clinical exam 2

Question 1

most used imaging method

Answer 1

endoscopy

Question 2

meaning of LLH, EE, DDSP

Answer 2

Left laryngeal hemiplegia
epiglottic entrapment
Dorsal displacement of the soft palate

Question 3

other term for LLH

Answer 3

RLN recurrent laryngeal neuropathy

Question 4

telltale sign of LLH

Answer 4

roaring

Question 5

inflamed, broken down larynx

Answer 5

LLH

Question 6

in LLH, this muscle do not abduct properly

Answer 6

arytenoid m.

Question 7

Presents as roaring - associated immediately to
__

Answer 7

LLH
hemiplegia

Question 8

cause of LLH

Answer 8

unknown

Question 9

laryngeal grade at exercise: Full abduction of the arytenoid cartilages during inspiration

Answer 9

A or 1

Question 10

laryngeal grade at exercise: slightly affected abduction, slighlty curved
Partial abduction of the affected arytenoid cartilage (b/w full and the resting position)

Answer 10

b or 2

Question 11

laryngeal grade at exercise: abduction
Held at the resting position

Answer 11

c or 3

Question 12

whatgrade: collapse
Collapse into the contralateral half of the ruma glottidis during inspiration

Answer 12

d or 4

Question 13

tx for LLH

Answer 13

laryngoplasty
Ventriculocordectomy
simultaneous 1 and 2
nerve implantation

Question 14

“Hobday” operation

Answer 14

Ventriculocordectomy

Question 15

Tie-back method

Answer 15

laryngoplasty

Question 16

only done to grade 3 or 4 LLH

Answer 16

laryngoplasty

Question 17

easiest tx method to LLH

Answer 17

laryngoplasty

Question 18

T/F laryngoplasty can be done on standing horse

Answer 18

t. but prone to irritants

Question 19

Removal or cut away of laryngeal ventricle and vocal cord

Answer 19

Ventriculocordectomy

Question 20

Ventriculocordectomy and laryngoplasty can be done simultaneously only when the animal is __

Answer 20

fully sedated

Question 21

nerve implantation in LLH involves: Laryngeal reinnervation of the __ muscle (move one of the nerves from right to left)

Answer 21

CAD (cricoarytenoideus dorsalis)

Question 22

EE happens when there is loose ___ and mucosa is displaced ____

Answer 22

Loose aryepiglottic folds & mucosa displace dorsally

Question 23

EE = “__” over the epiglottis

Answer 23

wrapping

Question 24

breed predilection of EE

Answer 24

throughbreds/racehorses

Question 25

cause of EE

Answer 25

uknown

Question 26

top 2 meds used in EE

Answer 26

flunixin phenylbutazone

Question 27

if EE recurrent , this forms __ and __

Answer 27

fibrous tissue and ulceration

Question 28

best tx of EE

Answer 28

surgical resection: Laryngotomy bistoury transection

Question 29

recurrence rate of EE

Answer 29

5-7%

Question 30

Dorsal displacement of the soft palate is when

Answer 30

Soft palate displaces dorsally

Question 31

DDSP leads to ___ obstruction

Answer 31

airway

Question 32

DDSP involves what noise

Answer 32

gurgling

Question 33

horses with DDSP can have ___% silent displacers

Answer 33

10-20%

Question 34

best tx for DDSP

Answer 34

Surgical transection Staphylectomy laser/cautery assissted

Question 35

tx for DDSP

Answer 35

Antinflamm to Prevent irritation - NSAIDs or systemic med Surgical transection Staphylectomy laser/cautery assissted Larnygeal tie-forwards Surgical repositioning of the larynx + Myectomies Opposite of tie back 2-4 inches removed muscle

Question 36

Surgical repositioning of the larynx

Answer 36

laryngeal tie-forwards

Question 37

non-surgical way tx of DDSP pre-race

Answer 37

tongue tie

Question 38

how is pulmonary funxn tsts done?

Answer 38

Run on treadmills Breathers are attached and measured

Question 39

if transtracheal washes are inflamed this will be full of what type of WBC

Answer 39

eosino

Question 40

Ancillary diagnostic test)

Answer 40

getting arterial blood sample