Final exam

Question 1

What is added to the blue top tube?

Answer 1

Sodium citrate

Question 2

Horse hasn’t eaten in 4 days. Bilirubin is very high. What is the cause of the high bilirubin?

Answer 2

Anorexia

Question 3

Horse hasn’t eaten in 4 days. CK is very high. What is the cause of increased CK?

Answer 3

Diffuse acute muscle necrosis

Question 4

Diabetic cat with electrolyte abnormalities. Why?

Answer 4

dehydration

Question 5

Abdominal effusion: TP too low to measure, NCC = 1,000. What is the cause?

Answer 5

Hypoalbuminemia (pure transudate)

Question 6

Abdominal effusion: TP =6, NCC = 6,000. What is the cause?

Answer 6

Chronic Heart failure

modified transudate

Question 7

You are monitoring a patient that has Warfarin toxicosis using the PT test. Which factor is being monitored?

Answer 7

Factor VII

Question 8

Dog has a markedly prolonged aPTT and PT. What is your concern?

Answer 8

DIC

Question 9

In a physical exam, you notice petechial hemorrhage on the mucosal membranes. What is the cause?

Answer 9

thrombocytopenia

Question 10

The cause of the increase in BMBT in an animal with Von Willebrand’s Dz is due to dysfunction of

Answer 10

Platelet adhesion
(buccal mucosal bleeding time (BMBT) in a dog to test for von Willebrands factor (vWF) disease)

Question 11

How does ADH cause an increase in water and sodium absorption?

Answer 11

by increasing expression of aquaporins in the renal tubules

Question 12

What is the differential cell count of eos?
TNCC= 25,000
Eos are 10%

Answer 12

2,500

Question 13

Increase TT4, normal FT4 and TSH. What is the cause?

Answer 13

Primary Hyperthyroidism

Question 14

Decreased TT4, normal FT4 and TSH. What is the cause?

Answer 14

Euthryoid Sick Syndrome

Question 15

Hypothyroid dog.
What is the cause?
What electrolyte abnormalities would you expect?
What is the cause of the leukocyte abnormalities in this dog? (no stress leukogram)

Answer 15

Addison’s
Hyperkalemia and Hyponatremia
Adrenal gland insufficiency

Question 16

You’re testing for hyperadrenocortism.

LDDST shows increase at 8hr and 4hr. Whats the best answer?

Answer 16

Either AT or PPDH

Question 17

You’re testing for hyperadrenocortism.

LDDST shows increase at 8hr and normal level at 4hr. Whats the best answer?

Answer 17

PPDH

Question 18

You’re testing a dog. ACTH-stim test shows decrease baseline cortisol. Cortisol= 1.5 post admin. What is the cause?

Answer 18

dog is hypothyroid

Question 19

What is the best way to test for feline pancreatitis?

Answer 19

fPLI

Question 20

Dog has yellow/orange urine. What is the pigment?

Answer 20

bilirubin

Question 21

Cat with neg bact, blood and protein in urine. Increased BUN, increased Crea, decreased USG. What is the cause of the proteinuria

Answer 21

post renal due to polynephritis?

Question 22

What is not a primary regulator of blood volume and water retention?

Answer 22

PTH is not a primary regulator

Question 23

Selective chloride loss from

Answer 23

high vomiting

Question 24

What is the most probable cause of hyperkalemia?

Answer 24

Oliguria/anuria

Question 25

Given a feline blood typing card, what blood type does it have?

Answer 25

Type A | the one that coags

Question 26

Decrease ALB and decreased GLOB, what is the cause of decreased protein?

Answer 26

PLE (protein losing enteropathy)

Question 27

Electrophoresis shows one peak at the gamma protein. What is the most likely cause?

Answer 27

multiple myeloma (monoclonal gammopathy)

Question 28

What is causing diarrhea? TLI > 1.0, decrease folate, decrease B12

Answer 28

diffuse small intestinal injury

Question 29

Dog has not eaten in 5 days. GLU is very high, all liver enzymes increased. What is the cause?

Answer 29

glucocorticoid administration

Question 30

What is the least likely cause of the hypercalcemia?

Answer 30

ethylene glycol

Question 31

Classify the leukemia. Increase bands, decrease lymphs

Answer 31

inflam and stress leukogram

Question 32

What is the least likely cause of lymphocytosis?

Answer 32

cushings

Question 33

In a dog with DIC, what would be the result of a BMBT test and why?

Answer 33

prolonged due to the thrombocytopenia

Question 34

Spherocytes and toxic neutrophils. What is the most likely dx?

Answer 34

IMHA

Question 35

What are we worried about unmasking when treating a patient for _____ fill in???

Answer 35

renal failure?

Question 36

A three year old male neutered Weimaraner dog is presented with a two day history of worsening anorexia, lethargy, cough and exercise intolerance. On physical exam, the mucous membranes are pale with a few petechiae. T=99.8 F (37.7 C)..[N=99.5-102.5 F, N=37.2-39.2 C] RR=24 brpm.....[N= 15-34] HR=144 bpm....[N= 60-120] A coagulation profile shows the following: Thrombocytes= 343,500 per microliter..[N=200,000-900,000] Buccal mucosal bleeding time (BMBT), normal Activated partial thromboplastin time (aPTT), increased Prothrombin time (PT), increased Thrombin time (TT), normal Fibrin degradation products (FDPs), normal Which one of the following choices is the most appropriate diagnosis?

Answer 36

Anticoagulant rodenticide toxicity