Hepatic/Derm

Question 1

What is something you should consider enhancing in the diet of a patient with elevated liver enzymes w/o an identified cause?

Answer 1

(Antioxidants → helps protect the liver from oxidative injury)

Question 2

What portion of the diet might you consider limiting in patients with biliary dz?

Answer 2

(Fat)

Question 3

What portion of the diet must be restricted in patients with hepatic encephalopathy?

Answer 3

(Protein)

Question 4

What might you consider enhancing in the diet of a patient with hepatic encephalopathy?

Answer 4

(Soluble/fermentable fiber)

Question 5

In a patient with copper hepatopathy, you obviously want to restrict dietary copper but what might you consider enhancing and when would you definitely not want to enhance it?

Answer 5

(Consider enhancing zinc, do not enhance zinc if the patient is being treated with D-penicillamine bc zinc can decrease its efficacy)

Question 6

What are the most common allergic skin diseases in dogs?

Answer 6

(Flea allergy dermatitis, atopic dermatitis, and adverse food reactions)

Question 7

What is the difference in a food allergy dermatitis vs a food intolerance?

Answer 7

(Food allergy dermatitis → T cell mediated, can manifest in skin, GIT, or both; food intolerance → IgE mediated, reaction typically more immediate)

Question 8

(T/F) Food allergy dermatitis will resolve when the food allergen is eliminated.

Answer 8

(T)

Question 9

What is the gold standard diagnostic (and treatment) for food allergy dermatitis?

Answer 9

(8-12 week diet trial using either a novel or hydrolyzed protein)

Question 10

Serum and salivary allergy tests have a high chance of false positives/negatives (choose) for food allergies.

Answer 10

(Positives)

Question 11

What is the key to nutrition for support of healthy skin in animals?

Answer 11

(Ensure patient is eating enough of a complete and balanced diet)

Question 12

What deficiency can lead to lightening/reddening of black coated animals?

Answer 12

(Phenylalanine, converted into tyrosine, important for pigment)

Question 13

Deficiency in which omega 6 fatty acid can lead to dry and flaky coats?

Answer 13

(Linoleic acid)

Question 14

Supplementation of what omega fatty acids may help manage pruritus?

Answer 14

(DHA and EPA, also anti-inflammatory)

Question 15

Zinc-responsive dermatoses tends to affect what locations on affected animals?

Answer 15

(Nose and paw pads, can either have altered zinc absorption or a nutritional zinc deficiency)

Question 16

What mineral is important for the formation of melanin and keratin?

Answer 16

(Copper)

Question 17

What vitamin is important for cell proliferation/differentiation and its deficiency is associated with hyperkeratosis and occlusion of the salivary ducts?

Answer 17

(Vitamin A)

Question 18

Enhancement of which vitamin may reduce pruritus scores in atopic patients?

Answer 18

(Vitamin D)

Question 19

What vitamin deficiency is associated with ulcerated mucous membranes and pruritus?

Answer 19

(Vitamin B3/niacin)