OSCES

Question 1

Communication 102
Pre-euthanasia appointment
- Euthanasia at practice or home
- Consent form
- With pet or not
- Who’s in room
- How procedure is performed
- Burial or Cremation?

Answer 1

• Introduce self
• Reason for meeting
• Client and patient names
• Can have appointment at home or in practice
• At home can be more comfortable but comes with extra cost
• In practice; private room
• Vet will talk through consent form, ensure understanding and ask to sign
• Can be with pet or wait elsewhere
• IV placed, time given, overdose of anaesthetic injected
• Pet will go to sleep and heart will stop, unaware
• Will not close eyes, likely to empty bladder and bowels
• Can see agonal breathing, not aware or alive during this
• Burial or cremation
• Any questions?

Question 2

What are the circuit factors?

Answer 2

• X minute volume by to get FGF
• T-piece and Bain = 2.5 - 3
• Lack and Mini Lack = 1 - 1.5

Question 3

Communication 103
Lipoma removal RIGHT SIDE
Dissolvable sutures, no dressing
Wound care only, when to seek advice
- Monitor for complications
- When to seek advice
- Prevent self mutilation
- Aids available; BC, PMS, inflatable collar
- How to fit choice of aid

Answer 3

• Introduce self
• State reason for appointment
• Client and patient names
• Monitor everyday for signs of complications; redness, swelling, discharge, bleeding
• Seek advice if seeing any of these
• Use BC etc. to prevent self mutilation, BC best, PMS lick through, Inflatable collar not always appropriate if can reach round
• Fit anti-mutilation aid
• Any questions?

Question 4

Communication 104
Out of hours
Lethargic, not eating or drinking in last 3 days
Vet in theatre, admit dog for exam and observation
- Confirm client and patient names
- Presenting symptoms?
- Relevant patient history?
- Reassure client

Answer 4

• Introduce self
• Reason for appointment
• Client and patient names
• What symptoms has pet been showing?
• Any other symptoms?
• Any ongoing conditions?
• Current medication?
• Any allergies?
• Any questions?
• Can be worrying, no news good news, VS will contact with treatment plan and updates
• Do everything we can

Question 5

Communication 105
Collect dog after dental
2 incisors removed, scale and polish
Post operative care advice
- Post GA care
- Diet - immediate and ongoing
- Exercise
- Ongoing dental care

Answer 5

• Introduce self
• State reason for appointment
• ## Client and patient names

Question 6

R101
Dorsoventral thorax

Answer 6

• GRID
• Sternal recumbency
• Prevent rotation with aids
• Draw forelimbs cranially, sandbag each
• Sand bag neck
• Hind limbs normal crouch
• Centre beam: mid thorax
• Cranial beam: manubrium/thoracic inlet
• Caudal beam: last rib
• beam: lateral skin surfaces

Question 7

R102
Right lateral lumbar spine

Answer 7

• GRID
• Foam wedge under sternum and mid-lumbar spine
• Sand bag on each limb
• Small foam wedge between stifles
• Centre beam: mid-lumbar spine
• beam: thoraco-lumbar junction
• beam: greater trochanter
• beam: dorsal skin surface
• beam: mid abdomen

Question 8

R103
Hip BVA

Answer 8

• GRID
• Dorsal recumbency, pelvis on plate
• Prevent rotation with aids
• Sandbag forelimbs
• Extend hind limbs, sandbag
• Hindlimbs rotate medially, femora parallel, tape/velcro
• Tail directly midline
• No rotation
• Centre beam:

Question 9

R104
Medio-lateral left tibia and fibula

Answer 9

• NO GRID
• Left lateral
• Right hind limb pulled back, sandbag
• Small foam wedge under hock or stifle
• Centre beam: mid-tibia/fibula
• beam: stifle joint
• beam: tarsal joint
• beam: cranial/caudal skin surfaces