VM 569 Quizzes from Day 6 to Day 10
A. Insidious onset, worse with exercise, chronic lameness
A typical history of a dog with biceps tenosynovitis would be which of the following? A. Insidious onset, worse with exercise, chronic lameness B. Acute onset, worse with exercise, chronic lameness C. Insidious onset, worse with rest, chronic lameness
C) Septic arthritis
A 5 year old Labrador Retriever presents with an acute onset lameness of the left forelimb which localizes to the elbow. As part of your diagnostic work-up you perform synoviocentesis of the elbow. You easily withdraw 5mls of fluid. The fluid is serosanguinous, has increased turbidity and does not form a strand between your fingers. Cytology shows neutrophils to be the predominant cell population with many of these appearing degenerate. Intracellular bacteria (gram positive cocci) are evident within some of the neutrophils. choose the single most likely diagnosis from the list of options: A) Joint trauma B) Clotting disorder C) Septic arthritis D) Immune-mediated arthritis E) Joint dysplasia
C) Through collateral ligament
A horse presents to you grade 5/5 lame on the AAEP scale on the right front leg and there is a laceration present on the dorsalmedial aspect of the joint. What approach will you take to perform arthrocentesis? A) Dorsal pouch B) Dorsomedial pouch C) Through collateral ligament
B. Growth between the hoof wall and distal phalanx
A keratoma is a ___________. (The answer is found on slide 8 of the webinar "Conditions of the Foot"). A. Neoplastic lesion B. Growth between the hoof wall and distal phalanx C. A form of canker D. A treat for a deserving pony
A. Subtotal coronoidectomy
An appropriate surgical treatment plan for an 8-month-old dog with medial coronoid disease would include which of the following? A. Subtotal coronoidectomy B. Ulnar osteotomy C. Debridement and curettage D. Total elbow replacement
Turbidity
An increased amount of this reflects a higher nucleated cell count in the synovial fluid
B. Palmar ligament &fibrocartilage failure
Carpal hyperextension injury following a trauma results from? A. Carpometacarpal joint luxation B. Palmar ligament &fibrocartilage failure C. Middle carpal joint luxation D. Collateral ligament failure
Neutrophils
Cells of this type should be less than 5% of the cells seen on synovial fluid cytology
A) Coffin joint and navicular bursa
For this image, what structures are we most worried about being contaminated? A) Coffin joint and navicular bursa B) Navicular bursa and tendon sheath C) Coffin joint and pastern joint D) Tendon sheath
Arthrocentesis
Dr term to describe a joint tap
E. B and C
Emergency first aid treatment for a traumatic common calcaneal tendon laceration includes: A. External coaptation in flexion B. Wound clip and clean C. Tag tendon ends together D. All of the above E. B and C
Carpometacarpal
Joint that the middle carpal joint always communicated with in the horse
Tibiotarsal
Joint that the proximal intertarsal joint always communicates with in the horse
B. Acute craniodorsal hip luxation without associated injuries should first be treated by closed reduction and an Ehmer sling for 2 weeks if reduction remains stable
Please choose the most appropriate answer: A. The proximal femoral epiphysis in immature dogs receives most of its blood supply from the teres (round) ligament B. Acute craniodorsal hip luxation without associated injuries should first be treated by closed reduction and an Ehmer sling for 2 weeks if reduction remains stable C. A positive Ortolani sign is a normal finding in dogs up to 6-months of age D. Legg-Perthes disease peaks around 5-7 years of age in large breed dogs
_1_Depo-medrol _2_Amikacin _1_Triamcinolone _5_ Detomidine _3_Morphine
Please match the drug with its class. Words may be used once, more than once, or not at all. ___Depo-medrol ___Amikacin ___Triamcinolone ___ Detomidine ___Morphine 1.Steroid 2.Antibiotic 3.Opiod 4.NSAID 5.Alpha-2 6.Regenerative therapy 7.Dissociative
D. All of the above
Possible signs of a muscle disorder in a horse include: (The answer is found on slide 3 of the webinar on "Diagnostic Approach to Muscle Disorders".) A. Back soreness B. Undiagnosed lameness C. Muscle fasciculations D. All of the above
C. Very good
Prognosis following a pancarpal arthrodesis is: A. Poor, pancarpal arthrodesis should not be recommended B. Fair C. Very good D. Guarded
B. Fair for return to function
Prognosis for dogs with elbow dysplasia following surgery, if they are young, is generally considered to be: A. Excellent for return to function B. Fair for return to function C. Guarded for return to function D. Poor for return to function
A. Core lesions
Radiographic evidence of common calcaneal tendon failure includes all of the following except? A. Core lesions B. Tendon thickening C. Enthesiophytes D. Calcaneal remodeling
B. Flexural limb deformity
Radiographic imaging is rarely used to diagnose a _______. (Answer can be found on slide 19 of the webinar on "Angular Limb Deformities" and slide 3 of the webinar "Flexural Limb Deformities") A. Angular limb deformity B. Flexural limb deformity C. Osteoarthritic joint D. Fracture
B. Ununited anconeal process
Short ulna syndrome can be associated with which of the following elbow abnormalities? A. Medial coronoid disease B. Ununited anconeal process C. Humeral condylar OCD D. Humeral intracondylar fissure
B) Middle carpal
In this horse, what joint will you inject to administer his intra-articular steroids? A) Radiocarpal B) Middle carpal C) Carpometacarpal
False
True or False: This fetlock is ready for its 5 minutes of contact time with chlorhexidine scrub after we bring it in from the paddock.
D. Ununited anconeal process
What is your diagnosis with the following radiograph, of a 7-month-old Great Dane puppy? A. Elbow incongruity B. Medial coronoid disease C. Humeral intracondylar fissure D. Ununited anconeal process
D. Roots of mane or tail hairs
What type of sample would you send to the laboratory if you wanted genetic testing performed for Type-1 PSSM? (Answer is on slide 15 of your webinar on "Exertional Rhabdomyolysis".) A. Plasma B. Serum C. Urine D. Roots of mane or tail hairs
D. Infrequently bilateral, toy breeds, peaks at 5-8 months of age
Which of the following best describes the presentation of Legg-Perthes disease? A. Frequently bilateral, toy breeds, peaks at 5-8 months of age B. Infrequently bilateral, medium-large breeds, peaks at 5-8 months of age C. Frequently bilateral, medium-large breeds, peaks at 5-8 months of age D. Infrequently bilateral, toy breeds, peaks at 5-8 months of age
B. Metaphyseal paracortical cuffing
Which of the following is NOT expected on radiographs taken EARLY in the disease process for a patient suffering with metaphyseal osteopathy? A. Irregular radiolucent line in the metaphysis B. Metaphyseal paracortical cuffing C. Metaphyseal sclerosis D. A normal epiphysis
A. Triple pelvic osteotomy
Which of the following is an inappropriate treatment for canine hip dysplasia in large-breed adult dogs? A. Triple pelvic osteotomy B. Total hip replacement C. Conservative management (weight control, NSAID, analgesics, low impact activity) D. Femoral head ostectomy followed by physical rehabilitation
D. Cranial tibial thrust but not cranial drawer will be eliminated
Which of the following is most accurate following a TPLO procedure? A. Cranial drawer but not cranial tibial thrust will be eliminated B. Neither cranial drawer nor cranial tibial thrust will be eliminated C. Cranial drawer and cranial tibial thrust will be eliminated D. Cranial tibial thrust but not cranial drawer will be eliminated
B. The medial meniscus is the one damaged more often
Which of the following is most accurate regarding the meniscus in cranial cruciate ligament injury? A. The lateral meniscus is the one damaged more often B. The medial meniscus is the one damaged more often C. The proprioceptive function it provides is lost, which contributes to lameness D. Meniscal treatment is rarely indicated
C. Partial tarsal arthrodesis
Which of the following is not an appropriate treatment choice for a common calcaneal tendon rupture? A. Primary repair B. Pantarsal arthrodesis C. Partial tarsal arthrodesis D. Custom orthotic
B. One and five
The "Locomotion Score" used for Dairy Cattle assigns a cow a score between _________. (The answer is found on slides 5 and 6 of the webinar on "Ruminant Lameness"). A. One and ten B. One and five C. One and four D. One and eight
D. Superficial digital flexor tendon
The most commonly injured tendon in the horse (often injured during high-speed activity) is the _________. (Hint: Injury to this tendon results in a "bowed tendon" appearance.) (Answer can be found on slide 4, slide 8 and slide 11 of the webinar on "Tendon and Ligament Disease") A. Middle patellar tendon B. Deep digital flexor tendon C. Gastrocnemius tendon D. Superficial digital flexor tendon
A. Stressed views (stress pushing the metacarpals dorsally)
The most important radiographic views for carpal hyperextension injury are? A. Stressed views (stress pushing the metacarpals dorsally) B. Stressed views (stress pushing medially, then laterally on the metacarpals) C. Stressed views (stress pushing the metacarpals in a palmar direction) D. A perfectly positioned lateral view is sufficient
B. A lucent medullary canal with little trabeculation
Which of the following radiographic findings would be LEAST LIKELY in a dog with panosteitis, with clinical signs that started 24 hours ago? A. Increased opacity in the medullary canal B. A lucent medullary canal with little trabeculation C. No radiographic signs noted D. Increased opacity of the endosteal surfaces
B. Dogs with iliopsoas strain tolerate hip extension with simultaneous internal rotation poorly
Which of the following statements regarding muscle injuries is CORRECT? A. Innervation is required for muscle to regenerate B. Dogs with iliopsoas strain tolerate hip extension with simultaneous internal rotation poorly C. Fasciotomy as a treatment for compartment syndrome should not be performed based on clinical signs alone D. Quadriceps contracture results in a lack of range of motion of the stifle with maintained range of motion of the hip
B. Steroid injections into a tendon may cause weakening of the tendon for up to 12 months
Which of the following statements regarding treatment of tendinous injuries is CORRECT? A. Dogs may be released to normal activity 6 weeks postoperatively B. Steroid injections into a tendon may cause weakening of the tendon for up to 12 months C. The locking loop suture is more resistant to gap formation than the three-loop pulley D. Immobilization is recommended for 12 weeks following tendon repair
C. Improvement of lameness with rest
Which of the following would NOT be expected in a dog suffering from panosteitis? A. Pain on long bone palpation B. Systemic clinical signs C. Improvement of lameness with rest D. Shifting limb lameness
D. Skyline
Which radiographic view is most helpful for differentiating biceps tenosynovitis from supraspinatus tendon calcification? A. Lateral B. AP C. A CT should be performed D. Skyline
B) 20,000 cells/ul, 5 g/dL total protein
Which synovial fluid analysis would be predicted given a 4/5 AAEP lameness grade on this leg and the following radiograph? A) 6000 cells/ul, 2 g/dL total protein B) 20,000 cells/ul, 5 g/dL total protein C) 2000 cells/ul, 1.5 g/dL total protein
E. B and C
Which treatment is recommended for biceps tenosynovitis? A. Tenodesis B. Conservative management + physical rehabilitation C. Tendon release D. A and B E. B and C
D) Glucose
You perform arthrocentesis as part of your lameness work-up for a dog which you suspect has a septic joint following a previous surgery to remove an osteochondrosis flap from the right elbow. The owners are financially limited and cannot afford to run all of the tests you initially recommend. They have sufficient funds to perform all of the tests except one. (For the purposes of this question presume that all of these tests cost the same). Which test out of this list would you choose to leave out. A) Cytology B) Cell count C) Bacterial culture D) Glucose
B) Hemarthrosis
You performed arthrocentesis of the stifle joint of a 4 year old Labradoodle as part of a lameness work up during your receiving schedule on Monday afternoon. The following morning, your colleague informs you that the owners telephoned overnight and were concerned regarding an increase in the severity of the lameness. They requested a call-back from you today. You return the call that afternoon, approximately 24 hours after the arthrocentesis was performed. The owners report that the lameness was significantly worse after the sample was taken but that it now appears to be improving and the dog is otherwise well in itself. choose the single most likely post-procedure complication from the list of options: A) Joint sepsis B) Hemarthrosis C) Latrogenic cartilage D) Unrelated to arthrocentesis
#
You'd like to make sure this joint isn't infected, what site would you take to perform arthrocentesis?
D. Foot
90% of lameness in cattle is in the __________. (Answer found on slide 17 of the webinar on "Ruminant Lameness".) A. Shoulder B. Hip C. Elbow D. Foot
A. Sagittal plane
Flexural limb deformities occur in the ______ plane. (Answer can be found on Slide 19 of your webinar on "Angular Limb deformities" and Slide 3 of the webinar on "Flexural Limb Deformities") A. Sagittal plane B. Frontal plane C. Airplane D. Seaplane
C. Superficial digital flexor tendon
Navicular syndrome may include pathology in any of the following structures EXCEPT: (The answer can be found on slide 2 of the webinar on "Navicular Syndrome".) A. Navicular bone B. Navicular bursa C. Superficial digital flexor tendon D. Deep digital flexor tendon
D. Displacement of the infrapatellar fat pad
The first sign seen on radiographs following a cranial cruciate ligament injury is: A. Osteophytes at the distal pole of the patella B. Displacement of the lateral fabella C. Cranial tibial subluxation D. Displacement of the infrapatellar fat pad
Viscosity
A term describing the thickness of synovial fluid
Two
Grade on the AAEP scale that means the horse is consistently lame at the trot under exacerbating circumstances (spell out the number)
B. Collateral cartilage
Quittor is a chronic infection of the ____________. (Answer is found on slide 26 of the webinar "Conditions of the Foot"). A. Navicular bone B. Collateral cartilage C. Distal interphalangeal joint D. Deep digital flexor tendon
Open
The type of gloving performed when you are doing an equine field joint tap
B. Carpal valgus
This animal can be best described as having: (Answer can be found on Slide 5 of the webinar on Angular Limb Deformities) A. Flexor laxity B. Carpal valgus C. Carpal varus D. Flexor contracture
B. Tendon contracture
This horse can be described as having _______________. (The answer can be found on Slide 8 of your webinar on "Flexural Limb Deformities") A. Tendon laxity B. Tendon contracture C. Fetlock varus D. Fetlock valgus
C. Suprascapular nerve
This horse has "sweeney". "Sweeney" refers to _______________ injury. (The answer is found on slide 13, 14, and 15 of the webinar on "Functional lameness in horses and ruminants"). A. Radial nerve B. Median nerve C. Suprascapular nerve D. Musculoskeletal nerve
C. Radial nerve
This horse has the characteristic "dropped elbow" appearance of a horse with __________ injury. (The answer can be found on slide 17 of the webinar "Functional Lameness in horses and ruminants"). A. Femoral nerve B. Suprascapular nerve C. Radial nerve D. Ulnar nerve
Yellow
This is the color of normal synovial fluid
Septic
This is what we would call a joint that has >10,000 cells/ul and a protein of >5 g/dL
A. Palmaroproximal to palmarodistal oblique
This radiographic view is a unique view we use to diagnose navicular syndrome. The view is called a _________________. (Answer is on slide 5 and slide 9 of the webinar "Navicular Syndrome"). A. Palmaroproximal to palmarodistal oblique B. 65-degree dorsal palmar (DP) view C. 45-degree dorsal palmar (DP) view D. A lateral to medial projection
