Texas State Boards Chapter 571 First Half

Front 1

Rule 573.1 is avoidance of conflicting interest. When is it permissible for a veterinarian to represent conflicting interests?

Back 1

Express consent of all concerned after a full disclosure of the facts.

Front 2

Rule 573.1 is avoidance of conflicting interest. Please give an example of how a veterinarian may be wrongly representing conflicting interests.

Back 2

When a veterinarian accepts a fee from both buyer and seller for a soundness examination.

Front 3

Pertaining to rule 573.1 (avoidance of conflicting interest) what crime is being committed by a veterinarian who accepts a fee from both the buyer and seller of an animal for a soundness exam?

Back 3

This is prima facie evidence of fraud.

Front 4

Rule 573.2 is avoidance of encroachment on another's practice. What would this encroachment entail?

Back 4

Direct or indirect effort that is calculated to influence the sound professional judgement of another veterinarian.

Front 5

Rule 573.2 is avoidance of encroachment on another's practice. When is it generally acceptable for a veterinarian to give new advice to a client having a known history with a previous veterinarian that was thought to have had unfaithful or neglectful veterinary services?

Back 5

After communication with the veterinarian of whom the client is complaining about.

Front 6

Rule 573.3 is exposure of corrupt or dishonest conduct. What does this rule state regarding when and to whom this behavior is reported?

Back 6

It should be reported without fear or favor whenever this behavior is found. Reports should go before proper tribunal or the State Board of Veterinary Medical Examiners.

Front 7

Rule 573.4 is adherence to the law. What is needed to take action against a veterinarian that has broken this rule?

Back 7

Proof of the commision of the act while practicing veterinary medicine (or under the guise of veterinary medicine).

Front 8

Rule 573.4 is adherence to the law. True/False: A complaint indictment or conviction of a law violation IS necessary for enforcement of this rule.

Back 8

FALSE

Front 9

Rule 573.4 is adherence to the law. True/False: A complaint indictment or conviction of a law violation IS NOT necessary for enforcement of this rule.

Back 9

TRUE

Front 10

Rule 573.5 is avoidance of corruption of others. It involves not allowing a veterinarian to render service or advice to the corruption of certain people. Who are the people included in this rule?

Back 10

Person or persons exercising public office or private trust or deception/betrayal of the public itself.

Front 11

Rule 573.6 is restriction of partnerships to members of profession. What are the requirements to form partnerships for the practice of veterinary medicine?

Back 11

1. Member of the veterinary profession; 2. Duly authorized to practice; 3. Amenable to professional discipline

Front 12

Rule 573.6 is restriction of partnerships to members of profession. True/False: In the selection of a firm name no false or misleading name shall be used.

Back 12

TRUE

Front 13

Rule 573.6 is restriction of partnerships to members of profession. True/False: Partnerships between veterinarians and members of other professions or nonprofessional persons shall not be formed or permitted if a part of the partnership employment consists of the practice of veterinary medicine.

Back 13

TRUE

Front 14

Rule 573.6 is restriction of partnerships to members of profession. True/False: Partnerships between veterinarians and members of other professions or nonprofessional persons shall not be formed or permitted UNLESS a part of the partnership employment consists of the practice of veterinary medicine.

Back 14

FALSE

Front 15

Rule 573.7 is no abuse of position or trust. How is this abuse defined?

Back 15

Using present/past position or office of trust deliberately to either create an individual professional advantage or coerce/deceive the public.

Front 16

Rule 573.8 is loss of accreditation. What does this rule mean?

Back 16

If a veterinarian's accreditation has been revoked then he/she is subject to disciplinary action by the board.

Front 17

Rule 573.9 is nonresident consultants. Do consultants need to be supervised?

Back 17

Yes. At all times under the direct supervision of a Texas veterinarian.

Front 18

Rule 573.9 is nonresident consultants. What is the definition of a consultation for the purposes of this rule?

Back 18

Render professional advice (diagnosis and prognosis) about veterinary medical cases but does not include treatment or surgery.

Front 19

Rule 573.9 is nonresident consultants. True/False: Nonresident consultants may establish a routine visit schedule of consultations in Texas.

Back 19

FALSE

Front 20

Rule 573.9 is nonresident consultants. True/False: Nonresident consultants may NOT establish a routine visit schedule of consultations in Texas.

Back 20

TRUE

Front 21

Rule 573.9 is nonresident consultants. What does consultant mean in the state of Texas?

Back 21

A veterinarian licensed in other states may enter Texas for purposes of consultation.

Front 22

Rule 573.10 is supervision of non-licensed employees. Under the general supervision portion

Back 22

He/she must be readily available to communicate with the person under supervision.

Front 23

Rule 573.10 is supervision of non-licensed employees. Under the direct supervision portion what is required of the veterinarian?

Back 23

He/she must be physically present on the same premises as the non-licensee under supervision.

Front 24

Rule 573.10 is supervision of non-licensed employees. Under the immediate supervision portion

Back 24

He/she must be within audible and visual range of both the animal patient and the person under supervision.

Front 25

Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents

Back 25

1. Licensee's personal signature; 2. Signature stamp/electronic signature

Front 26

In accordance to the requirements of rule 573.51 of this title (Rabies Control); Rule 573.10 is supervision of non-licensed employees; Under the delegation relating to official health/test documents; under what circumstances does the licensee need to personally sign these documents?

Back 26

If the licensee has received compensation regardless of whether said compensation is ultimately refunded then he/she must personally sign the document.

Front 27

Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents what are the exceptions in which a licensee is allowed to issue pre-stamped or pre-signed official health documents?

Back 27

Never. This is strictly prohibited.

Front 28

Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents when is a non-licensed employee allowed to collect samples from animals for official tests?

Back 28

They may collect samples under the licensee's direct supervision. Unless it is prohibited by law and except as provided in paragraph four of this subsection.

Front 29

Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents who can perform brucellosis testing and when can they do it? This person can perform testing at a livestock market or collect blood samples on animals to be consigned directly from the ranch to slaughter and submit them to state/federal laboratories.

Back 29

A person approved by the Texas Animal Health Commission (TAHC) and under the supervision of a TAHC approved veterinarian.

Front 30

Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents when can a non-licensed employee use the veterinarian's signature stamp or electronic signature pad?

Back 30

Only under direct supervision of the veterinarian.

Front 31

Rule 573.10 is supervision of non-licensed employees. Under the responsibility for acts of non-licensed employees what are these responsibilities?

Back 31

1. Licensee may determine their qualifications for routine care and treatment. 2. Licensee is directly responsible for all their actions under the licensee's directions or authorization in which there is compensation (whether or not it is refunded) 3. Licensee is subject to disciplinary action by the board if he/she fails to properly supervise the non-licensed employee.

Front 32

Rule 573.10 is supervision of non-licensed employees. Under the prohibited services an unlicensed individual shall NOT perform which health care services?

Back 32

1. Surgery 2. Invasive dental procedures 3. Diagnosis and prognosis of animal diseases and/or conditions 4. Prescribing drugs and appliances

Front 33

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees how is this determined?

Back 33

By the licensee where appropriate unless it is otherwise prohibited by law. The level of training and experience should be considered.

Front 34

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees. What is an RVT?

Back 34

Person who performs the duties specified by the AVMA's committee on Veterinary Technician Education and activities. He/she is qualified and registered by the Texas Veterinary Medical Association.

Front 35

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a What is an RVT allowed to do? Can a non-RVT perform these tasks?registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees.

Back 35

1. Suture existing surgical incisions; 2. Induce anesthesia; Yes but ONLY under direct/immediate supervision of a licensee.

Front 36

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees. Is an RVT allowed to perform euthanasia?

Back 36

Yes but only under immediate supervision of a veterinarian.

Front 37

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees what can be done by these employees in an emergency situation?

Back 37

If prompt treatment is essential then a licensee may after determining the nature of the emergency and the condition of the animal issue directions of care by telephone email messaging radio or facsimile communication.

Front 38

Rule 573.10 is supervision of non-licensed employees. True/False: Under the level of supervision of non-licensed employees if a veterinarian gives directions for care to a non-licensed employee during an emergency situation the licensee is now required to accept this animal as a patient.

Back 38

False (the veterinarian assumes responsibility for the treatment but is not required to accept them as a patient.)

Front 39

Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees what can be done by these employees in the care of hospitalized animals?

Back 39

Non-licensed employees may follow oral/written treatment orders from a veterinarian in the absence of direct supervision. However this is provided that there is a valid veterinary-client-patient relationship and that the veterinarian has examined the animal.

Front 40

Rule 573.11 is responsibility for unlicensed and licensed employees. What is the scope of responsibility regarding the actions of unlicensed employees?

Back 40

The veterinarian accepts full responsibility for the actions of an unlicensed employee that commits an act that constitutes unauthorized practice of veterinary medicine.

Front 41

Rule 573.11 is responsibility for unlicensed and licensed employees. What must be assured when a veterinarian employs and/or supervises another person practicing veterinary medicine?

Back 41

1. This person is licensed. 2. This person meets the requirements of rule 573.47 for registration with the DEA and Texas Department of Public Safety.

Front 42

Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. What are chiropractic and other forms of musculoskeletal manipulation?

Back 42

Systems of therapeutic application of mechanical forces applied manually through the hands or any mechanical device to diagnose treat and/or alleviate impaired or altered function of related components of the musculoskeletal system of nonhuman animals.

Front 43

Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. Who can perform these therapies?

Back 43

1. Licensed veterinarian under certain conditions: a. Valid veterinary-client-patient relationship as defined in the Act b. Examination performed to determine that chiropractic/MSM will not be harmful c. Licensee obtains signed acknowledgement by owner/caretaker that chiropractic/MSM is an alternate therapy. 2. Lincensee's employee or independent contractor under the direct or general supervision of the veterinarian 3. Individual to whom the exceptions of the Act apply

Front 44

Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. Under the portion of responsibility how will the licensee be held by the Board in regards to the use of chiropractic/MSM therapies?

Back 44

The board will hold the licensee to a level of professional judgement as would be exercised by the average Texas licensee who performs these alternate therapies. (Regardless of whether or not the licensee employee or independent contractor performs the therapy)

Front 45

What is the definition of ultrasound?

Back 45

Mechanical radiant energy with a frequency >20 kilocycles/second

Front 46

What is the definition of ultrasonics?

Back 46

That part of science acoustics dealing with frequency range beyond the upper limit of perception by the human ear (usually restricted to frequencies >500 kilocycles/second)

Front 47

What is the definition of ultrasonic radiation?

Back 47

The effect of ultrasound which is injurious to tissues because of its thermal effect when absorbed by living matter.

Front 48

What is the definition of ultrasonic therapy?

Back 48

controlled doses of ultrasound used therapeutically to selectively break down pathologic tissues as in treatment of arthritis and lesions of the nervous system.

Front 49

What is the definition of diagnostic ultrasound?

Back 49

Ultrasound images used as a diagnostic aid by visually displaying echoes received from irradiated tissues.

Front 50

What is the definition of ultrasonography?

Back 50

The visualization of deep structures of the body by recording the reflections of pulses of ultrasonic waves directed into the tissues.

Front 51

Rule 573.13 is use of ultrasound in diagnosis or therapy. Who can perform it?

Back 51

Only a licensed veterinarian or under the general supervision of a licensed veterinarian.

Front 52

Rule 573.13 is use of ultrasound in diagnosis or therapy. When can a person who is not a licensed veterinarian perform ultrasound?

Back 52

1. For diagnostic purposes: only at the request of a licensed veterinarian who has an established veterinary-client-patient ratio as well as the veterinarian who uses the ultrasound to make the diagnosis. 2. For therapeutic purposes: only at the request of a licensed veterinarian who has an established veterinary-client-patient ratio made a diagnosis and prescribed ultrasonics as a treatment.

Front 53

Rule 573.14 is alternate therapies - acupuncture. What is the definition of acupuncture?

Back 53

1. Insertion of an acupuncture needle and the application of moxibustion to specific areas of a non-human animal's body to relieve the discomfort associated with painful disorder to induce surgical anesthesia and for therapeutic purposes; and 2. The administration of thermal or electrical treatments or the recommendation of dietary guidelines energy flow exercise or dietary or herbal supplements in conjunction with the treatment described by paragraph (1) of this subsection. Acupuncture in non-human animals is considered to be an alternate therapy in the practice of veterinary medicine.

Front 54

Rule 573.14 is alternate therapies - acupuncture. In the portion use of acupuncture in the treatment of animals who may use acupuncture.

Back 54

ONLY a veterinarian with NO exceptions.

Front 55

Rule 573.14 is alternate therapies - acupuncture. Under the portion client consent required what must be done before a veterinarian can perform acupuncture on a patient?

Back 55

1. A signed statement from the animal's owner/caretaker acknowledging that acupuncture is an alternate therapy. 2. Explanation by the veterinarian of conventional treatments available and their probable ability to cure the problem BEFORE the aforementioned statement is signed.

Front 56

Rule 573.14 is alternate therapies - acupuncture. Under the portion standard used in determining appropriate use of acupuncture what is used in an investigation of a complaint about a veterinarian's use of acupuncture?

Back 56

Opinions from other licensees who use acupuncture in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.

Front 57

Rule 573.14 is alternate therapies - acupuncture. Under the portion other board rules not preempted how does this rule affect other rules of the Board?

Back 57

Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.

Front 58

Rule 573.15 is alternate therapies - holistic medicine. What is the definition of holistic medicine?

Back 58

The practice of veterinary medicine that believes in a blend of alternative and if need be conventional approaches of treatment in an effort to develop a system of complementary medicine to treat the whole patient.

Front 59

Rule 573.15 is alternate therapies - holistic medicine. In the definition of holistic medicine what methods are commonly used in practice to combine with the more conventional methods?

Back 59

Herbal medicine; Acupuncture; Chiropractic; Homeopathy; Applied kinesiology

Front 60

Rule 573.15 is alternate therapies - holistic medicine. Under the portion of use of in the the treatment of animals who may use holistic medicine?

Back 60

ONLY a licensed veterinarian may use holistic medicine with NO exceptions.

Front 61

Rule 573.15 is alternate therapies - holistic medicine. Under the portion client consent required what is necessary before a veterinarian may administer holistic therapies?

Back 61

1. Signed statement from the owner/caretaker acknowledging that holistic medicine is an alternative therapy (This will be part of the permanent record). 2. Before signing the statement the veterinarian must inform the owner/caretaker of conventional treatments available and their probability of curing the problem.

Front 62

Rule 573.15 is alternate therapies - holistic medicine. Under the portion standard used in determining appropriate use of holistic medicine what is used in an investigation of a complaint about a veterinarian's use of holistic medicine?

Back 62

Opinions from other licensees who use holistic medicine in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.

Front 63

Rule 573.15 is alternate therapies - holistic medicine. Under the portion other board rules not preempted how does this rule affect other rules of the Board?

Back 63

Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.

Front 64

Rule 573.16 is alternate therapies - homeopathy. What is the definition of homeopathy?

Back 64

A system of therapeutics in which diseases are treated by substances which are capable of producing in healthy animals symptoms like those of the disease to be treated the substance being administered in minute doses.

Front 65

Rule 573.16 is alternate therapies - homeopathy. Under the portion of use of in the the treatment of animals who may use homeopathy?

Back 65

ONLY a licensed veterinarian may use homeopathy with NO exceptions.

Front 66

Rule 573.16 is alternate therapies - homeopathy. Under the portion client consent required what is necessary before a veterinarian may administer homeopathy?

Back 66

1. Signed statement from the owner/caretaker acknowledging that homeopathy is an alternative therapy (This will be part of the permanent record). 2. Before signing the statement the veterinarian must inform the owner/caretaker of conventional treatments available and their probability of curing the problem.

Front 67

Rule 573.16 is alternate therapies - homeopathy. Under the portion standard used in determining appropriate use of homeopathy what is used in an investigation of a complaint about a veterinarian's use of holistic medicine?

Back 67

Opinions from other licensees who use homeopathy in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.

Front 68

Rule 573.16 is alternate therapies - homeopathy. Under the portion other board rules not preempted how does this rule affect other rules of the Board?

Back 68

Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.

Front 69

Rule 573.20 is responsibility for acceptance of medical care. Who accepts an animal as a patient and why?

Back 69

It is at the sole discretion of a veterinarian as he/she is responsible for determining the diagnosis and course of treatment for an animal that has been accepted as a patient and for advising as to the diagnosis and treatment.

Front 70

Rule 573.20 is responsibility for acceptance of medical care. When must a veterinarian inform a client?

Back 70

1. The client has specifically requested that the veterinarian diagnose and/or treat the client's animal. 2. The veterinarian reasonably believes there is a likelihood or possibility that another veterinarian may perform some or all of the diagnosis and/or treatment of the patient.

Front 71

Rule 573.20 is responsibility for acceptance of medical care. How may a veterinarian discontinue treatment of a patient after the patient-client-veterinarian relationship has been established?

Back 71

1. Request of the client. 2. After the veterinarian substantially completes the treatment or diagnostics prescribed. 3. Upon referral to another veterinarian. 4. After notice to the client providing a reasonable period for the client to secure the services of another veterinarian.

Front 72

Rule 573.21 is direct responsibility to client. From what are the professional services of a veterinarian to be safeguarded against in order to maintain direct responsibility to the client?

Back 72

Veterinarians shall not be controlled or exploited by any lay agency personal or corporate which intervenes between the client and the veterinarian. A veterinarian shall not allow intervention with the practice of veterinary medicine nor submit to such interference. A veterinarian shall avoid all relationships which could result in interference or intervention in the practice by these entities/people. Veterinarians are responsible for his/her own actions.

Front 73

Rule 573.23 is professional standard of humane treatment. What is this standard?

Back 73

They shall exercise the same degree of humane care skill and diligence in treating patients as are used by average members of the veterinary medical profession in good standing in the locality or community.

Front 74

Rule 573.23 is board certified specialists and duty of licensee to refer a case. What is the definition of a Specialist?

Back 74

He/she is a Board Certified Diplomate of a specialty organization recognized by the American Veterinary Medical Association.

Front 75

Rule 573.23 is board certified specialists and duty of licensee to refer a case. True/False: General practitioners are held to the same standard of care as a Board Certified Specialist.

Back 75

FALSE notwithstanding rule 573.22 of this title.

Front 76

Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of responsibility of licensee to refer a case if the care and treatment of an animal is beyond the capability of the licensee is he/she required to refer the case to a specialist?

Back 76

No. However it is the duty of that licensee to refer the case to a more qualified licensee. The decision to keep or refer the case shall be based on the exercise of sound judgement within the prevailing standard of care for a licensee faced with the same or similar circumstances.

Front 77

Rule 573.23 is board certified specialists and duty of licensee to refer a case. How shall an investigation of a complaint about a Specialist proceed?

Back 77

It will include consultations with one or more Specialists licensed by the Board practicing the same specialty on the species involved in the complaint. The Board may also consult with Specialists outside of Texas. An informal conference if warranted and at their own expense will include oral or written presentations by a Specialist practicing the same speciality on the species involved.

Front 78

Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of complaints regarding failure to make proper referral how will the Board handle these situations?

Back 78

Investigations will include… 1. Evaluation of training and experience of the license. 2. Availability of a specialist or more qualified license. 3. Timeliness and adequacy of information provided to the client regarding the possible need for a referral. 4. The requests of the client. 5. Likelihood that an adverse result could have been prevented by a timely referral.

Front 79

Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of record-keeping what is the proper procedure for a licensee regarding referrals?

Back 79

1. Enter the date and substance of any referral recommendations with reference to the response of the client. 2. Date and substance of of any consultation concerning a case with a specialist or other more qualified veterinarians in the patient's permanent record.

Front 80

Rule 573.24 is issuance of certificates through direct knowledge only. What does direct knowledge entail in the issuance of these certificates?

Back 80

Personal examination of the individual animal so that he/she knows they meet the requirements for the issuance of the certificate based on this examination and appropriate tests.

Front 81

Rule 573.24 is issuance of certificates through direct knowledge only. How should the licensee handle the use of these certificates?

Back 81

1. Licensee will be deemed to have knowledge of certificates issued and/or will maintain in the patient or client files. 2. Licensee is responsible for the security and proper use of these documents and shall take reasonable care to prevent the misuse thereof. 3. Licensee shall immediately report to the TBVME the loss theft or deliberate or accidental misuse of any such certificate form record or report

Front 82

Rule 573.25 is avoidance of guaranteeing cures. True/False: Although it is professionally dishonest for a licensed veterinarian to guarantee a cure a veterinarian should not avoid bold and confident assurances to clients as employment depends on such assurances.

Back 82

False. Bold and confident assurances should be avoided as employment depends upon such assurances.

Front 83

Rule 573.26 is honesty integrity and fair dealing How does this rule apply to veterinarians?

Back 83

It is how licensed veterinarians should conduct their practice to clients in time and services rendered and in the amount charged for services facilities appliances and drugs.

Front 84

Rule 573.27 is observance of confidentiality. In this rule a veterinarian shall not violate the confidential relationship between the veterinarian and the client. What is the exception to this rule?

Back 84

Disclosing information contained in a rabies certificate to a governmental entity only for purposes related to the protection of public health and safety.

Front 85

Rule 573.27 is observance of confidentiality. In this rule a veterinarian shall not disclose any information concerning the care for an animal. What are the exceptions to this portion of the rule?

Back 85

1. Written or oral authorization or other form of waiver executed by the client; 2. On receipt by the veterinarian of an appropriate court order or subpoena. 3. Disclosure of rabies certificate information to a governmental entity for the purposes of public health safety.

Front 86

Rule 573.28 is maintenance of sanitary premises. What does this entail?

Back 86

1. Clean/sanitary offices/clinics/hospitals with no accumulation of trash/debris/filth. 2. Premises shall be maintained in full compliance with all health requirements of city/county as well as the State of Texas. 3. Properly sterilize instruments and clean supplies.

Front 87

Rule 573.29 is complaint information and notice to clients. What must the licensee provide to the client so that they may lodge a complaint if they so wish?

Back 87

1. Specific address for the Board... Texas State Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, TX 78701-3942; 2. The Board's telephone numbers (512-305-7555 or fax: [phone]); 3. Toll-free complaint information number (1-800-821-3205)

Front 88

Rule 573.29 is complaint information and notice to clients. What are the acceptable forms for providing effective information to clients so they can lodge a complaint to the Board?

Back 88

1. Written notice form (at least 14 point print size) that is prominently displayed in the area that is most frequented by the public. 2. Brochure available in the area that is most frequented by the public. 3. Statement on each written bill invoice or receipt

Front 89

Rule 573.30 is advertising. Veterinarians are not allowed to engage in false deceptive or misleading advertisements. How does the Board define these types of advertisements?

Back 89

1. Prediction of a cure or guarantee that will result from the performance of the advertised professional services. 2. Illegal transactions 3. Statement of opinion of the services/facilities qualities that is not subject to verification by the public and can create a false impression of the qualities of these services/facilities. 4. Statement/implication that a veterinarian is a specialist unless that veterinarian is board-certified and recognized by the AVMA in such specialty. 5. Claim that intends/likely to create inflated/unjustified expectations 6. Expressed/implied material misrepresentation of fact

Front 90

Rule 573.32 is specialty listings. What does this rule entail?

Back 90

A veterinarian who is specialized in a specific field and is recognized by the AVMA may state this fact in his/her advertising venues such as…1. Reputable veterinary directories 2. Advertising notices mailed to veterinarians/clients/former clients/personal friends/relatives 3. Yellow pages in his/her geographical area where his/her primary practice is located 4. Professional cards 5. Letter head

Front 91

Rule 573.33 is display of degree certificate or title from approved institutions only. What does this rule entail?

Back 91

The institution that grants the degree/certificate/title pertaining to veterinary medicine must be approved by the Texas State Board of Veterinary Medical Examiners in order for this document to be displayed.

Front 92

Rule 573.34 is display of license. Where is the display of a veterinarian's license required to be?

Back 92

At the veterinarian's practice location whether mobile or fixed as well as the most recent renewal certificate. It must be visible to the public.

Front 93

Rule 573.35 is display of license. True/False: A legible photocopy of a veterinarian's license may be used for display in place of the original.

Back 93

True (it is acceptable)

Front 94

Rule 573.36 is corporate and assumed names. True/False: Veterinarians may use a corporate or assumed name for their veterinary practice in order to make their practice more recognizable.

Back 94

FALSE

Front 95

Rule 573.37 is ban on use of solicitors. In what situation may a solicitor be used as an exception for the purposes of the veterinary practice?

Back 95

Using solicitation is reprehensible in the profession. It should NEVER be used.

Front 96

Rule 573.40 is labeling of medications dispensed What must be affixed to the immediate container of a medication dispensed by a veterinarian?

Back 96

1. Veterinarian's name address and telephone number (including area code) 2. Date of delivery or dispensing 3. Patient/client name (address if the drug is controlled) 4. Species of the animal 5. Name strength and quantity of the drug dispensed 6. Directions for use 7. Cautionary statements as required by lay (i.e. not for human consumption poisonous withdrawal periods etc.)

Front 97

Rule 573.40 is labeling of medications dispensed If the container that is holding the medications is too small for the label then what needs to be done?

Back 97

The small container shall be enclosed within another container large enough to be labeled.

Front 98

Rule 573.41 is use of prescription drugs. What must occur before a licensed veterinarian can prescribe or dispense deliver or order delivered any prescription drug?

Back 98

1. Establish a veterinarian-client-patient relationship 2. Determine that the prescription drug is therapeutically indicated for the health and/or well-being of the animal(s).

Front 99

Rule 573.41 is use of prescription drugs. What is considered a prescription drug by the Board?

Back 99

1. All controlled substances in Schedules I through V 2. Legend drugs which bear the federal legends recognized as such by any law of the State of Texas or of the United States.

Front 100

Rule 573.41 is use of prescription drugs. What is considered unprofessional conduct in the dispensing of prescription drugs in veterinary medicine?

Back 100

To prescribe provide obtain order administer possess dispense give or deliver to or for any person prescription drugs that are NOT necessary or required for the medical care of animals or if they promote addiction.

Front 101

Rule 573.42 is use of scheduled drugs in training and/or racing. When is the only time that administration of scheduled drugs for the above reason valid?

Back 101

NEVER. Administration of scheduled drugs solely for training or racing purposes and not for a medically sound reason is a violation of the Veterinary Licensing Act.

Front 102

Rule 573. 43 is misuse of DEA narcotics registration. With which agencies does a veterinarian have to be registered in order to be able to prescribe dispense deliver or order delivered a controlled substance?

Back 102

1. Drug Enforcement Administration (DEA) 2. Texas Department of Public Safety (DPS)

Front 103

Rule 573. 43 is misuse of DEA narcotics registration. Under which circumstances is the DEA requirement waived for an unregistered veterinarian (non-registrant)?

Back 103

1. A registered veterinarian (registrant) supervises or employs the non-registrant. 2. The registrant knows that the non-registrant is dispensing and/or administering controlled substances in the usual course of duties. 3. Registrant has given written permission for the non-registrant to dispense/administer under the registrant's license. 4. Registrant has actual knowledge that the non-resident is currently registered with the Texas Department of Public Safety (DPS) and holds a current DPS controlled substances certificate.

Front 104

Rule 573. 43 is misuse of DEA narcotics registration. True/False: If a veterinarian is not registered with the DEA he/she can still dispense and administer controlled substances.

Back 104

TRUE

Front 105

Rule 573. 43 is misuse of DEA narcotics registration. True/False: If a veterinarian is not registered with the DEA he/she can still pocure purchase or issue a prescription for a controlled substance provided he/she follow the guidelines of Rule 573.43 subsection (b).

Back 105

False. No instance will allow a non-registrant to do this.

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Rule 573.44 is compounding drugs. Under the portion policy preamble how does the Board recognize the need for compounding in a responsible manner?

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1. Veterinarians require products to treat hundreds of conditions in more than 100 species with some having unique physiologic characteristics. 2. Only a fraction of the products available have FDA approval. 3. Veterinarians are required to relieve pain and suffering treat diseases/conditions and save animal lives in clinical situations in which there are no FDA-approved drugs to address the problem.

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Rule 573.44 is compounding drugs. Under the portion policy preamble what does the board base it's guidelines on compounding?

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FDA's Compliance Policy Guide (CPG) concerning compounding and illegal manufacturing of drugs. CAUTION: Federal/State drug laws can change. Rule 573.44 is adopted to enable veterinarians to compound drugs as long as it is not in conflict with federal/state drug laws/regulations.

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Rule 573.44 is compounding drugs. What is the definition of a drug?

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As defined in the Texas Food Drug and Cosmetic Act [Section 431.002(14)] Articles recognized in the official United States Pharmacopoeia National Formulary or any supplement to it articles designed or intended for use in the diagnosis cure mitigation treatment or prevention of disease in man or other animals articles other than food intended to affect the structure of any function of the body of man or other animals and articles intended for use as a component of any article specified in this subdivision. The term does not include devices or their components parts or accessories. A food for which a claim is made in accordance with 403(r) of the federal Act and for which the claim is approved y the secretary is not a drug solely because the label or labeling contains such a claim.

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Rule 573.44 is compounding drugs. What is the definition of compounding?

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Any manipulation to produce a dosage form drug (formulation of a drug for administration) except for that manipulation which is provided for in directions for use on the labeling of an approved drug product (e.g. reconstitution of a sterile powder with water for injection).

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Rule 573.44 is compounding drugs. What is the definition of illegal manufacturing?

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Any such manipulation that occurs outside the confines of a legitimate practice (e.g. where a veterinarian-client-patient relationship does not exist).

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Rule 573.44 is compounding drugs. Under the portion of illegal manufacturing or unacceptable compounding prohibited what situations would be considered illegal manufacturing?

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1. Preparation for sale of large quantities of unapproved new animal drugs on an ongoing basis and where no valid medical need or veterinary-client-patient relationship exists. 2. Promotion and/or distribution of compounded medicaments that are essentially similar to FDA-approved products. 3. Preparation for sale of unapproved new animal drugs which employ fanciful or trade names colorings or other additives or that in any way imply that the compounds have some unique effectiveness or composition. 4. Advertising promotion display resale or other means of marketing prepared unapproved new animal drugs. 5. Offering compounded medicaments to other state licensed veterinarians pharmacists or other commercial entities for resale.

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Rule 573.44 is compounding drugs. Under the portion of acceptable compounding what are the guidelines set forth by the Board in making the decision to compound?

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1. Determine whether the health of the animal would be threatened if treatment is withheld. If yes then the practitioner should determine if an appropriate dosage form drug is necessary and whether compounding is needed based on need to increase effectiveness decrease side effects or minimize need for restraint) 2. Consider if there is a market-approved drug dosage form to be used off label as well as a human-labeled drug that can be used in accordance with CPG. Either of these are preferred over compounded products due to concerns with purity potency and stability. 3. All of the previous alternatives need to be ruled out first before compounding.

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Rule 573.44 is compounding drugs. What are the guidelines set forth by the Board once the decision to compound has been made?

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1. Compounding can only be performed by the veterinarian or by a pharmacist on the receipt of a valid prescription from a veterinarian. It can only be done with a legitimate veterinary-client-patient relationship. 2. Judgement must be used by the veterinarian to determine if compounding requires a pharmacist as the complexity of the compounding may require assistance. 3. Safety and efficacy of the compounded drug is consistent with current standards of pharmaceutical and pharmacological practices (known problems are avoided and current good practices of preparation by state-licensed pharmacies are met) 4. The veterinarian is responsible for ensuring that no violative tissue residues have occurred. 5. Procedures are instituted to assure that appropriate patient records are maintained. 6. All drugs dispensed must be properly labeled.

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Rule 573.44 is compounding drugs. How do compounded drugs need to be labeled?

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1. Name and address of the attending veterinarian 2. Date dispensed and expiration date with expiration not exceeding length of treatment 3. Medically active ingredients 4. Identity of treated animals 5. Directions for use 6. Cautionary statements if needed 7. Withdrawal/withholding times if needed 8. Condition or disease to be treated

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Rule 573.45 is extra-label or off-label use of drugs. What is the definition of extra-label or off-label use of drugs?

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Actual or intended use of a drug in an animal that is not in accordance with the approved labeling.

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Rule 573.45 is extra-label or off-label use of drugs. What is considered extra-label or off-label use of drugs according to the Board (keeping in mind that it is not limited to their guidelines)?

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1. Use in species not listed in the labeling 2. Use for diseases or other conditions not listed in the labeling 3. Use at dosage levels frequencies or routes of administration other than those stated in the labeling 4. Deviation from the labeled withdrawal time based on these different uses

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Rule 573.45 is extra-label or off-label use of drugs. Veterinarians must use their discretion in off-label usage of drugs. What are the guidelines set forth by the Board in considering extra-label use of drugs?

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1. Whether the off-label use of a drug meets the community standard of humane care and treatment set out in Rule 573.22 2. Established safety of off-label usage 3. Inclusion of a drug in a standard veterinary formulary 4. Analyses of off-label usage in the veterinary medical literature and in articles and commentaries written by the veterinarian's peers in the veterinary medical profession 5. Information provided by the drug's manufacturer vendor or the FDA as to whether off-label usage of a drug may present a risk to public health 6. Any other sources of pertinent information

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Rule 573.45 is extra-label or off-label use of drugs. What should the veterinarian do if the off-label use of a drug is not commonly accepted or used by average veterinarians in the community in which the veterinarian practices or if the off-label usage does not have an established safety record?

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The veterinarian shall orally or in writing inform the client that the off-label usage is not commonly accepted or used in the veterinary community and that such usage could pose a risk to the health of the animal. If the notification is oral then it should be noted in the patient's record.