Review Session Clicker Qs E2 Flashcards

1
Q

T/F: Cheyletiellosis is always a very itchy skin disorder.

A

False it is variable???

Surface mites

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2
Q

T/F: Cheyletiellosis can be ruled out if mites are NOT found on multiple skin scrapings.

A

False

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3
Q

T/F: Acute moist dermatitis or pyotraumatic dermatitis or hot spot is a self-inflicted pyoderma.

A

True

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4
Q

T/F: Bacteria folliculitis is a superficial pyoderma; therefore, it does NOT require systemic antibiotic therapy.

A

False.

It is superficial but needs systemic treatment.

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5
Q

The most common bacteria that causes pyoderma in dogs is?

A

Staphylococcus pseudointermedius

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6
Q
Which of the following does NOT predispose a dog to develop acute moist dermatitis:
A. Pruritic skin disease
B. Hot and humid environment
C. Thick hair coat
D. Diet
A

Diet!

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7
Q

T/F: The best option to manage feline dermatophytosis is systemic antifungal therapy.

A

True

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8
Q

T/F: Superficial pyoderma us typically a recurrent problem.

A

True

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9
Q

How long should a superficial pyoderma be treated?

A

One week past resolution of clinical signs.

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10
Q

What is the most accurate test to diagnose dermatophytosis?

A

Fungal culture

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11
Q

What three classes of antibiotics should NEVER be used empirically to treat bacterial skin infections?

A
  1. Beta-lactamases
    = Penicillin, Ampicillin, Amoxicillin
  2. Tetracycline
  3. Streptomycin
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12
Q

T/F: Bacterial folliculitis is a superficial pyoderma; therefore, it does NOT require systemic antibiotic therapy.

A

False.

Unique case = it needs systemic therapy!

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13
Q

T/F: Few cases of acantholytic cells can be seen in severe cases of pyoderma (loss of connections between keratinocytes).

A

True (bacteria produce proteolytic enzymes)

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14
Q
Feline fight abscess is frequently associated with the following bacteria with the exception of:
A. Pasteurella multocida
B. Pseudomonas aeruginosa
C. Bacteroides
D. Clostridium spp.
A

B. Pseudomonas aeruginosa

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15
Q

T/F: Surgical drainage and thorough flushing are very important part of the management of feline fight abscess.

A

True

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16
Q

T/F: Moth-eaten alopecia is a clinical presentation of superficial pyoderma in short-coat canine breeds.

A

True

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17
Q

If no bacteria are grown after culturing exudate from a feline fight abscess you should consider the presence of what bacteria?

A

L-form bacteria (bacteria that lack cell walls)

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18
Q

What antibiotic do you use against L-form bacteria?

A

Tetracycline

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19
Q

T/F: Superficial pyoderma is a common primary skin disorder.

A

False! (Common but NOT primary)

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20
Q

How long should a deep pyoderma be treated for?

A

Two weeks past resolution of clinical signs

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21
Q

When should you culture bacterial culture and sensitivity test?

A
  1. In all cases of deep pyoderma
  2. Non-responsive superficial pyoderma
  3. Cases of superficial pyoderma with history of treatment with multiple antibiotics
  4. Patient has a history of methicillin resistant staphylococcal skin infection
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22
Q

Which diseases predispose a dog to develop acute moist dermatitis or hot spot?

A
  1. Allergies
  2. Sarcoptic mange
  3. Cheyletiellosis
    (NOT hypothyroidism)
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23
Q

T/F: Secondary bacterial and yeast skin & ear infections are common in dogs with atopic dermatitis and in most cases they aggravate the inflammation and itching associated with the allergic condition.

A

True

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24
Q

T/F: Atopic dermatitis is a type I hypersensitivity disorder where allergic dogs develop allergen-specific IgE antibodies against common environmental allergens.

A

True

25
Q

T/F: TH2 lymphocytes play a role in the pathogenesis of atopic dermatitis because they secrete IL-4 which signals B-cells to switch to immunoglobulin class to IgE.

A

True

TH2 –> IL-4 –> IgE

26
Q

T/F: Papules, pustules and epidermal collarettes are lesions frequently seen in dogs with atopic dermatitis and most of the time they represent the patient’s immune response to environmental allergens.

A

False

Initial pruritus is UNassociated with lesions

27
Q

T/F: Atopic dermatitis can be easily differentiated from food allergy based on clinical signs.

A

False

28
Q

T/F: Otitis externa can be the first and sometimes the only clinical sign of atopic dermatitis.

A

True

Recurrent otitis externa

29
Q

T/F: Oral glucocorticoids can be safely used to manage atopic dermatitis on a long-term basis if used daily at a low dosage.

A

False

Only alternate day therapy is safe

30
Q

T/F: Atopic dermatitis can be ruled out if a dog or cat have negative skin and/or serum allergy test results.

A

False

Only used for choosing immunotherapy

31
Q

T/F: Cyclosporine has been shown to be as effective as glucocorticoids to manage atopic dermatitis.

A

True

But it is more expensive

32
Q

T/F: Food allergy is typically a seasonal pruritic dermatitis that affects dogs & cats.

A

False

It occurs whenever the triggering food is eaten

33
Q

T/F: Serum tests to measure food IgE specific antibodies are accurate to diagnose canine or feline food allergy.

A

False

Only food trials are reliable

34
Q

T/F: A positive intradermal test for flea antigens is required for the diagnosis of flea bite allergy.

A

False

Dx is from history and clinical signs

35
Q

T/F: No food challenge is needed if a dog’s clinical signs improve by at least 50% during a food trail.

A

False

Challenge trial is alway required

36
Q

T/F: Non-inflammatory, self-induced alopecia can be a clinical presentation of food allergy or atopic dermatitis in cats.

A

True

They are itchy!

37
Q

T/F: Allergen specific immunotherapy works well for flea bite allergy.

A

False

Totally unsuccessful so far

38
Q

T/F: Adult fleas are NOT obligate parasites and can live off the host for a long time.

A

False

Can only survive 3-4 days

39
Q

T/F: Intermittent exposure to fleas, exposure late in life and atopic dermatitis are predisposing factors for flea bite allergy.

A

True

40
Q

T/F: Canine follicular demodicosis is a contagious disease and all animals in the household need to be treated.

A

False

Follicular mite = demodex canis is a normal skin inhibitant

41
Q

T/F: Juvenile- onset generalized demodicosis can spontaneously resolve in about 90% of cases and benign neglect is an option.

A

False

Only in 30-50% of cases. Don’t wait to treat

42
Q

T/F: A dog treated for generalized demodicosis that received treatment for 30 days past two negative skin scrapings can be declared cured.

A

False

Only in remission! Dog needs negative skin scrapings every 4 months for 1 year

43
Q

T/F: Adult-onset canine demodicosis is NOT considered a hereditary disorder in contrast with the juvenile-onset generalized demodicosis.

A

True

44
Q

T/F: Adult-onset generalized demodicosis has a very good prognosis and often it spontaneously resolves.

A

False

Commonly due to an underlying immunosuppressive disease

45
Q

What disorder can be ruled out if no mites are found on multiple skin scrapings?

A
Follicular demodicosis
(Demodex = follicle mite)
46
Q

T/F: Follicular demodicosis is typically a pruritic disease.

A

False

Itching is NOT a common symptom; if there is itching think allergies, etc

47
Q

T/F: Feline surface demodicosis is a contagious disease and ALL cats in the household should be treated.

A

True

Demodex gatoi = surface mite = contagious

48
Q

T/F: Lime sulfur is the first treatment option for feline surface demodicosis.

A

True (and false)

It was the best treatment but now Dr. Torres recommends Advantage Multi

49
Q

T/F: A common clinical presentation of feline surface demodicosis is symmetrical, self-induced non-inflammatory alopecia.

A

True

These are symptoms of several other diseases too

50
Q

T/F: Feline follicular demodicosis is usually seen in middle age to older cats that have an underlying disease.

A

True

51
Q

T/F: Glucocorticoids should be avoided in demodicosis because this disease is associated with a dysfunction of the immune response.

A

True

52
Q

T/F: Sarcoptic mange responds very well to glucocorticoids.

A

False!

53
Q

T/F: The diagnosis of sarcoptic mange is based on a typical history, clinical signs, and positive skin scrapings.

A

False

Skin scrapings are positive in only 50% of cases of sarcoptic mange

54
Q

T/F: Sarcoptic mange should be treated for two weeks past two negative skin scrapings.

A

False

Cannot use skin scrapings to determine duration of therapy! Treat for the recommended duration based on drug selected

55
Q

Dermatophyte test media (DTM) is great because only dermatophytes can turn the media red; therefore, it is very easy to interpret test results.

A

False

Need to identify colonies with an early color change

56
Q

Griseofulvin is a safe and very efficacious treatment option for feline dermatophytosis.

A

False

Risk for bone marrow suppression in cats; safer in dogs

57
Q

What is the treatment duration for dermatophytes?

A

Until two negative cultures are obtained

At two week intervals; min. 8 weeks of treatment

58
Q

Which antifungal causes bone marrow suppression in cats?

A

Griseofulvin