Companion Animal Advanced Clinical Management WEEK 3
30 Questions
10 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Praziquantel is most likely to effectively treat:

  • cestodes (correct)
  • protozoa
  • nematodes
  • rivertoads
  • Which drug has become a first-line antiemetic in dogs and cats and has an injectable formulation that may cause less stinging when chilled before injection?

  • maropitant (correct)
  • metoclopramide
  • ondansetron
  • prochlorperazine
  • Which drug is an upper GI prokinetic that also has antiemetic properties?

  • maropitant
  • diphenhydramine
  • metoclopramide (correct)
  • prochlorperazine
  • Which antiemetic drug would generally have the least likelihood of being effective for use in a feline patient?

    <p>diphenhydramine</p> Signup and view all the answers

    When oral antacids are co-administered to patients taking a fluoroquinolone antibacterial drug, it is recommended to:

    <p>administer the fluoroquinolone, wait 2 hours, then administer the antacid</p> Signup and view all the answers

    Which drug has an evidence-basis for being the most effective choice to attain a sustained gastric pH increase?

    <p>pantoprazole</p> Signup and view all the answers

    Which drug forms a polymeric barrier over the gastric mucosa?

    <p>sucralfate</p> Signup and view all the answers

    Sulfasalazine and 5-ASA are used to treat inflammatory disease occurring in the:

    <p>large intestine</p> Signup and view all the answers

    Which drug is not an opioid?

    <p>apomorphine</p> Signup and view all the answers

    Diphenhydramine, a ‘first-generation’ antihistamine (H1 receptor antagonist), is typical of many first-generation antihistamines in that it has anticholinergic (muscarinic cholinergic antagonist) effects. Which of the following is not an anticholinergic effect?

    <p>all are anticholinergic effects</p> Signup and view all the answers

    Which of the following is true?

    <p>A side effect of bismuth subsalicylate administration is black feces.</p> Signup and view all the answers

    Which of the following is an example of secondary (extra-alimentary) gastroenteritis?

    <p>hepatic insufficiency</p> Signup and view all the answers

    A canine patient with acute intractable vomiting and diarrhea is estimated to be 8% dehydrated. Which fluid choice is most appropriate for this patient?

    <p>Intravenous crystalloid fluids such as Lactated Ringer Solution (LRS)</p> Signup and view all the answers

    What condition should you rule out before prescribing Maropitant?

    <p>GI obstruction</p> Signup and view all the answers

    What blood work abnormality is COMMON in vomiting patients and should be corrected with fluid therapy?

    <p>hypokalemia</p> Signup and view all the answers

    Which drug class is contraindicated in a patient currently on glucocorticoids?

    <p>NSAIDs</p> Signup and view all the answers

    Which of the following describes an appropriate diet for symptomatic management of acute gastroenteritis?

    <p>low fat, low fiber, easily digestible diet</p> Signup and view all the answers

    What is the main indication for prescribing famotidine?

    <p>Treatment of gastric ulcers</p> Signup and view all the answers

    Which of the following is true of gastroprotectants?

    <p>Misoprostol is used in the treatment of NSAID-induced gastric ulcers.</p> Signup and view all the answers

    Which of the following is true about the use of antibiotics in cases of acute gastroenteritis?

    <p>Though rare, central nervous system signs have been associated with metronidazole administration.</p> Signup and view all the answers

    Which of the following patients would most likely require a more urgent workup and aggressive treatment protocol?

    <p>A dog with panhypoproteinemia and intermittent diarrhea.</p> Signup and view all the answers

    Why would testing a blood cobalamin level be potentially indicated in patients presenting with chronic gastrointestinal signs?

    <p>Cobalamin deficiency can support a diagnosis of distal small intestinal enteropathy.</p> Signup and view all the answers

    The following patients are presenting with chronic gastrointestinal signs. In which case should abdominal ultrasound be a top priority in the diagnostic workup?

    <p>A 13-year-old cat who has had a six-month history of progressive weight loss, daily hair balls, and progressively worsening diarrhea.</p> Signup and view all the answers

    Which of the following patients would most likely benefit from a high fiber diet?

    <p>A cat with tenesmus and intermittent hematochezia</p> Signup and view all the answers

    True or false: Due to the more significant patient preparation required for upper GI endoscopy, in a majority of patients, only colonoscopy is performed if diarrhea is the predominating sign.

    <p>False</p> Signup and view all the answers

    Which statement about therapy for antibiotic-responsive diarrhea is the most correct?

    <p>Tylosin and metronidazole are the two most commonly prescribed antibiotics to manage antibiotic-responsive enteropathy.</p> Signup and view all the answers

    What is true about the medication budesonide?

    <p>It is an oral corticosteroid with a high degree of topical activity</p> Signup and view all the answers

    Which statement about adverse food reactions is most correct?

    <p>Signs of gastrointestinal adverse food reactions include increased daily number of bowel movements.</p> Signup and view all the answers

    In an elimination diet trial to evaluate a differential diagnosis of cutaneous adverse food reaction, how long should the diet be fed?

    <p>8-12wks</p> Signup and view all the answers

    True or False: Serum testing for food-specific IgE is recommended for the diagnosis of adverse food reactions.

    <p>False</p> Signup and view all the answers

    Study Notes

    Pharmacology and Gastroenterology

    • Praziquantel is most likely to effectively treat certain parasites.
    • Metoclopramide is a first-line antiemetic in dogs and cats, and has an injectable formulation that may cause less stinging when chilled before injection.
    • Metoclopramide is an upper GI prokinetic that also has antiemetic properties.
    • Ondansetron would generally have the least likelihood of being effective for use in a feline patient.
    • When oral antacids are co-administered to patients taking a fluoroquinolone antibacterial drug, it is recommended to separate administration by at least 2 hours.
    • Antacids and sucralfate are recommended to separate administration by at least 2 hours when co-administered with fluoroquinolone antibacterial drugs.
    • Histamine-2 receptor antagonists have an evidence-basis for being the most effective choice to attain a sustained gastric pH increase.
    • Sucralfate forms a polymeric barrier over the gastric mucosa.
    • Sulfasalazine and 5-ASA are used to treat inflammatory bowel disease occurring in the colon.

    Antihistamines and Anticholinergics

    • Diphenhydramine, a ‘first-generation’ antihistamine (H1 receptor antagonist), has anticholinergic (muscarinic cholinergic antagonist) effects.
    • Tachycardia is not an anticholinergic effect.
    • Maropitant is contraindicated in patients with gastrointestinal obstruction or perforation.

    Gastroenterology

    • Secondary (extra-alimentary) gastroenteritis is exemplified by a condition caused by acute pancreatitis.
    • For a canine patient with acute intractable vomiting and diarrhea, estimated to be 8% dehydrated, a fluid choice with potassium supplementation is most appropriate.
    • Gastroesophageal reflux disease should be ruled out before prescribing Maropitant.
    • Hypochloremia is a common blood work abnormality in vomiting patients and should be corrected with fluid therapy.
    • Corticosteroids are contraindicated in a patient currently on NSAIDs.
    • A bland, easily digestible diet is appropriate for symptomatic management of acute gastroenteritis.
    • The main indication for prescribing famotidine is treatment of gastrointestinal ulcers.
    • Gastroprotectants are often used to treat gastrointestinal ulcers.
    • Antibiotics are not typically used in cases of acute gastroenteritis, unless there is a specific indication of bacterial involvement.
    • A patient with systemic signs, such as fever, and/or significant abdominal pain, would most likely require a more urgent workup and aggressive treatment protocol.

    Chronic Gastrointestinal Signs

    • Testing a blood cobalamin level may be potentially indicated in patients presenting with chronic gastrointestinal signs due to malabsorption.
    • Abdominal ultrasound should be a top priority in the diagnostic workup for a patient with a palpable abdominal mass.
    • A patient with chronic constipation would most likely benefit from a high fiber diet.
    • True: Due to the more significant patient preparation required for upper GI endoscopy, in a majority of patients, only colonoscopy is performed if diarrhea is the predominating sign.
    • Therapy for antibiotic-responsive diarrhea should include a probiotic and a prebiotic to promote a healthy gut microbiome.
    • Budesonide is a locally acting glucocorticoid that is used to treat inflammatory bowel disease.
    • Adverse food reactions are often caused by an immune-mediated reaction to a specific ingredient.
    • An elimination diet trial to evaluate a differential diagnosis of cutaneous adverse food reaction should be fed for at least 8-12 weeks.
    • False: Serum testing for food-specific IgE is not recommended for the diagnosis of adverse food reactions.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Week 3 iRATs

    More Like This

    Use Quizgecko on...
    Browser
    Browser