Rabbit dentistry Flashcards

(40 cards)

1
Q

A rabbit presents with a retrobulbar mass. CT shows no clear odontogenic involvement. The client declines surgery. What is a reasonable alternative?

A. Immediate enucleation of the globe
B. Long-term broad-spectrum antibiotics targeting anaerobes
C. NSAIDs only

A

βœ… Correct Answer: B
πŸ”Ž Rationale: Non-odontogenic abscesses responded to long-term antibiotic therapy alone in 75% of cases.

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2
Q

A rabbit is diagnosed with a CT-confirmed retrobulbar abscess of odontogenic origin. What is the best approach to maximize treatment success?

A. Topical antibiotics and eye flushing only
B. Long-term antibiotics combined with intraoral or extraoral surgical drainage
C. Enucleation to remove the abscess directly

A

βœ… Correct Answer: B
πŸ”Ž Rationale: Surgical intervention combined with systemic antibiotics led to 78% resolution in this study.

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3
Q

A lip mass in a rabbit is biopsied and diagnosed histologically as an elodontoma. The clinician is surprised as the mass was not located near the teeth.

What is the most accurate interpretation based on this study?
A. Odontogenic neoplasms only arise from jaws
B. Ectopic elodontomas can occur in soft tissue like lips
C. The result is likely a mistake and should be disregarded

A

βœ… Correct Answer: B
πŸ”Ž Rationale: The article highlights ectopic elodontomas as valid and rare findings in rabbit soft tissues.

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4
Q

A 6-year-old rabbit presents with a firm, non-painful swelling of the jaw. The mass appears encapsulated and is suspected to be an abscess. Histopathology reveals a trichoblastoma.

According to the study, what does this case illustrate?
A. Abscesses and neoplasms are easily distinguished on gross exam
B. Ectopic odontomas are more likely than trichoblastomas
C. Histopathology is essential to distinguish between neoplasia and inflammation

A

βœ… Correct Answer: C
πŸ”Ž Rationale: Gross similarity can mislead; histology is critical for diagnosis, as emphasized in the conclusion.

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5
Q

A rabbit undergoes bilateral TMJ surgery. At 4 weeks post-op, CT reveals mandibular body regeneration. The rabbit eats well and needs no further dental care.

What does this suggest about long-term outcome after surgical TMJ management?
A. Malocclusion always worsens
B. Regeneration can occur and long-term outcome may be excellent
C. TMJ ankylosis is inevitable

A

βœ… Correct Answer: B
πŸ”Ž Rationale: The article demonstrates that even in a juvenile rabbit, mandibular remodeling can support full recovery.

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6
Q

A young rabbit presents with a dropped jaw after trauma and CT confirms bilateral TMJ luxation. After multiple failed attempts at closed reduction, what does this article suggest as the next most appropriate step?

A. Continue trying closed reduction weekly
B. Euthanize the animal
C. Perform bilateral coronoidectomy and condilectomy

A

βœ… Correct Answer: C
πŸ”Ž Rationale: The article supports open surgical management as an effective solution when closed reduction fails.

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7
Q

A Dwarf Lop cross rabbit presents with chronic epiphora and no other health issues. The owner is concerned about the need for ongoing tear duct flushing.

According to the study, what should the clinician explain?
A. The breed is predisposed to dacryocystitis, and early monitoring is advised
B. Only dental issues can cause dacryocystitis, not breed
C. This is a rare presentation and doesn’t need follow-up

A

βœ… Correct Answer: A
πŸ”Ž Rationale: Dwarf Lop/Dwarf Lop crosses were significantly overrepresented in cases of dacryocystitis.

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8
Q

🐰 Case 1
A 4-year-old male neutered Lionhead rabbit presents with mucopurulent discharge at the medial canthus. He is otherwise healthy.

Based on the study, what is the best interpretation?
A. This presentation is likely due to environmental dust exposure
B. Breed and sex/neuter status increase this rabbit’s risk of dacryocystitis
C. This breed has no established risk factors for ocular conditions

A

βœ… Correct Answer: B
πŸ”Ž Rationale: The study found both Lionhead breed and male neutered status were significant risk factors.

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9
Q

A rabbit has a draining wound on the thigh. The veterinarian considers empirical treatment and wants to select the most effective and safest systemic antibiotic.

Based on the study’s findings, which is the most appropriate first-line option?
A. Amikacin, considering efficacy and legal access
B. Erythromycin, due to common availability
C. Clindamycin, because it targets Staphylococcus spp.

A

βœ… Correct Answer: A
πŸ”Ž Rationale: Amikacin showed the highest efficacy but must be used considering nephrotoxicity and legal regulations; erythromycin and clindamycin are contraindicated in rabbits.

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10
Q

A 3-year-old rabbit presents with a submandibular abscess. The clinician initiates empirical enrofloxacin therapy and submits a swab for aerobic culture. The culture yields Pseudomonas aeruginosa resistant to enrofloxacin.

According to the study, what is the best next step?
A. Continue enrofloxacin for 10 days
B. Switch to amikacin and request antibiotic sensitivity testing
C. Add penicillin orally

A

βœ… Correct Answer: B
πŸ”Ž Rationale: P. aeruginosa showed high resistance to enrofloxacin; amikacin was most effective, and treatment should be guided by sensitivity testing.

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11
Q

A clinician is grading a CT scan for dental disease but overlooks sagittal curvature and subtle apical elongation in the premolars. The rest of the quadrant appears only mildly abnormal.

According to the study’s conclusion, what is the most appropriate approach?
A. Grade the quadrant as mild without adjustment
B. Consider these features and possibly revise the grading
C. Repeat imaging before making any grading decisions

A

βœ… Correct Answer: B
πŸ”Ž Rationale: The study recommends including sagittal curvature, apical elongation, and canal deformation in the dental grading system.
Here is your visual study guide for the following article:

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12
Q

A rabbit presents for a CT scan to evaluate suspected dental disease. Imaging shows premolar curvature in the sagittal plane and slight deformation of the mandibular canal, but the dental score is mild in one quadrant and moderate in the contralateral quadrant.

Which interpretation best reflects the study’s findings?
A. The disease is symmetrical and chronic
B. There is likely asynchronous dental disease progression
C. The grading system confirms bilateral severity

A

βœ… Correct Answer: B
πŸ”Ž Rationale: The conclusion reports asynchrony between quadrants despite some scoring similarities.

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13
Q

A rabbit undergoes excisional biopsy of an oral mass diagnosed histologically as a complex odontoma. Sixteen months later, no recurrence is observed, but the animal requires dental trims every 3 months.

What is the most plausible explanation for the ongoing dental care?
A. Tumor regrowth
B. Chronic mandibular fracture
C. Secondary malocclusion due to prior abscessation

A

βœ… Correct Answer: C
πŸ”Ž Rationale: The initial abscess likely caused osseous changes leading to altered dental wear patterns.

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14
Q

A 9-year-old rabbit presents with ptyalism, weight loss, and a right mandibular swelling. CT reveals a mineralized buccal mucosa mass with no osseous involvement and a concurrent 1st molar abscess.

Which diagnosis is most consistent with the imaging and histopathology findings?
A. Buccal squamous cell carcinoma
B. Odontogenic cyst
C. Oral ectopic elodontoma

A

βœ… Correct Answer: C
πŸ”Ž Rationale: The mineralized soft tissue mass with dental-like elements is characteristic of ectopic elodontoma.

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15
Q

A 14-month follow-up CT on a rabbit previously managed conservatively for bilateral TMJ dislocation shows osteoarthritic changes but normal feeding.

Which treatment is most appropriate given the clinical condition?
A. Intra-articular corticosteroid injection
B. Glucosamine dietary supplement only
C. Surgical joint replacement

A

βœ… Correct Answer: B
πŸ”Ž Rationale: No clinical pain was present; conservative supplement management is sufficient.

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16
Q

A 2-year-old rabbit presents with inability to chew after trauma 4 days ago. CT shows bilateral TMJ dislocation and minimally displaced fractures. A closed reduction attempt fails.

What is the next most appropriate step?
A. Immediate mandibular condylectomy
B. Placement of an esophagostomy tube for supportive feeding
C. Use of a tape muzzle for 4 weeks

A

βœ… Correct Answer: B
πŸ”Ž Rationale: Conservative management with nutritional support was successful even without reduction.

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17
Q

Scenario:
An 8-year-old female rabbit presents with nasal discharge. Examination reveals incisor malocclusion, and radiographs show tooth root elongation.

Question:
What is the most appropriate next step in managing this rabbit’s condition?

A. Tooth root involvement is suspected and further CT imaging is warranted.
B. Clipping the teeth without sedation will resolve the problem.
C. The findings indicate a primary respiratory infection, unrelated to dental health.

A

βœ… Correct Answer: A

18
Q

Scenario:
A 3-year-old male rabbit presents with nasal discharge. Oral exam reveals asymmetrical cheek teeth and apical lysis is noted on imaging.

Question:
Which intervention is most likely indicated given the clinical and radiographic findings?

A. Oral malocclusion in adult rabbits typically resolves spontaneously with diet change.
B. Surgical extraction may be needed if apical infection or abscessation is present.
C. Cheek teeth overgrowth can be monitored without intervention if the rabbit is eating.

A

βœ… Correct Answer: B

19
Q

cenario:
A 5-year-old male rabbit presents with nasal discharge. Cheek teeth are overgrown, and reserve crown elongation is seen on CT.

Question:
Which anatomical explanation best accounts for the observed dental pattern?

A. The mandibular arcade being narrower than the maxilla explains the location of buccal spurs.
B. All rabbit teeth are anelodont and stop growing in adulthood.
C. Lingual spurs on lower cheek teeth are typical due to jaw anatomy and chewing pattern.

A

βœ… Correct Answer: C

20
Q

Scenario:
A 3-year-old female rabbit presents with weight loss and ptyalism. Examination reveals cheek teeth malocclusion and mandibular swelling. Radiographs suggest periapical abscess.

Question:
What is the most appropriate next step in managing this rabbit’s condition?

A. Tooth root involvement is suspected and further CT imaging is warranted.
B. Clipping the teeth without sedation will resolve the problem.
C. The findings indicate a primary respiratory infection, unrelated to dental health.

A

βœ… Correct Answer: A

21
Q

Scenario:
A 3-year-old male rabbit presents with weight loss and ptyalism. Asymmetrical cheek teeth are noted, and radiographs reveal apical elongation.

Question:
Which intervention is most likely indicated given the clinical and radiographic findings?

A. Oral malocclusion in adult rabbits typically resolves spontaneously with diet change.
B. Surgical extraction may be needed if apical infection or abscessation is present.
C. Cheek teeth overgrowth can be monitored without intervention if the rabbit is eating.

A

βœ… Correct Answer: B

22
Q

Scenario:
A 5-year-old female rabbit presents with facial swelling and ocular discharge. Oral exam shows irregular occlusion, and CT reveals reserve crown elongation near the maxillary sinuses.

Question:
Which anatomical explanation best accounts for the observed dental pattern?

A. The mandibular arcade being narrower than the maxilla explains the location of buccal spurs.
B. All rabbit teeth are brachydont and stop growing in adulthood.
C. Lingual spurs on lower cheek teeth are typical due to jaw anatomy and chewing pattern

A

βœ… Correct Answer: C

23
Q

Scenario:
An 8-year-old male rabbit is presented for facial swelling. Palpation reveals mandibular asymmetry, and radiographs show periapical lysis of the molars.

Question:
What is the most appropriate next step in managing this rabbit’s condition?

A. Tooth root involvement is suspected and CT is necessary for surgical planning.
B. Regular trimming of incisors is sufficient treatment.
C. There is no indication of dental disease based on physical exam alone.

A

βœ… Correct Answer: A

24
Q

Scenario:
A 4-year-old neutered male rabbit presents with unilateral ocular discharge. Dacryocystography confirms nasolacrimal duct obstruction.

Question:
Which intervention is most likely indicated?

A. Enucleation is required immediately.
B. Addressing apical elongation of cheek teeth surgically may resolve the obstruction.
C. Topical antibiotics alone will suffice for permanent resolution.

A

βœ… Correct Answer: B

25
Scenario: A 2-year-old female rabbit with severe incisor overgrowth and difficulty eating. No molar abnormalities are detected. Question: Which intervention is most appropriate for long-term resolution? A. Continue with regular clipping of the incisors. B. Perform full extraction of all incisors. C. Attempt to realign the incisors using orthodontics.
βœ… Correct Answer: B
26
Scenario: A rabbit has developed lingual ulcerations and anorexia. Oral exam reveals sharp points on lower cheek teeth. Question: Which anatomical explanation best accounts for the location of lesions? A. Buccal points on maxillary teeth and lingual points on mandibular teeth are typical due to anisognathism. B. Rabbits usually develop lingual points on upper teeth. C. Ulcers are unrelated to dental conformation.
βœ… Correct Answer: A
27
Scenario: A 6-year-old rabbit presents with progressive facial swelling and ptyalism. Imaging reveals cortical bone perforation and abscess formation. Question: What is the most appropriate surgical approach? A. Tooth trimming under sedation is sufficient. B. En bloc excision of the affected tooth and abscess capsule. C. Systemic antibiotics alone will resolve the abscess.
βœ… Correct Answer: B
28
Scenario: A rabbit develops chronic dacryocystitis. Breed: Lionhead. Concurrent dental disease is noted. Question: Which factor is most likely contributing to the condition? A. Breed predisposition and apical elongation of cheek teeth. B. Congenital narrowing of the lacrimal duct only. C. External trauma to the orbit.
βœ… Correct Answer: A
29
Scenario: A rabbit presents with buccal mass near the diastema. CT reveals a mineralized lesion unrelated to any erupted tooth. Question: Which diagnosis should be considered? A. Oral papilloma B. Ectopic elodontoma C. Apocrine cyst
βœ… Correct Answer: B
30
Scenario: A 10-year-old rabbit presents with decreased appetite and drooling. CT scan shows periapical lucency and mandibular canal deformation. Question: Which imaging finding supports early dental disease? A. Cortical thickening of the mandible B. Curvature of molar roots in sagittal plane C. Gingival retraction
βœ… Correct Answer: B
31
Scenario: A rabbit has repeated incisor overgrowth despite a good diet. Owner reports the issue began after trauma. Question: What is the best long-term solution? A. Increase fiber further B. Extract all incisors under anesthesia C. Provide more wooden toys
βœ… Correct Answer: B
32
Scenario: A rabbit has sharp buccal enamel points on maxillary cheek teeth and is showing signs of oral pain. Question: Which finding is most consistent with rabbit jaw anatomy? A. Buccal points form on maxillary arcade due to lateral positioning. B. Buccal points form only on mandibular teeth. C. All enamel points are pathologic and unpredictable in location
βœ… Correct Answer: A
33
Scenario: A rabbit presents for epiphora and mild maxillary swelling. Radiographs show elongation of P2 roots. Question: What is the most likely complication? A. Tympanic bulla infection B. Retrobulbar abscess C. Nasolacrimal duct obstruction
βœ… Correct Answer: C
34
Scenario: A rabbit with a history of chronic abscessation is on systemic antibiotics. The abscess persists. Question: Which factor likely contributes to treatment failure? A. Use of heat-labile antibiotics B. Improper restraint technique C. Lack of endoscopic lavage
βœ… Correct Answer: A
35
A rabbit presents with mandibular fracture near cheek teeth roots. Infection develops post-injury. Question: What is the likely long-term outcome if untreated? A. Healing without intervention B. Formation of osteomyelitic abscess C. Complete regeneration of bone and pulp
βœ… Correct Answer: B
36
A rabbit presents with incisor malocclusion and dysphagia post-trauma. CT confirms bilateral TMJ dislocation. Question: What is the best initial approach? A. Surgical condylectomy immediately B. Esophagostomy tube and conservative care C. Orthodontic traction of incisors
βœ… Correct Answer: B
37
A rabbit treated with dental burring presents with recurrence of malocclusion after 3 weeks. Question: What does this indicate? A. Rapid tooth regrowth due to reserve crown B. Complete recovery expected C. Iatrogenic nerve damage
βœ… Correct Answer: A
38
Scenario: A rabbit shows mild weight loss and has subtle reserve crown elongation on radiograph. Question: What is the most sensitive next step? A. Endoscopic oral exam and CT imaging B. Wait-and-see approach for 6 months C. Dietary change only
βœ… Correct Answer: A
39
Scenario: A rabbit with buccal soft tissue mass and adjacent tooth loss. Histology shows odontogenic tissue. Question: What is the most appropriate diagnosis? A. Ectopic elodontoma B. Osteosarcoma C. Trichoblastoma
βœ… Correct Answer: A
40
Scenario: A 6-year-old neutered male Lionhead rabbit is presented with a 3-week history of progressive right-sided facial swelling, decreased appetite, and ocular discharge. The rabbit has a history of repeated dental trims. On examination, there is firm suborbital swelling, exophthalmos, and purulent nasal discharge. Intraoral examination reveals mild buccal ulcerations. Skull radiographs suggest right-sided maxillary reserve crown elongation and nasolacrimal duct compression. A contrast-enhanced CT scan shows a multiloculated retrobulbar abscess with bone lysis of the facial tuberosity, involvement of the apex of P2 and P3, and moderate deformation of the maxillary sinus. Question: Which of the following is the most appropriate therapeutic strategy for this rabbit? A. Begin empirical antibiotic therapy and monitor for resolution before considering surgery. B. Perform endoscopic sinus lavage and place a dacryocystostomy tube for drainage. C. Surgical extraction of affected cheek teeth and complete excision of the abscess capsule with CT-guided planning.
βœ… Correct Answer: C