GI Review Flashcards
A 5 y/o Miniature Schnauzer presents for acute, severe, hemorrhagic diarrhea and hematemesis. The dog is UTD on vaccines and is not receiving any medications. Exam reveals 8% dehydration. PCV/TS is 65%. What is the most likely diagnosis?
a. HGE
b. whipworms
c. Parvovirus
d. Campylobacter
A
Which of the following is an indication of large bowel diarrhea?
a. weight loss
b. increased volume of stool
c. hematochezia
d. melena
C
A 5 m/o puppy presents for acute vomiting and hemorrhagic diarrhea. On PE, the puppy is 6% dehydrated, depressed, and has abdominal discomfort. The puppy is NOT UTD on vaccinations and has not been dewormed. Which of the following tests should be performed next?
a. abdominal radiographs
b. direct fecal smear
c. rectal cytology
d. fecal Parvovirus ELISA
D
A 5 y/o Yorkie presentf for chronic small bowel diarrhea and weight loss. PE reveals distended abdomen and palpable fluid wave. Bloodwork shows a panhypoproteinemia, hypercholesterolemia, and lymphopenia. What is the likely diagnosis?
a. lymphangiectasia
b. EPI
c. irritable bowel syndrome
d. intestinal adenocarcinoma
A
A 6 y/o mixed breed dog presents for chronic small bowel diarrhea. He is still eating well and has not had any weight loss. His PE is unremarkable. CBC, chemistry, UA, and fecal float are also unremarkable. What is the best next step?
a. AUS
b. hydrolyzed protein diet
c. GI endoscopy
d. fecal culture
B
Which of the following is correct?
a. Fiber-responsive diarrhea is typically large bowel in origin.
b. A hypoallergenic diet trial must be performed a minimum of 8 weeks.
c. Less than 10% of dogs and cats with chronic diarrhea respond to a hypoallergenic diet.
d. A highly digestible diet should be fed for 3 days then slowly transitioned back to regular diet.
A
Which of the following is correct regarding histiocytic ulcerative colitis?
a. Enrofloxacin is the treatment of choice
b. Clostridium perfringens is the etiologic agent
c. GSDs are predisposed
d. Small bowel diarrhea is common
A
cause by E. coli
A 13 y/o cat presents for chronic progressive vomiting and 2 lb weight loss. She is eating well with no other issues. PE reveals a grade 3/6 left parasternal heart murmur and BCS 3/9. Which of the following is a more likely diagnosis for this cat?
a. gastric adenocarcinoma
b. large cell GI lymphoma
c. small cell GI lymphoma
d. intestinal adenocarcinoma
C
Which of the following is correct regarding chronic vomiting in dogs and cats?
a. Fecal examination and deworming are of no benefit
b. hyperthyroidism and hypoadrenocorticism can mimic primary GI disease
c. intestinal biopsies are needed to differentiate between food responsive enteropathy and IBD
d. a hydrolyzed diet trial needs to be fed for 6-8 weeks to assess response
B
A cat presents for vomiting or regurgitating food of 5 days duration, but still has a great appetite and otherwise acting normally. The cat is currently treated with Doxycycline for Mycoplasma hemofelis infection. Which of the following would be a likely cause of the cat’s clinical signs?
a. liver disease
b. Addison’s disease
c. renal failure
d. esophageal stricture
D
What diet is recommended for lymphangiectasia?
a. high fiber
b. low fat
c. high protein
d. low residue
B
A 1 y/o FS Golden presents for vomiting for 3 days. She has vomited 6 times last night (liquid and bile) and has no interest in food for the past 24 hours. The dog has not had any vomiting today. PE reveals 8% dehydration and the dog is lethargic. The owners noted she may have ingested a sock a few days ago. Which one of the following statements is the most correct regarding this patient?
a. the dog has self-limiting vomiting
b. the dog has life-threatening vomiting
c. the dog will likely get better without supportive care
d. the dog should return in 3-5 days if not improved
B
A dog presents for a week long history of vomiting per the owner. It occurs right after eating and he can tolerate liquid, but not solid food. The vomitus is undigested food and mucus. The owner describes the vomiting as passive and it started about 4 days after he returned home from a dental procedure. The dog is otherwise acting well. Which one of the following diagnostics would have the most yield give the lesion localization in this dog?
a. abdominal radiographs
b. abdominal U/S
c. thoracic radiographs
d. CBC/chem
C
A 10 y/o GSD presents for chronic vomiting for 1 month per the owner. The owner states the dog vomits both liquid and undigested food. It occurs within hours of eating. The vomiting is described as a passive event. On examination, he has a mild fever and you auscultate crackles in high right cranial ventral thorax. When the dog is exercised, he develops generalized muscle weakness, which improves with rest. Which of the following is the most likely diagnosis?
a. FB
b. generalized megaesophagus
c. esophageal sphincter
d. gastritis
B
Which of the following is most helpful in differentiating vomiting vs regurgitation?
a. timing in relation to eating
b. effort - passive vs active abdominal contractions
c. shape of contents
d. if there is digested or undigested food present
B
