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180 Cards in this Set

  • Front
  • Back

How soon after injury is wound healing initiated

immediately

upon injury, a significant increase in wound strenght begins to occur

within 3 to 5 days

granulation tissue is made up of new capillaries, ___, and ____

fibroblast; endothelial cells

if the skin surrounding a wound is very tight and under tension

wound contraction will be limited

a ___ drain is the most commonly used passive drain in small animal practice and is generally placed into smaller wounds with dead space

penrose

which of the following statements concerning the final phase of wound healing is most accurate

the final phase of wound healing is maturation, which may occur for several years but does not ever regain normal tissue strength

in addition to casts, what type of external fixation is often used in cattle with tibial or radial fractures

modified thomas splint

you see a coworker apply a wooden block to an unaffected dewclaw on a horse. what might be the reason

both b and c are possible reasons

which of the following is not a factor when choosing the type of wound closure to use on an injured patient

past inoculations or vaccinations

allowing a wound to heal completely without surgical closure is known as ___ healing

second-intention

you are applying an occlusive nonadherent primary layer bandage, which

will retain moisture and remain impermeable to air

the ___is the most commonly applied distal limb bandage in small animals

modified robert jones

when discharging a patient wearing a cast, client education is essential but may not include which of the following

giving diet restrictions

a foul odor emanating from any part of a cast indicates

tissue damage

blistering at the site of a burn indicates a _____ -degree burn

second

abrasions should be treated by

no surgical intervention; healing should be allowed to occur by reepithelialization

a patient arrives in the emergency are with a severe full-thickness burn in the inflammatory stage. the wound is heavily contaminated. you will apply

a sterile wet to dry primary bandage layer

an injury in which skin and varying amounts of ligaments, tendons, muscles, and bone are torn off the underlying tissue of a limb would be described as a

degloving injury

which of the following statements about decubital ulcers is most accurate

decubital ulcers form over bony prominences

when removing an equine limb cast, the cuts in the cast should be made longitudinally along

the medial and lateral surfaces

proud flesh is

exuberant granulation tissue that can form on the limbs of horses during wound healing

when applying a bandage on the lower limb of a horse, apply topical medication, nonadhearing dressing, and then

rolled conforming gauze, a padded layer, conforming gauze, and elastic wrap

how does an equine lower-limb support bandage differ from a lower-limb wound bandage

with a support bandage, the underlying wound dressing and inner conforming gauze layers are not used

why must the thick bandage placed under a larger animal limb splint extend well above and below the ends of the splint

to prevent pressure sores

how often should a splint be reset in a foal

daily

you are incorporating a cast into a modified robert jones bandage, placing it between the elastic gauze layer and outer protective layer. you are careful to avoid folds or wrinkles in the bandage because otherwise

it can cause pressure necrosis (tissue death)

how might a broom handle be used in the application of an equine limb cast

it is threaded through a loop of wire attached to the hoof wall to apply traction to the limb to keep it perpendicular to the body

when casting an equine limb, after the initial layer of casting material is applied, external traction to the limb is often removed and an assistant is asked to support the leg at the metacarparl or metatarsal bone. what is the best way for the assistant to hold the limb

gently with the limb resting on the palms of both hands, which are under the metacarpus or metatarsus region

when applying casting materials around the limb, overlap successive layers by

one-third to one-half

the exercise program for an equine in a limb cast is best described as

stall rest only

which of the following is a non-weight-bearing sling applied to the pelvic limb to protect the hip joint

ehmer sling

which of the following is an effective technique for controlling exuberant granulation tissue

all of the above

according to the FDA center for veterinary medicine (CVM), an ADE is

any adverse event associated with a drug that may or may not be drug related and that resulted regardless of whether the drug was used according to the "FDA-approved" labeling

a drug that exactly produces the actions of a natural body substances when it binds to its receptor is called

agonist

what organ is the pirmary site for drug metabolism

liver

highly irritating drugs can severely damage blood vessels and surrounding tissues if

injected outside the vein

a veterinarian who has a patient with congestive heart failure (CHF) administers ____ in hopes of improving the heart's ability to pump blood by increasing the calcium concentration

digoxin

some collie breeds and collie breed mixes may have increased sensitivity to which of the following parasiticides

ivermectin

the clinical uses of ____ are for systemic vasodilation and to decrease circulating levels of aldosterone, which facilitates sodium excretion and diuresis

angiotensin-coverting enzyme (ACE) inhibitors

which of the following drugs are you most likely to give to a patient with edema

diuretics

your patient is being administered an antiemetic, which is needed to

prevent vomiting

a 10% concentration of solution contains ____ of a drug per ____ of solution

10mL; 100mL

drugs that stimulate bile flow in the liver are called

choleretics

if 480ml of 0.9% sodium chloride is to be infused intravenously over 24 hours, what is the correct infusion rate if the set delivers 60 drops/ml

20 drops/min

both intermediate-acting insulin and long-acting insulin for treatment of diabetes mellitus (DM) are administered

subcutaneously

which of the following statements is true concerning veterinary use of controlled substances

a controlled substance is a substance of high abuse potential for which detailed written records of amounts used and amounts on hand are required

an example of a nutraceutical used in veterinary medicine includes

glucosamine/ chondroitin sulfate

medications dispensed that are considered unsafe for laypersons to administer without monitory by a licensed veterinarian are called ____ drugs and bear the "caution" sign, which restricts the use of the drugs

legend

what certification identifies to the public those online pharmacy sites that are appropriately licensed and legitimately operating over the internet

VIPPS

syncope is

fainting

while waiting for culture and sensitivity testing, empiric antibacterial therapy involves choosing a specific antibacterial based on

the most likely infecting organism, the antimicrobial's spectrum of activity, the site of infection, and the risk of toxicity

hypoadrenocorticism is

due to a decrease in adrenal gland function

the ____ act was introduced in 1970 to regulate the manufactureing, distribution, and dispensing of controlled substances

controlled substances

which of the following is true regarding the impact of disease on pharmacokinetics

cardiovascular disease increases the risk of toxicity to the heart and brain due to increased blood distribution to those organs

therapeutic drug monitoring is

all of the above

which of the following medication routes has the highest bioavailability

intravenous

which of the following statements concerning transduction is most accurate

transduction is the conversion of energy into electrical impulses in specialized nerve endings in response to pain that exceeds the nociceptor's threshold

one common physiologic response to pain is

an increased heart rate and blood pressure level

a new horse owner calls to say her 6-year-old quarter horse gelding is sweating, kicking at his abdomen, pawing, and rolling. this horse is exhibiting signs of

abdominal pain (colic)

a 2-year-old bernese mountain dog is biting, licking, and scratching at the bandage placed over the site of a recent surgical cranial cruciate-ligament repair. the best way to handle him is to

evaluate him for pain, treat his pain as necessary, and then restrain him from chewing

in small animals, loud, persistent vocalizing after an operation is generally considered a

sign of significant pain and or anxiety that needs attention

the analgesic effect of opiod is due to their

interaction with specific opiod receptors in the brain and spinal cord

at high doses, narcotics can cause excitement in

horses

the analgesic effect of NSAIDs is due to

modification of the inflammatory response

the term antipyretic is used to describe a drug that relieves

fever

___ refers to an increased response to a stimulus that is normally painful so that less and less stimulation is required to produce pain, whereas ___ refers to the production of pain in response to a stimulus that does not normally provoke pain

hyperalgesia; allodynia

you are unsure whether a ferret that has received an adreanalectomy is experiencing a significant amount of pain. what is the best way to determine whether this patient needs analgesics

the rule of thumb is that if a procedure would be painful for you to endure, it is likely that it is painful for the animal

in both the horse and dog, what is the most commonly encountered adverse reaction to NSAIDs

gastrointestinal upset

pain is considered to play such an important role in overall health and well-being that it is now considered a fifth

vital sign

kappa and mu are

types of opioid receptors in the central nervous system

multimodal analgesia takes advantage of the ____ obtained by combining two or more classes of anaglesic drugs to alter more than one phase

synergistic effects

which trait of siberian huskies and dobermans make people think of them as more "sensitive" to pain than other breeds

vocalizing regularly

the presence of both hyperalgesia and allodynia collectively is called

the wind-up phenomenon

elective soft tissue procedures for dogs, such as spaying or castration, usually require how many days of postoperative treatment with NSAIDs

3 to 4 days

joint supplements are used more commonly in ____than in any other species

horses

which of the following is a normal finding when using a2-agonists

bradycardia

which is the correct order of the phases of nociception

transduction, transmission, modulation

which of the following best describes the concept of preemptive analgesia

the best way to treat pain is to prevent it

lidocaine and bupivacaine are examples or which drug class

local anesthetics

you are about to administer medication to a 24-month-old dairy cow. you understand that one drug that is prohibited for this patient is

phenylbutazone

which of the following describes the transduction phase of nociception

the conversion of energy into an electrical impulse

based on his interactions and observations with a patient, a rottweiler named hank, a veterinary technician wants to increase the dose of analgesia to respond to hank's pain. when discussing with the clinician, which of the following is best way to phrase the technician's concern

hank's pain seems to be causing him quite a bit of distress. he's gnawing at his leg until it bleeds, and he hasn't slept for more than a few hours at a time. may i increase his analgesic dosage to see if it makes him more comfortable

a balanced anesthetic protocol might include

tranquilizer

the cole endotracheal tube, which is tapered and has no cuff, is used for birds because

they do not have an expandable trachea

cylinders containing ____ are white or green, and cylinders containing ___ are blue

oxygen; nitrous oxide

which of the following should be followed to reduce heat loss during anesthetic procedures

warm iv fluids before administration

prior to the induction of anesthesia, small animals should have food and water withheld for ___ hours and ___ hours, respectively

8 to 12; 2 to 4

an esophageal stethoscope is used to monitor the

heart rate

an electrocardiogram yields information about

the heart's electrical activity

the respiratory rate and adequacy of ventilation may be measured using

capnograph

in horses, what are indications of light anesthesia

nystagmus

excessive anesthetic depth may be indicated by

loss of muscle tone

which of the following can be administered epidurally

opiods

after intubation, what must be done before inflating the cuff to its proper level

connect the tube connector to the breathing circuit

an animal's endotracheal tube may be removed once the ____ reflex returns

swallowing

while ruminants are recovering from anesthesia, they should be placed in the ____position

sternal recumbent

a preanesthetic agent is used to

calm and prepare the patient for anesthetic induction

when is atropine of glycopyrrolate included in a preanesthetic regimen

when bradycardia or excessive salivation is anticipated

your patient has been intubated, but begins to experience ____, a complication in which the glottis forcibly closes during intubation

laryngospasm

anesthetic induction is best defined as

the process used to take the patient from a state of consciousness to general anesthesia

arf is a healthy mixed-breed dog undergoing anesthesia. you will assess and record arf's vital signs every

5 minutes

you are monitoring anesthesia for a miniture schnauzer undergoing radial fracture repair. the surgeon ask you to "sigh" the patient. what do you do

apply gentle inflation manually every few minutes

what agent is used to desensitize the larynx for endotracheal tube placement

topical lidocaine

hypoventilation can lead to atelectasis, which can result in

decreased gas exchange and hypoxemia

the focus of the physical assessemnt before anesthesia administration should be on the nervous, ____, and pulmonary systems

cardiovascular

which of the following is a common acepromazine combination

BAG (butorphanol, acepromazine, glycopyrrolate)

which of the following is not a potential adverse effect of anticholinergics

bradycardia

oxygen cylinders should be changed when either the pressure reaches ____ psi, or when it does not have enough gas to last the anticipated length of the procedure

500

in a rebreathing system, the ____ allows excess gases to exit the breathing circuit and transfers these waste gases to the scavenging system

pop-off valve

oxygen saturation of less than ____ indicates hypoxemia that requires treatment

90%

four unique patients are assigned the following american society of anesthesiologists (ASA) physical status classifications. which of the following is most urgent

p2e

opioid ____ are used to wake patients following opiod sedation

antagonists

part of your decision to use a non-rebreathing system for a particular patient is the fact that this patient weighs less than ___ kg

7

the patient will be predisposed to ___ if the endotracheal tube is inserted to far

both a and c

which of the following is a non-bearing circuit in the mapleson classification system

all of the above

which of the following types of ventilation includes the following steps: 1. ventilate at rate of 8 to 20 until spontaneous breathing ceases 2. lower rate to 6 to 12 bpm 3. adjust the rate based on monitoring parameters 4. when ready for patient to resume breathing, reduce the rate to 4 bmp (SA) or 2 bpm (LA)

intermittent mandatory ventilation

trocar, sleeve, blunt obturator, triangulation, and light cable are all terms used in ____ surgery

arthroscope

which of the following is a pair of heavy operating scissors with a straight or curved blade used to cut tough tissue

mayo scissors

needle holders are designed for

holding curved suture needles and guiding them through tissue

the ____ thumb forceps has large interdigitating teeth and is primarily used for skin or fascia

rat-tooth

you are assisting a bovine practitioner with the repair of a left-displaced abomasum. he asks you to hand him the rochester ochsner forceps. you hand him a

large, transversely grooved forceps with interdigitating teeth at the tips

dr. b asks you to hand her the "gelpi's" while surgically repairing a diaphragmatic hernia. for what is she asking

a pair of retractors

which antiseptic and disinfectant is bactericidal but does not kill spores or fungi; it has no residual effect; and it is both painful and cytotoxic when used in open wounds

alcohol

arthroscopy is used in veterinary medicine to examine and perform surgery on the

joints of horses

which of the following types of fluids is most often used for arthroscopic procedures to aid in visualizing the intraarticular space

any sterile, balanced electrolyte solution

the surgeon asks you for a ____, which has sharp, cupped tips to cut small pieces of dense tissue such as bone, cartilage, or connective tissue

rongeur

which disinfectant is effective against bacteria, but not against spores or some viruses and is very bland and nontoxic

quaternary ammonium

most surgical instruments are made of

stainless steel

during surgery, you hand the veterinary surgeon a ____, which she uses to cut bone by applying the blade end to the area to be cut before pounding on the flared end of the handle with a mallet

osteotome

aspetic technique

includes all steps taken to prevent contamination of the surgical site by infectious agents

dry heat kills by _____, and moist heat kills by _____

protein oxidation, coagulation of critical cellular proteins

which antiseptic and disinfectant is effective against bacteria, viruses, fungi, and yeast and has a rapid onset and is nonirritating to tissues

chlorhexidine

which of the following practices helps ensure adequate steam penetration in the autoclave

keeping the pack size smaller than 30 cm by 30 cm by 50 cm

the safe, minimal standard for autoclave sterilization is ____minutes

121 degree C (250F) for 13

the "flash" sterilization setting on the autoclave is used for

emergency (very rapid) sterilization of instruments

after ethylene oxide sterilization, materials should be

quarantined in a well-ventilated area for at least 7 days

how is an antiseptic different from a disinfectant

the former kills or inhibits infectious agents on living tissues and the latter on inanimate objects

which of the following statements concerning cold sterilization is most accurate

most cold-sterilized instruments should be used only for minor procedures

because the power equipment you need to sterilize cannot tolerate the high temperatures or steam associated with autoclaving, you are choosing to use gas sterilization with

ethylene oxide

____, you give the operating room a through cleaning that includes all permanent structures, floors, and cabinets, as well as removing, cleaning, and disinfecting all movable equipment

once a week

a surgical site should be scrubbed and rinsed a minimum of ___times

three

you are asked to prepare brownie, a 6-months-old, brown-tabby domestic shorthair cat, for castration. he will be restrained in the dorsal recumbent position with his hind legs tied cranially to expose the scrotal region. how do you prepare his scrotum

pluck hair and perform a surgical scrub

brownie, the cat in question 26 will be restrained in the dorsal recumbent position with his hind legs tied cranially to expose the scrotal region. dorsal recumbency means brownie is on his

back (face up)

a surgeon's or surgical assistant's initial surgical scrub of the day ___ their hands and arms and should involve a skin-soap contact time of ____ minutes

disinfects; 5

the veterinarian uses a ___ to stabilize a fracture, placing pins through the skin and bone

external fixator

the total hip prosthesis consists of a long stem that fits inside the proximal ___; a special cup replaces the ____

femur, acetabulum

gloved hands may be rested on a sterile drape or clasped in front of the body in the zone between the ___ and ____

shoulder, waist

during surgery, the veterinarian wants to remove a core of bone for biopsy. he asks you for a t-shaped, tubular instrument with a cylindrical cutting blade called a

trephine

one of the most popular agents used in veterinary medicine as a surgical scrub, which agent can be irritating to tissues, causing skin irritation or acute contact dermatitis in up to 50% of all canine patient

povidone- iodine

in arthroscopic surgery, burs (or burrs) are

often referred to as a motorized arthroplasty system

which of the following is not used to help maintain patient positioning during surgery

heating pads

the minimum number of people required to position a horse on a surgery table is

three

a horse is kept in the dorsal recumbent position by

side poles and padding

what covers the feet of horses to help decrease contamination in the surgical suite

obstetric sleeves

which of the following is not one of the three physical sterilization methods

water

which of the following surgical instruments and supplies are not routinely included in general and emergency surgical packs for large and small animals alike

hosit system

___ suture material is less reactive than ____ suture material

synthetic monofilament; synthetic multifilament

what is the last step in draping a patient before equine orthopedic surgery

an adhesive, impervious plastic, iodine-impregnated drape is wrapped over site

surgically prepared skin is considered ____, not ____

aseptic; sterile

low-pressure bleeding from small vessels can be controlled by

sustained pressure through a gauze sponge

using oversized suture material can lead to ___ and ____ tissue

increased trauma during placement; more foreign debris is

absorbable suture, in general, is broke down either by enzymatic degradation or by

hydrolysis

which of the following is a characteristic of monofilament sutures

less resistance

the veterinary technician's role in surgery can include all of the following except

performing minor surgical procedures under direct veterinary supervision

when passing sharp insturments or scalpel blades, the sharp components should be passed

away from the surgeon's hand

taper needles are most commonly used to pierce ___tissue

intestinal, subcutaneous, and fascia

which of the following means of hemostasis is avoided during equine abdominal surgery

sponge

catgut is suture material made from

sheep intestine

if the contents of a horse's large intestine are to be evacuated, a sterile-draped try is prepared on which the ____is to be placed

colon

nylon is a ____suture material

synthetic nonabsorbable

surgical catgut is a ___suture material

natural absorbable

stainless steel is a ____suture material

natural nonabsorbable

polydioxanone is a ___ suture material

synthetic absorbable

for which of the following procedures would it be most beneficial to count the gauze sponges used for hemostasis

feline gastrointestinal surgical repair

sterile towels are attached around an incision after the surgical scrub to prevent contamination of deeper tissues from the nonsterile

skin

during surgery, you place gelatin foams into the surgical site to proved effective

hemostasis

the scientific name for vicryl is

polyglactin 910

which of the following terms describes the presence of an opening in a surgical drape to allow exposure to a specific area while covering a broader area

fenstration

which of the following is an example of a temporary surgical implant

drains

which of the following may fall under the role of a surgical assistant in the postoperative management or a patient

all of the above are correct