane presented with severe abdominal distension and unproductive retching to the veterinary emergency service. Your initial triage also shows moderate tachycardia, weak pulses, and hypersalivation.
What is the most likely cause of the dog's discomfort?

Answer: B

Explanation:
Large breed, barrel-chested dogs, such as German Shepherds, Doberman Pinschers, and Great Danes, have high gastric dilatation and volvulus (GDV) incidences. GDV refers to any degree of rotation of the stomach, most commonly clockwise in direction. Some dogs with barrel chests may not display significant abdominal distension. Still, a history of distension and unproductive retching suggests an obstruction or something preventing vomiting from occurring. Given signalment and clinical signs found during triage, GDV should be the primary concern.
However, if the dog had presented recumbent, other diseases may need to be considered, including abdominal effusion/hemangiosarcoma, other GI diseases such as colonic torsion, or GI obstruction via esophageal foreign body or high pyloric outflow obstruction. Some dogs may retch with high obstructions, unable to release fluid, and thus, the history becomes critical. How long have signs been going on? If they say the retching has been on and off for 2 days, the dog would have been dead if it were a true torsion. It could be flipping back and forth, a foreign body, or another disease process. Nothing is pathognomonic for GDV, but clinical signs, triage findings, signalment, and balloting of the stomach (tapping to check for tympany or the sound of air) help suggest GDV. GDV is confirmed via a right lateral radiograph, though additional views may be necessary in some cases.
Intervertebral disc rupture causes back pain, neck pain, slow and careful gait, immobilization of back legs, or difficulty urinating. It can also cause significant abdominal pain referred from the spine. If the dog remains ambulatory, abdominal pain can be mistaken for back pain and vice versa. However, the signalment can help guide diagnostics and concerns in addition to physical exam findings.


NEW QUESTION # 1011
Which of the following is used to prevent decubital ulcers in hospitalized patients?

Answer: D

Explanation:
Decubital ulcers are caused by skin compression over bony prominences. Pressure-relieving sleeves or donut-shaped bandages can help minimize the pressure between skin and surface. Animals should also be kept on dry, clean, soft surfaces to prevent the formation of ulcers. Additionally, if recumbent, their positions should be changed every 2-4 hours to minimize the risk of ulcer formation.
Decubital ulcers are not prevented by feeding the patient frequently, giving the patient an antacid, or by keeping an Elizabethan collar in place.


NEW QUESTION # 1012
A five-year-old MN pitbull mix presented to the hospital after receiving multiple bite wounds and punctures. He had been attacked by two smaller dogs and a large mixed-breed Mastiff. He was lucky to have survived. He was stabilized and, luckily, had mostly superficial or minor wounds. Once stabilized, he was anesthetized for wound evaluation and closure when warranted. Several punctures were left open to drain and heal by second intention. Two wounds were lacerations and repaired surgically. A third wound had significant penetration depth, and the location on the dorsal lumbar area had a lot of dead space and pocketing. The veterinarian was concerned that a drain was warranted. A drain was placed. The pet recovered without incident and was to be discharged the next morning. He was kept overnight on IV fluids and pain management. You are set to discharge the patient, and in addition to normal post-operative care instructions with incisional checks, exercise restrictions, e-collar recommendations, and related materials, you discuss at-home drain care with the owner.
All of the following are true regarding drain care, except:

Answer: C

Explanation:
Drain care is critical as it can mean the difference between infection and healing properly.
The owner must be cautioned that the drain is open and may leave discharge in the home.
The owner should use warm water soaks with gauze or a similar material several times a day and gently remove any serous discharge gathered around the drain hole and on the skin. We want to remove this regularly to prevent scalding and a potential means of egress for bacteria.
Proper drain hole care is crucial to prevent infection, skin scalding, and improving the chance of wound repair success.
In addition to normal exercise restrictions, patients living with other animals may need to be separated until the drain is removed if those pets groom them or are licking at the drain sites, which will delay healing.
Ensure that the patient is wearing an e-collar at all times to protect all the wounds, including those surgically repaired and those left open. The e-collar will prevent accidental removal if the pet can reach the drain. However, if the pet pulls out the drain, ensure the owner knows to try to find the drain pieces and to call the office or bring the pet in. We may need to take radiographs to see if any of the drain remains in the deeper tissue. If it does, this can become a nidus for immune system response or infection and may need surgical removal. Furthermore, the pet could have swallowed sufficient pieces of the drain. Depending on the patient's size and amount ingested, it could be at risk for obstruction.
We recommend applying petroleum jelly or a similar product to the area around the drain (after cleaning and drying the site). This helps to further dry and protect the skin. This lessens the risk of scalding or irritation and can help clean any discharge. We do not recommend antibiotic ointments. The pet will be on oral antibiotics, given the degree of bite wounds and risk of infection. We do not want to increase the chance of antimicrobial resistance by applying a topical antimicrobial, as it isn't warranted prophylactically.
Advise the owner that we expect serous discharge for the next one to three days or so until the drain is removed, and explain what that is and what it looks like. The owner should see a decrease in the amount of discharge or none at all. If, however, the discharge changes color, becomes thick, develops an odor, or other abnormality, this could mean the prescribed antibiotics aren't sufficient and an infection has developed. Were this to occur, the pet should be seen right away.


NEW QUESTION # 1013
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