Emergency Medicine Final

Front 1

Colloid used to treat shock?

Back 1

Hetastarch (synthetic)

Plasma

Front 2

What three systems are evaluated during triage?

Back 2

Respiratory, cardiovascular, CNS

Front 3

When evaluating the respiratory system, what parameters are you going to evaluate?

Back 3

Respiratory rate and effort, MM colour, stance of pet

Front 4

What mucous membrane colour is a red flag for the respiratory system?

Back 4

Blue - cyanosis

Front 5

Signs of shock

Back 5

Decreased CRT, pale MM, increased temperature, increased heart rate, depressed mention, weak pulses, decreased blood pressure

Front 6

Pneumothorax

Back 6

Air in the chest cavity

Equipment: thoracocentesis - three way stop cock, syringe, extension set, butterfly catheter

Front 7

Blood in urine on a patient post traumatic event - life threatening?

Back 7

Probably just bruising, not life threatening

Front 8

Diagnosis of a ruptured bladder?

Back 8

Ultrasound, radiographs

Front 9

Signs of CNS trauma?

Back 9

nystagmus, anisocoria, altered mentation, laterally recumbent or unresponsive

Front 10

How long after exposure or ingestion would we see signs of rodenticide ourbromethalin toxicity?

Back 10

Hours to days

Front 11

Poisons that cause seizures or muscle tremors?

Back 11

Xylitol, pyrethrin, organophosphates, antifreeze, chocolate

Front 12

What approximate dose of milk chocolate could be toxic?

Back 12

0.25 of an ounce per pound

Front 13

Pancreatitis signs and symptoms

Back 13

Painful abdomen, vomiting, history of getting into garbage, history of eating table food, poor appetite, dehydrated

Front 14

Signs and symptoms of GDV

Back 14

Distended abdomen, unproductive retching, restlessness, painful, panting, pacing

Front 15

Phone call: Large dog vomiting white foam. What do you prepare?

Back 15

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 16

Phone call: Large dog vomiting white foam. What do you prepare?

Back 16

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 17

Signs of hemorragic gastroenteritis (HGE)

Back 17

Bloody diarrhea, vomiting

Front 18

Phone call: Large dog vomiting white foam. What do you prepare?

Back 18

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 19

Signs of hemorragic gastroenteritis (HGE)

Back 19

Bloody diarrhea, vomiting

Front 20

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 20

Fluids, IV catheter, Cerenia, abx, analgesia

Front 21

Phone call: Large dog vomiting white foam. What do you prepare?

Back 21

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 22

Signs of hemorragic gastroenteritis (HGE)

Back 22

Bloody diarrhea, vomiting

Front 23

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 23

Fluids, IV catheter, Cerenia, abx, analgesia

Front 24

Patient in dystocia. What to prepare?

Back 24

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 25

Phone call: Large dog vomiting white foam. What do you prepare?

Back 25

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 26

Signs of hemorragic gastroenteritis (HGE)

Back 26

Bloody diarrhea, vomiting

Front 27

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 27

Fluids, IV catheter, Cerenia, abx, analgesia

Front 28

Patient in dystocia. What to prepare?

Back 28

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 29

Intervals of concern for possible dystocia?

Back 29

2-4 hours. Puppies usually come every 20-30 minutes. Straining consistently is red flag.

Front 30

Phone call: Large dog vomiting white foam. What do you prepare?

Back 30

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 31

Signs of hemorragic gastroenteritis (HGE)

Back 31

Bloody diarrhea, vomiting

Front 32

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 32

Fluids, IV catheter, Cerenia, abx, analgesia

Front 33

Patient in dystocia. What to prepare?

Back 33

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 34

Intervals of concern for possible dystocia?

Back 34

2-4 hours. Puppies usually come every 20-30 minutes. Straining consistently is red flag.

Front 35

Anaesthesia for c section: heavy or light?

Back 35

Light as you can until all puppies are delivered.

Front 36

Phone call: Large dog vomiting white foam. What do you prepare?

Back 36

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 37

Signs of hemorragic gastroenteritis (HGE)

Back 37

Bloody diarrhea, vomiting

Front 38

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 38

Fluids, IV catheter, Cerenia, abx, analgesia

Front 39

Patient in dystocia. What to prepare?

Back 39

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 40

Intervals of concern for possible dystocia?

Back 40

2-4 hours. Puppies usually come every 20-30 minutes. Straining consistently is red flag.

Front 41

Anaesthesia for c section: heavy or light?

Back 41

Light as you can until all puppies are delivered.

Front 42

Post C section, where does everyone stay?

Back 42

Mom separate from puppies

Front 43

Phone call: Large dog vomiting white foam. What do you prepare?

Back 43

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 44

Signs of hemorragic gastroenteritis (HGE)

Back 44

Bloody diarrhea, vomiting

Front 45

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 45

Fluids, IV catheter, Cerenia, abx, analgesia

Front 46

Patient in dystocia. What to prepare?

Back 46

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 47

Intervals of concern for possible dystocia?

Back 47

2-4 hours. Puppies usually come every 20-30 minutes. Straining consistently is red flag.

Front 48

Anaesthesia for c section: heavy or light?

Back 48

Light as you can until all puppies are delivered.

Front 49

Post C section, where does everyone stay?

Back 49

Mom separate from puppies

Front 50

Normal post partum discharge colour?

Back 50

Locia. Dark green/black.

Front 51

Phone call: Large dog vomiting white foam. What do you prepare?

Back 51

Radiographs, IV catheters, fluid’s, surgery, stomach tube, pain meds

Front 52

Signs of hemorragic gastroenteritis (HGE)

Back 52

Bloody diarrhea, vomiting

Front 53

Phone call: puppy with vomiting and bloody diarrhea. Treatment set up?

Back 53

Fluids, IV catheter, Cerenia, abx, analgesia

Front 54

Patient in dystocia. What to prepare?

Back 54

Radiographs, IV catheter, ultrasound, fluids, oxytocin, surgery, warming devices

Front 55

Intervals of concern for possible dystocia?

Back 55

2-4 hours. Puppies usually come every 20-30 minutes. Straining consistently is red flag.

Front 56

Anaesthesia for c section: heavy or light?

Back 56

Light as you can until all puppies are delivered.

Front 57

Post C section, where does everyone stay?

Back 57

Mom separate from puppies

Front 58

Normal post partum discharge colour?

Back 58

Locia. Dark green/black.

Front 59

Possible blocked cat. What to prepare for treatment?

Back 59

Fluids, IV catheter, urinary catheter, pain meds

Front 60

Diagnostic preparation for blocked cat?

Back 60

Radiographs, ultrasound, UA, bloodwork (CBC/chem/electrolytes)

Front 61

Heat stroke patient en route. What to prepare?

Back 61

Cooling devices, IV catheter, fluids, fans, plasma, oxygen with ice cubes in mask

Front 62

Diagnostics for heat stroke patient?

Back 62

Bloodwork (cbc/chem/coags)

Front 63

Monitoring heat stroke patient?

Back 63

Temperature, PCV/TS, heart rate, CRT, MM colour, pulses, BP

Front 64

Monitoring heat stroke patient?

Back 64

Temperature, PCV/TS, heart rate, CRT, MM colour, pulses, BP

Front 65

Signs and symptoms of anaphalaxis

Back 65

Vomiting, diarrhea, decreased BP, decreased HR, pale MM, shock

Front 66

Treatment of shock

Back 66

IV catheter, fluids, epinephrine, diphenhydramine, flow by oxygen

Front 67

Snake bite on a long walk. What to do until you can reach veterinary clinic?

Back 67

If possible elevate bite above heart. Minimize movement.

Front 68

Snake bite: diagnostics

Back 68

PCV, coags, PT/PTT, CBC, chem

Front 69

Snake bite: monitoring

Back 69

BP, pulses, HR, swelling

Front 70

Dexamethasone SP (sodium phosphate): short or long acting steroid?

Back 70

Short acting

Front 71

Epinephrine: used for

Back 71

CPR and anaphylaxis

Front 72

Seizure patient: preparation

Back 72

IV catheter, diazepam

Front 73

Seizure patient: diagnostics

Back 73

Temperature, PCV/TP, CBC/Chem

Front 74

Signs and symptoms in nauseated patient

Back 74

Drooling, lip smacking, swallowing repeatedly, restless

Front 75

Humans involved in auto accidents often experience cervical spinal trauma. What section of the spinal column is most commonly injured in dogs or cats hit by cars?

Back 75

Thoracic lumbar junction and lumbar

Front 76

Shock causes the heart rate to

Back 76

Increase

Front 77

Pennies could be toxic if ingested true or false

Back 77

True

Front 78

An example of a crystalloid solution that can be used to treat shock is:

Back 78

LRS

Front 79

An example of a cathartic, a drug that speeds passage of intestinal contents through the G.I. tract is:

Back 79

Sorbitol

Front 80

An example of a cathartic, a drug that speeds passage of intestinal contents through the G.I. tract is:

Back 80

Sorbitol

Front 81

Trauma to the system is not uncommon in animals that have been hit by a car, especially when pelvic fractures are also present

Back 81

Urinary tract

Front 82

The treatment for antifreeze (ethylene glycol) toxicity is

Back 82

Antizol or ethanol

Front 83

A patient just arrived at your hospital. The patient ingested enough of the owners medication to cause serious symptoms and possibly death. If your patient is a cat, what could you give by injection in the hospital to attempt to induce vomiting?

Back 83

Xylazine

Front 84

Hypovolemic shock causes the body temperature to:

Back 84

Decrease

Front 85

True or false: fractures of the humerus and femur can be adequately stabilized with a Robert Jones bandage until the patient is able to undergo surgical repair

Back 85

False

Front 86

The antidote for organophosphate toxicity is

Back 86

Atropine

Front 87

Minimum database for any emergency you should include:

Back 87

Patient weight, body temperature, PCV and TP, heart and respiratory rates

Front 88

A client calls: “my dog ate rat poison last night. He seems fine now. Do i have to worry?” What will you tell this client?

Back 88

Yes. A pathogen just so the anticoagulant rodenticides will not show symptoms for two or more days. These were done to sides prevent recycling of vitamin K dependent coagulation factors. It takes two or more days for the existing vitamin K dependent coagulation factors to be used up and symptoms to start. They should come in immediately to start on the antidote.

Front 89

A young Labrador retriever comes into your hospital shortly after being hit by a car. On physical exam, he has signs/symptoms consistent with shock. Name one injury he might also have that would indicate you may not want to administer the full shock dose of fluids.

Back 89

Head trauma, pulmonary contusions, internal bleeding – in the chest or abdomen

Front 90

Organophosphates act by the inhibition of acetylcholinesterase to raise which results in increased parasympathetic activity. True or false: The signs of OP toxicity include a small pupils, salivating, muscle tremors and seizures.

Back 90

True

Front 91

Define pulmonary contusions

Back 91

Bruising of the lungs

Front 92

Treatment for pyrethrum toxicity includes:

Back 92

Bath with cold water and detergent, methocarbamol (muscle relaxant to help control muscle remotes) and Valium (help control seizure activity)

Front 93

Zinc-toxicity causes:

Back 93

Red serum and urine, vomiting and diarrhoea

Front 94

True or false: When treating anticoagulant rodenticide toxicity, treatment with an antidote is indicated for 7-14 days regardless of the type of rodenticide

Back 94

False