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69 Cards in this Set
- Front
- Back
What are some possible side effects of vax?
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lethargy, fever, pain at inj site, v/d, increased RR and HR, restlessness, abscess, swelling @ inj site, anaphylactic shock, could cause dz that you are vax for
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The blue sheet in AU record is for what?
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Invasive procedures
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The white sheet in a AU pt record is called what?
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Face sheet
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What test/vax are given to all feline AU pts?
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FeLeuk test, FVRCP vax, 2 fecals, rabies vax
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What test/vax are given to all canine AU pts?
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Heartworm test (occult & filter) then start prev, DA2PPC vax, bordatella vax, rabies, 2 fecals
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What does SOAP stand for?
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Subjective, Objective, Assessment, Plan
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What kinds of things are noted in the S section of the SOAP?
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Owner's complaint & general opinion from looking @ the animal
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What things are noted in the O section of the SOAP?
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full PE, test results (highlight), eating, drinking, waste output
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What things are noted in the A section of a SOAP?
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presumptive dx, things like "improving"
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What things are noted in the P section of a SOAP?
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What needs to be done and when.
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What are some general guidelines for completing a PE?
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by exam sheet order or head to toe, clear, specific, correct spelling, no unprofessional language, can't be too thorough
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What are the "categories" of the animal that are looked at on a PE?
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general condition, integument/skin,eyes, ears, nose, mouth & throat, lung sounds, heart, abdomen, genitals, rectum, extremities, neck & back, neurologic, lymph nodes, tpr/crt/mm
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What is noted in the General Condition section of the PE?
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Condition score between 1-9 according to chart, hopefully between 4-6, temperament, nutritional state, alertness, anything that doesn't look normal
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What are some things noted in the Integument/Skin section of the PE?
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dull, matted, oily, alopecia, dandruff, external parasites, lesions, - describe condition in detail and note location
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What might be some things to note about the eyes on a PE?
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discharge (describe), cloudiness, abrasions, ulcers, scars, ectropion/entropion, conjunctiva condition, pupils
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What might be some things to note about the ears on a PE?
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odors, discharge, redness, debris, pinnae damage
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What might be some things to note about the nose on a PE?
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discharge, general appearance, scarring
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What are some things that might be noted in the Mouth & Throat section of the PE?
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teeth condition, gums, bite pattern, gingivitis, CRT, MM, ulcerations, palpate trachea to induce coughing
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Are lung sounds done before or after the heart sounds? why?
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Before - lung sounds are softer and harder to hear after the comparatively loud heart sounds
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Where do you listen for lung sounds? What are you listening for?
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Listen in different areas on both sides. Listen for wheezing, crackling, coughing, fluid sounds
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What things are you listening for when listening to the heart?
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rate, rhythym, murmmur, arrythmia
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What are you feeling for when palpating the abdomen on a PE?
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masses, pain, abnormalities, umbilical hernias, mammary glands
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What are some things that maybe noted about the genitals on a PE?
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swelling, dicharge, testicles (cryptorchid)
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What are some things that may be noted about the rectum on a PE?
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discharge, redness, worms, anal glands
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What are some things that may be noted about the extremeties on a PE?
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toes, pads, nails, gait, mobility, pain
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What are some things that are done/noted about the neck and back on PE?
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palpate along each vertebrae, any pain, move head and neck to check for limited movement
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What things are checked during the neurologic portion of a PE?
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righting reflex, conscious propreception (flip paw), sight, hearing
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Name the 5 sets of lymph nodes
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mandibular, politeal, prescapular, inguinal, axillary
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Which two sets of lymph nodes are normally palpable?
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mandibular and politeal
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Where are the mandibular lymph nodes located?
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under lower jaw
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Where are the politeal lymph nodes located?
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caudal thigh behind stifle
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What three sets of lymph nodes are not normally palpable?
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prescapular, axillary, inguinal
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Where are the prescpular lymph nodes located?
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In front of the shoulder
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Where are the axillary lymph nodes located?
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in the armpit area
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Where are the inguinal lymph nodes located?
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medial thigh
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What should be noted about the palpable lymph nodes on a PE?
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size - measure
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What is a normal feline and canine temp?
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100.5 - 102.5
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What is a normal feline pulse?
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110-180
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What is a normal canine pulse?
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70-130
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What is a normal puppy pulse?
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220
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What is a normal canine toy breed pulse?
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160-180
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What is a normal respiration rate for cats and dogs?
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10-30 rpm
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What are "baby" teeth called?
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Deciduous teeth
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When do deciduous teeth errupt in puppies?
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4-6 weeks
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When do deciduous teeth errupt in kittens?
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3-6 weeks
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When do permanent teeth errupt in dogs?
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4-7 months
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When do permanent teeth errupt in cats?
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3-5 months
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What is a normal CRT?
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2 seconds or less
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Where is a pulse taken on a cat or dog?
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femoral artery - high on inside thigh
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What is a sinus arrythmia?
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heart rate slows on ehalation of breath and speeds up on inspiration - normal in dogs
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What are rales?
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Abnormal lung sounds - dry/crackling, moist/bubbling
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What are two types of cough?
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Productive (bringing up material), non-productive
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What is an acute infection of the mammary glands called?
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Mastitis
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In POMR record keeping, what does POMR stand for?
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Problem Oriented Medical Record
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In records, what do CC and PH stand for?
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Chief Complaint and Past History
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Why don't you vax a sick animal?
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The vax isn't as effective, and you could make the animal more sick
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What is the canine vax DA2PPC for?
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Distemper, Adenovirus 2 (hepatitis), parainfluenza, parvovirus, coronavirus
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What is the feline vax FVRCP for?
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Feline Viral Rhinotracheitis, Calicivirus, panleukopenia
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What should be noted in the pt record when a vax is given?
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date, site, route, paste label in record or note maufacturer, type of vax, and serial # - DVM must initital chart
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What is the standard dose for all vax?
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1 ml
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By what route and where is the DA2PPC vax given? Protocol?
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SQ in left scruff, booster 3 wks after initial vax, then yearly
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By what route is the bordetella/P12 vax given? Protocol?
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IN, booster in 6 months
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By what route and where is rabies vax given in dogs? Protocol?
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SQ right scruff, boostered annually (perhaps longer dep on vax given)
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What else must be done after administering a rabies vax?
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Complete rabies certificate
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By what route and where is FVRCP vax given? Protocol?
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SQ right shoulder, booster in three weeks, then annually
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By what route and where is FeLeuk vax given? Do we give this vax at Argosy?
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SQ left distal hind leg *only* if FeLeuk test is negative - don't give at Argosy as indoor cats do not need
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By what route and where is rabies vax given in cats?
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SQ right distal hind leg
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What is a dz concern with giving vax in cats?
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Vaccine Induced Fibrosarcoma
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Why are vax given low on leg of cats?
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In case fibrosarcoma develops - leg can be amputated
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