VTNE Practice Test 3

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Question 1 of 15

1. Question
While preparing a patient for surgery, your doctor informs you that you will need to prepare a CRI of dobutamine for your patient at 2 mcg/kg/min. For ease of dosing, your doctor asks you to do a dilution so that 1 mcg/kg/min = 1 ml/hour. If your hospital supplies dobutamine as a 12.5 mg/ml concentration and you want to make enough for 4 hours, how much dobutamine and saline will you need to combine? How long will this solution last at 2 mcg/kg/min?
- 0.01 ml(s) dobutamine & 3.99 ml(s) saline; 4 hours
- 0.44 ml(s) dobutamine & 3.56 ml(s) saline; 4 hours
- 0.01 ml(s) dobutamine & 3.99 ml(s) saline; 2 hours
- 0.44 ml(s) dobutamine & 3.56 ml(s) saline; 2 hours
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Question 2 of 15

2. Question
You will be receiving a postoperative patient that will need fentanyl made up. You must make a CRI of fentanyl that will last 6 hours for a 7-year-old, 32-pound female spayed labrador mix. Your hospital stocks 50 mcg/ml and your patient will be on 5 mcg/kg/hour. How much Fentanyl will you draw up?
- 8.7 ml(s)
- 19.2 ml(s)
- 9.6 ml(s)
- 0.87 ml(s)
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Question 3 of 15

3. Question
You have triaged several cases at once and need to prioritize which is seen first by the doctor. Which of the following cases would be considered the most stable and seen last?
- 4-year-old female spayed french bulldog in respiratory distress with difficulty breathing
- 2-year-old male intact labrador mix with an 8-inch, full thickness laceration across their back with light to mild bleeding
- 5-year-old male neutered beagle that was bitten by a rattlesnake over 3 hours ago on a right front paw. There is some mild bruising and the swelling has been steadily growing from the paw moving upwards to the elbow over the last 3 hours
- 9-year-old female intact portuguese water dog, not eating for 3 days, febrile, and has vaginal discharge, suspect pyometra
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Question 4 of 15

4. Question
While monitoring a patient during anesthesia you notice your patient’s heart rate start to steadily drop and you see a second degree AV block. What drug would be appropriate to have on hand for this patient?
- Lidocaine
- Midazolam
- Methadone
- Atropine
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Question 5 of 15

5. Question
To properly perform CPR on a pet, how many people are needed?
- 2
- 3
- 4
- 5
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Question 6 of 15

6. Question
A client calls into the clinic concerned for unusual behavior from their dog, a 10-year-old male neutered chihuahua mix. The client claims that they think their pet is sad because another pet in the house had recently passed away. When asked to explain what behavior this is the client explains their pet is “moping in a corner, shaking, avoiding eye contact, and won’t let them pick him up as he’ll squeal.” Based on this behavior, what is likely going on?
- The pet may be depressed due to the loss of a housemate
- The pet may be distressed due to a change in the household or with the owners
- The pet may be in pain due to an unknown medical condition
- Nothing is wrong, as this is normal behavior for chihuahuas
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Question 7 of 15

7. Question
At what point is it appropriate to extubate a patient?
- As soon as surgery is completed and the anesthetic gas is turned off
- Once the patient is moved from surgery to recovery and is conscious
- Once the patient is showing signs of consciousness and is starting to swallow
- Once the patient is fully awake and trying to chew the endotracheal tube out
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Question 8 of 15

8. Question
When preparing to intubate a patient, what part of a dog or cat is used to help measure what diameter endotracheal tube you will need?
- Width between canine teeth
- Width between nares
- Width of most rostral end of lower jaw
- Half the width of the back of the mouth
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Question 9 of 15

9. Question
A 54 kg male intact cane corso was bitten by a rattlesnake on their front left paw 45 minutes prior to presentation. What blood panel should be done prior to receiving antivenom and should be rechecked after administration?
- PT/PTT
- PCV/TP
- CBC
- ALT
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Question 10 of 15

10. Question
You have a small mixed breed dog present as a STAT triage for vomiting and then collapsing and losing consciousness. You discover from the client that this occurred shortly after letting the dog out into the yard for a few minutes and the patient had been sniffing around in a bush. It is almost summer and beginning to get hot outside, though it was only 78°F today. The owner guessed the dog’s age at around 5 years old. The owner also reports no prior history of collapse or known heart conditions. What would be at the top of the differential list for what this pet is experiencing?
- New emergent seizure disorder
- Heat stroke
- Intoxication from something they ate, such as a toxic plant
- Anaphylaxis, potentially from a bee sting
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Question 11 of 15

11. Question
What is Von Willebrand’s Disease?
- A breathing disorder where part of the larynx closes, causing coughing and breathing difficulty in large dogs
- A muscle wasting disorder that slowly narrows the muscle fibers, stretching them and causing them to fail eventually
- A gastric disorder where the esophagus is enlarged and food commonly comes back up after eating; dogs with this disorder need to sit upright in a chair to allow food to move down via gravity into the stomach
- A bleeding disorder where dogs have very little clotting factors in their blood and thus prolonged bleeding occurs when there are wounds made
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Question 12 of 15

12. Question
In many parts of the country, temperatures skyrocket during summer, creating dangerous conditions for pets and their owners. When the outside ambient temperature gets above 90°F, hyperthermia can become deadly for pets walking out in the heat. At what internal body temperature (in Fahrenheit) does irreparable brain damage start to happen?
- 110°F
- 107°F
- 105°F
- 103°F
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Question 13 of 15

13. Question
If a patient presents for hypoglycemia, at what glucose level would there be a concern for seizures to begin?
- 60 mg/dL
- 40 mg/dL
- 20 mg/dL
- 5 mg/dL
Correct

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Question 14 of 15

14. Question
A 0.36 kg teacup yorkie puppy about 10 weeks old presents for whole body shaking before collapsing and losing consciousness. Which of the following is the least likely reason for these symptoms?
- Liver shunt
- Hypoglycemia
- Persistent right aortic arch
- Acute kidney failure
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Question 15 of 15

15. Question
A client calls in asking for advice for their pet, a 13-year-old male neutered weiner dog with diabetes melitus, for which he gets insulin twice a day, morning and night. The client has taken their pet’s blood glucose levels multiple times throughout the day, starting with 112 mg/dL at 8:30 am, then 98 mg/dL at 10:45am, 73 mg/dL at 12:15 pm, 55 mg/dL at 5pm, and the most recent reading of 42 mg/dL at 6:25pm. The owner gave their pet insulin at their normal times in the morning and in the evening at 5pm. The owner is asking if they should be giving another dose of insulin, as their pet is not interested in food for dinner. What is the correct advice for this client?
- Give another dose of insulin to help with regulation of glucose
- Try and give a bland diet such as rice and chicken, as they may not be interested in regular kibble and need to eat
- Don’t give insulin; they can wait until morning to be seen when general practice is open
- The dog should be seen on emergency to rule out a diabetic crisis
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Quiz Summary

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1. Question

2. Question

You will be receiving a postoperative patient that will need fentanyl made up. You must make a CRI of fentanyl that will last 6 hours for a 7-year-old, 32-pound female spayed labrador mix. Your hospital stocks 50 mcg/ml and your patient will be on 5 mcg/kg/hour. How much Fentanyl will you draw up?

3. Question

You have triaged several cases at once and need to prioritize which is seen first by the doctor. Which of the following cases would be considered the most stable and seen last?

4. Question

While monitoring a patient during anesthesia you notice your patient’s heart rate start to steadily drop and you see a second degree AV block. What drug would be appropriate to have on hand for this patient?

5. Question

To properly perform CPR on a pet, how many people are needed?

6. Question

7. Question

At what point is it appropriate to extubate a patient?

8. Question

When preparing to intubate a patient, what part of a dog or cat is used to help measure what diameter endotracheal tube you will need?

9. Question

A 54 kg male intact cane corso was bitten by a rattlesnake on their front left paw 45 minutes prior to presentation. What blood panel should be done prior to receiving antivenom and should be rechecked after administration?

10. Question

11. Question

What is Von Willebrand’s Disease?

12. Question

13. Question

If a patient presents for hypoglycemia, at what glucose level would there be a concern for seizures to begin?

14. Question

A 0.36 kg teacup yorkie puppy about 10 weeks old presents for whole body shaking before collapsing and losing consciousness. Which of the following is the least likely reason for these symptoms?

15. Question