VTA 170

The veterinary technician is looking at the list of surgeries to be performed tomorrow. They include: 1. Repair of a severed Achilles tendon in a 2-year-old Pit Bull. 2. Debridement of an old wound in an 8-year-old Domestic Longhaired cat 3. Hip replacement on an 11-year-old male Bullmastiff 4. Repair of an impacted anal sac of a 3-year-old female Manx 5. Repair of a femoral fracture in a 5-year-old Airedale terrier In what order should the surgeries be performed?

1,4,2,5,3

In post surgical veterinary patients, how long can nutrient intake be postponed after surgery before the delay negatively affects wound healing?

24 hours postop

What information is included in the patient's signalment?

Age, gender, breed

A technician pulls out a postsurgical patient's ET tube. Soon after, however, the technician notices that the dog's mucous membranes are turning blue. What complication does this most likely indicates?

Cyanosis

A surgical consent form includes?

Identification of the patient, the specific procedures to be performed along with the potential risks to the patient, and the veterinarian who will perform the procedures and the signature of the owner consenting to the procedures.

After surgery on a 4-year-old Scottish Terrier, the technician turns off the anesthetic vaporizer. Which of the following is the most appropriate next step to take?

Leave the dog on oxygen for 5 minutes

When securing a catheter in place, how long should the first piece of tape be?

Long enough to encircle the patient's limb or neck

what provides multimodal anesthesia?

Opiods, Nsaids, local anesthetic agents

The Balfour retractor is a self-retaining retractor that is frequently used during abdominal exploratory procedures. T or F

T

Which scrub product has the best residual effect? a. Chlorhexidine b. Povidone-iodine c. Hexachlorophene d. 70% isopropyl alcohol

a

a veterinary technician is adjusting pain treatment according to each postsurgical patient's response. It is most appropriate for the technician to assess pain threshold at least how often? a. Every 2 hours b. Every 4 hours c. Every 8 hours d. Every 24 hours

a. Every 2 hours

Which best describes the minimal amount of pain that a patient can recognize? a. Nociception b. Pain threshold c. Physiologic pain d. Pain tolerance level

b. Pain threshold

Which best describes pain that has an exaggerated response beyond its protective usefulness? a. Pain threshold b. Pathologic pain c. Physiologic pain d. Pain tolerance level

b. Pathologic pain

A 3-year-old male Basset Hound dog is brought to the clinic for debridement of an infected scratch on his left hindlimb. In which of the following areas of the clinic is is most appropriate to treat the dog's wound? a. Scrub b. Surgical c. Preparation d. Back office

c

Which tatic(s) may stop a cat from purring during thoracic auscultation? a. Gently squeezing the thorax with one hand while the other hand holds the stethoscope on the chest wall b. Massaging under the chin c. Holding the cat near a sink or faucet, with or without water running d. All of the above e. None of the above

c

Which best describes an increased sensitivity to sensation? a. Central sensitization b. Pain threshold c. Hyperesthesia d. Hyperalgesia

c. Hyperesthesia

A dog arrives after being hit by a car and is extremely dirty. The patient is bathed before surgery, but now the bath has placed this patient at an increased risk for which complication? a. Iatrogenic contamination b. Nosocomial infection c. Hyperalgesia d. Hypothermia

d

In addition to administration of oxygen and inhalation anesthetics, endotracheal intubation is used to do which of the following during surgery? a. Measure heart rate b. maintain fluid levels c. Administer local anesthesia d. Assist with resuscitative needs

d

In which situation is perioperative antibiotic prophylaxis recommended? a. Large-bowel procedure b. Orthopedic procedure for implant placement c. surgical treatment of an already infected wound d. All of the above

d

What needs to be done to the patient after the hair clip and before the patient is moved into the surgery suite? a. Vacuum the clipped hair and clipped area of skin b. Check to see whether the bladder needs expressing c. Perform initial skin scrub d. All of the above

d

Which of the following is an example of a movable piece of equipment in a surgery room? a. Radiographic view box b. Surgery light c. Surgery table d. Suction unit

d

Which of the following scalpel blades is most likely to fit onto a No. 3 scalpel handle? a. 29 b. 23 c. 21 d. 14

d

Which of the following techniques is most appropriate to use to confirm proper placement of an endotracheal tube? a. Blowing of gauze and/or hair b. Fogging in the tube c. Air movement d. All of the above

d

Why is it important for ratchets to remain locked when the jaw is closed? a. The instrument needs to be reliable mechanism of holding the target tissue or item b. If the ratchets do not remain locked, complications could result. c. Ratchets need to be protected by lock and key so that only the surgeon can unlock them when it is appropriate d. Both a and b

d

Why is it important to review all medications and supplements that a patient is taking before beginning the surgery? a. To avoid possible drug interactions b. To know whether other diagnostic tests are indicated c. To make any necessary adjustments to the anesthetic protocol d. All of the above

d

With a bandage limb, leaving the toes exposed: a. is useful to monitor the amount of swelling that may occur under the bandage b. Is an example of a poorly placed bandage c. Allows the animal's caregiver to compare the toes on the bandage limb with the toes on the other limb d. Both a and c

d. Both a and c

Which of the following is an inappropriate component of a veterinary clinic's comprehensive pain scoring system for postsurgical patients? a. Behavior b. Physiologic parameters c. Response to current therapy d. Client's ability to pay for pain management

d. Client's ability to pay for pain management

What are some safe techniques for preventing hypothermia in small animal surgical patients? a. Circulating warm-water pads b. Electric heating pads c. Snuggle Safe discs d. All of the above e. Both a and c

e

Which of the following methods can hasten a patient's recovery from anesthesia? a. Physical stimulation b. Oxygen supplementation with or without manual ventilation c. Warming measures d. Reversal agents e. All of the above

e. All of the above

Which of the following statements regarding urinary catheters is/are true? a. Catheters help ensure urethral patency b. Catheters allow measurement of urine production c. Urinary catheters help keep the patient clean and dry d. Both a and c e. All of the above

e. All of the above

Because each animal is an individual, it is in the best interest of the pet to wait until it shows signs of pain before administering analgesia t/f

f

Brachycephalic breeds should have the endotracheal tube removed at the first sign of return of the ability to swallow t/f

f

Dysphoria can be quited with calm interaction t/f

f

Fentanyl is recommended for one-time bolus use. t/f

f

Once the patient is extubated, the anesthetist can relax because all risks associated with anesthesia immediately cease on extubation t/f

f

Ideally, the patient's temperature should be taken:

rectally, at the end of the examination

All animals that undergo an anesthetic/surgical procedure are at risk for hypothermia. t/f

t

It is possible to anticipate the amount of postoperative pain on the basis of the procedure performed t/f

t

Pain creates adverse physiologic changes t/f

t

The overall goal of postoperative pain management should be to maintain the analgesic plane achieved throughout surgery. t/f

t