Test 2 Article Questions Flashcards
(110 cards)
The equine sarcoid is a neoplasm that A. Is locally invasive B. Can metastasize internally C. Is well encapsulated and benign D. Can invade BVs and lymphatics E. occurs most commonly in the summer.
Locally invasive, spontaneous, fibroblastic CT tumor.
Most common tumor in the horse.
Sarcoids are classified as A. fibroplastic (proud-flesh like) B. Verrucous (wartlike) C. Occult D. Hyperplastic epidermal nodules E. A, b, c
A-C
Fibroblastic, verracous, and occult
Which of the following statements is not a distinguishing feature of the histopathology of equine sarcoids
A. Hyperplastic and hyperkeratoic epidermis
B. Fibroblasts and fibrocytes arranged in an organized pattern perpendicular to the surface
C. Irregularly arranged fibroblasts and fibrocysts arranged in whorl or bundle formation
D. No invasion of underlying muscle
E. Marked rete-peg formation
B. Fibroblasts and fibrocytes arranged in an organized pattern perpendicular to surface
i. They are irregularly arranged (called whorls)
ii. They are hyperplastic and hyperkeratotic epidermis
iii. No invasion of underlying muscles
Most authorities believe that equine sarcoids are the result of A. Bacterial infections B. Viral infections C. Chronic irritations D. Chronic granulation tissue E. Nonspecific carcinogens
B. Viral infections
Specifically Bovine Papilloma virus
Which of the following statements about equine sarcoids is not true
A. Histologically, the sarcoid resembles cutaneous habronemiasis
B. Grossly, sarcoids can resemble exuberant granulation tissue, cutaneous habronemiasis, SCC, equine papillomas, and dermatophytosis
C. Occult sarcoids may be confused with neurofibromas
D. Verrucous sarcoids can transform into fibroblastic ones
E. Surgical excision has been reportedly followed by a 50% recurrence rate.
A. Histologically the sarcoid resembles cutaneous habronemiasis
Can resemble fibromas, fibrosarcomas, schwannomas, neurofibromas, and neurofibrosarcomas
Cryosurgery results in tissue destruction by
A. Cellular dehydration resulting in cell membrane destruction
B. changing cell membrane integrity by denaturing lipoprotein complexes, resulting in impermability
C. thermal shock after freezing takes place
D. formation of intra and extracellular ice crystals
E. All of the above
E All the above
Which of the following statements about cryosurgery is not true?
A. Max lethal effects are achieved using fast- freeze , fast thaw method
B. liquid nitrogen is the most popular cryogen and requires least equipment.
C. Thermocouple needles are considered invaluable
D. The temp of the lesion should be brough to -20 C to -30 C
E. The surrounding healthy tissue should be protected from freezing
A. Max lethal effects are achieved using fast- freeze , fast thaw method
Fast freeze and slow thaw should be done at least twice
Which of the following is not true about post-freezing care?
A. Routine tetanus prophylaxis should be given
B. Tissue undergoing cryonecrosis forms a leathery scar after the initial edema and hyperemia
C. The frozen tissue may take up to eight weeks to slough
D. Healing time varies, but healing is always by first intention
E. The healed lesions usually have some white hairs present
D. Healing time varies, but healing is always by first intention
Which treatment regimen has not been recommended for sarcoid therapy after proper excision
A. 20% 5- fluorouracil daily for 30 to 90 days
B. Radiation therapy using various programs
C. Podophyllin mixed with carrier applied at 3 to 4 day intervals
D. Benzoin mixed with carrier applied at 3- to 4 day intervals for 30 to 90 d
E. BCG injected intralesionally
D. Benzoin mixed with carrier applied at 3- to 4 day intervals for 30 to 90 d
Which of the following is not true about BCG therapy
A. Its an attenuated strain of M. Bovis
B. Its specific effect is on cell mediated immunity
C. It is a reconstituted vxn
D. Vxn is a cell wall product with an oil adjuvant
E. An inflammatory response is expected with BCG therapy, but remission may take several months.
B. Its specific effect is on cell mediated immunity
Its non-specific
The preferred instrument for equine arthroscopy is
A. 2 2 mm straight head view needlescopes
B. 4 mm 0 degree arthroscope
C. 4 mm 30 degree arthroscope
D. 4 mm 25 degree arthroscope
E. C or D
E
Both a 4 mm 25 degree or 30 degree scope can be used
The egress canula may be used for A. Clearing the joint of debris B. palpating the chip on initial exam C. aspirating proliferative synovial membrane D. A and B E. B and C
D
Used for clearing the joint of debris and palpating the chip on initial exam
For joint distension with arthroscopy, fluid has the following advantages over gas
A. It lavages the joints
B. visual acuity is superior
C. superficial fibrillation is more easily seen
D. A and B
E. A and C
E
Lavages the join and superficial fibrillation is seen
In which of the following conditions is motorized surgical equipment most necessary? A. Chip fractures of the intercarpal jt B. Chip fractures of radiocarpal joint C. Chip fractures of the first phalanx D. OCD of tibiotarsal joint E. OCD of Femoropetellar jt
E. OCD of Femoropetellar jt
The best method for sterilizing arthroscopes is A. Steam autoclave B. Ethylene oxide gase C. 2% activated dialdehyde D. A and B E. B and C
C. 2% activated dialdehyde
A number of factors facilitate superior recognition of cartilage lesions with arthroscopy rather than arthrotomy, which of the following is not one of these factors?
A. Magnification
B. suspension of cartilage fibers by the fluid
C. palpation
D. Transillumination
E. None of the above
E. None of the above
All of these factors favor arthroscopy
In operating on carpal chip fractures arthroscopically
A. Only chips 8 mm or smaller can be removed
B. Chronic chips are removed with a bx- cutting forcep w/ no restriction on size
C. chronic chips are separated off w an elevator or osteotome and removed, not restriction on size.
D. chronic chips 8mm or smaller are separated off with an elevator or osteotome and removed.
E. None of the above
C. chronic chips are separated off w an elevator or osteotome and removed, not restriction on size.
For a chip fracture of the proximal aspect of the first phalanx/ medial side, the arthoscope is placed
A. Lateral to the common digital extensor tendon
B. Medial to the common digital extensor tendon
C. Through the common digital extensor tendon
D. through the volar pouch
E. None of the above
A. Lateral to the common digital extensor tendon
Which of the following statements is not true regarding arthroscopic surgery of the femoropatellar joint?
A. OCD of the lateral trochlear ridge can be operated on
B. OCD of the lateral trochlear ridge can be operated on but only if the lesions are less than 1 cm in diameter
C. Dx exam of the jt is commenced in suprapatellar pouch
D. snipping off the flap is preferable to creating a loose body
E. the subchondral bone should be curetted following removal of dissecans.
B. OCD of the lateral trochlear ridge can be operated on but only if the lesions are less than 1 cm in diameter
A common complication of arthroscopy is A. Infection B. instrument breakage C. synovial hernia D. severe capsulitits E. None of the above
A. Infection
A laparoscope used for adult equine laparoscopy should be
A. longer than 50 cm, should have 0 degree angle and should be 10 mm in diameter
B. 35 cm long, 30 degree angle, & 5 mm diameter
C. Longer than 50 cm, 30 degree angle, and 10 mm in diameter
D. 35 cm long, 0 Degree angle, and 10 mm diameter
E. longer than 50 cm, 30 degree angle, and 5 mm diameter
C. Longer than 50 cm, 30 degree angle, and 10 mm in diameter
The widely accepted gas for abdominal insufflation is A. carbon dioxide B. nitrous oxide C. Helium D. room air E. oxygen
A. carbon dioxide
Followed by nitrous oxide and helium
The main disadvantage of using CO2 for abdominal insufflation is A. Cost B. PO discomfort C. formation of gas emboli D. availability E. B and C
B. PO discomfort
CO2 turns into carbonic acid on moist peritoneal surfaces which can cause irritation and lead to peritonitis
Which of the following is false
A. The laparoscopic trocar- cannula should be placed after the abdominal cavity has been insufflated
B. Complete evaluation of the abdomen during standing laparoscopy necessitates entering both sides of the abdomen
C. the abdomen should be maximally insufflated (>35) to avoid penetrating viscera with the laparoscopic trocar- canula
D. IPPV is required during laparoscopy with GA.
E. The use of high-flow insufflator (>10 L/min) is recommended for laparoscopy in adults horses.
C. the abdomen should be maximally insufflated (>35) to avoid penetrating viscera with the laparoscopic trocar- canula
It should be under 20 mmHG so that cardiopulmonary function is least affected