Are you making the medical grade?

As the continuing education season is well under way, the time has come for another practical quiz.

This test is built on questions we face daily. Perhaps we could do a trivia quiz, but there are just so many things we need to know.

All questions have been taken from "Textbook of Veterinary Internal Medicine", 6th Edition, Vol. 1, by Stephen J. Ettinger. Feel free to use the reference. I sincerely hope this test is fun and useful.

Scoring: Each blank is worth two points.

Complete this test and get ready for my next test in coming months on Ettinger's Vol. 2.

1) When considering chronic arthritic pain, two families of drugs are essential and synergistic. They are __________ and _______________.

(Ettinger, Chapter 5)

2) More than 90 percent of canine flea problems are caused by the bug ________ and it takes ________ females to suck 1 ml of blood daily.

(Ettinger, page 63)

3) Canine Urine is considered isothenuric between ________ and ________.

(Ettinger, page 104)

4) Regarding micturition, parasympathetic control comes from the pelvic nerve that arises from spinal cord segments ________, and sympathetic control comes from the hypogastric nerve with preganglionic fiber exiting the cord at ________ in the dog and ________ in the cat.

(Ettinger, page106)

5. Regarding the seemingly increased incidence of peripheral neuropathies, the endocrine disorders __________ are most commonly associated with these nerves __________.

(Ettinger, page 155)

6) Regarding seizures, potassium bromide has gained traction in treating canine epilepsy for the long term, but ________ and ________ are used for dogs and cats presented while seizing.

(Ettinger, page 167)

7) One percent of the body's total calcium is freely exchangeable with the extracellular fluid. Its regulation is most influenced by the two hormones ________ and __________.

(Ettinger, page 65)

8) Three kinds of recently emerged and surprising toxicities are the fruit ________, the nut ________ and, for extra credit, the sugarless gums containing ________.

(Ettinger, page 250; Wall Street Journal)

9) Regarding ultrasound of the abdomen, ________ probes provide superior resolution for superficial tissues, and __________ probes are used to view and biopsy deeper tissues.

(Ettinger, page 271)

10) Reviewing cardiac ultrasound modes, ________ is for real time assessment, and ________ is used for calculations.

(Ettinger, Chapter 89)

11) ________ is a technique in which sealed radioactive sources are applied directly to the area to be treated. This technique is not a substitute for a good surgeon.

(Ettinger, page 725)

12) Regarding fluid therapy crystalloids in crisis situation can be administered at ________ /kg/hour while colloids, name three of them, _______, ________ and ________ are used alongside crystalloids in crisis situations.

(Ettinger, Chapter 114)

13) In assessing renal function normal urine is produced at ________ and oligoanuria is less than __________.

(Ettinger, page 447)

14) Blood pressure hypertension as low as __________ systolic is associated with organ damage, thus ________ is the new upper limit for dogs and cats.

(Ettinger, page 471)

15) Families use over-the-counter drugs with increasing frequency, acetaminophen causes __________ and such is treated with __________ .

(Ettinger, page 509)

16) Regarding the immune-system response good immunoglobulins are produced in systemic disorders, ________ is produced first, followed by longer term ________ and ________ is associated with respiratory and gastrointestinal surfaces, while ________ is the immunoglobulins of allergy often seen in Type I allergic reactions.

(Ettinger, page 600)

17) West Nile virus has swept North America. In the dog, it ought to be included in the differential when the clinician sees ________ and treatment is __________ .

(Ettinger, page 652)

18) Regarding systemic fungal disease __________ seems the standard drug but ________ is the only water-soluble product.

(Ettinger, page 672)

19) In regard to nasal fungal diseases, the opportunistic fungus ________ __________ is recognized at rhinoscopy as __________ .

(Ettinger, page 694)

20) Anorexia is a common side affect of chemotherapy doxorubicin. Two drugs can be used to stimulate appetite; they are __________ and __________ .

(Ettinger, page 717)

21) Multiple myeloma has the obvious serum change of a __________ and is nicely treated with __________ .

(Ettinger, page 745)

22) Mast-cell tumors seem to be increasing in incidence; following staging, the two common therapy options are__________ and the specific drug __________.

(Ettinger, page 773)

23) Myasthenia gravis is a classic neuromuscular disease that early on may appear as a mild weakness and be confused with other disorders. The specific diagnosis depends upon identifying specific ________, and treatment includes elimination of the inciting etiology if possible and the drug _______ __________ .

(Ettinger, page 895)

24) Degenerative myelopathy is lurking in our practices; it is most-often seen in __________ and this progressive ataxia disease is marked by voluntary control of eliminations and feet that have __________.

Tally the score.

Answers

90 points is excellent.

80 is good, but a little more reading will help.

70 is in the danger zone. What we do not know can hurt us and our patients.

60 and lower mandates reading this reference cover to cover.

A dvm contributor for 16 years Dr. Riegger, dipl. ABVP, is the chief medical officer at Northwest Animal Clinic Hospital and Specialty Practice. Contact him at www.northwestanimalclinic.com, Riegger@aol.com, telephone and fax (505) 898-0407. Find him on AVMA's NOAH as the practice management moderator. Order his books "Management for Results" and "More Management for Results" by calling (505) 898-1491.