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AAVSB Veterinary Technician National Exam Sample Questions (Q1054-Q1059):

NEW QUESTION # 1054
Surgical approaches to the abdomen in food animals are mostly performed through the animal's right flank. All of the following surgical approaches is performed through the right flank, except:

Answer: C

Explanation:
Rumenotomies may be necessary for ruminal tympany (bloat). This occurs when the rumen becomes distended with free gas or gas and food particulates. The froth that develops can prevent eructation and lead to physical obstruction. If surgery is required, it is performed through the left flank, not the right. Other procedures that use a left flank approach are C-sections and rumenostomies.
Abdominal exploratories, correction of abomasal displacements, and correction of torsions are all performed through the right flank. The right flank provides the surgeon with access to most of the abdominal viscera.


NEW QUESTION # 1055
When functioning as a sterile surgery technician, you may be asked to handle and retract various tissues. Assisting your surgeon using gentle muscle retraction and tissue manipulation is beneficial for all of the following, except:

Answer: B

Explanation:
Care is required when assisting in surgery and handling musculoskeletal structures like muscle and tendons. You want to ensure minimal handling while keeping the tissue out of the surgeon's way and facilitating surgery. Handling the tissues safely with care and gentle manipulation prevents stretching of the muscles and decreases trauma and iatrogenic bleeding.
Additionally, you minimize any excessive force or traction placed on surrounding tissue and the muscle itself. Finally, by keeping the tissues moist, you further maintain the integrity of the tissues and those surrounding them.


NEW QUESTION # 1056
Which of the following is not a common positioning tip for thoracic radiographs in small animals?

Answer: B

Explanation:
When taking radiographs of the chest, we want to ensure the film is exposed when the lungs are fully expanded. Thus, exposure should occur during full inspiration. This allows the best view and most accurate assessment of the thoracic cavity and related structures. Taking a film during expiration can distort the image and structures.
All other choices are correct when properly positioning for thoracic radiographs.


NEW QUESTION # 1057
A cat presents to you with a history of straining to defecate and is hospitalized with constipation. The pet receives IV fluids and two enemas before being sent home on a wet food diet, a plan for weight loss, pain medication for arthritis, lactulose, and directions for the owner to purchase Miralax (polyethelene glycol). As part of your discharge, you explain how lactulose and Miralax work and why Miralax is often preferred by many veterinarians and cats alike.
You discuss with your client that Miralax may be more preferred over lactulose for all of the following reasons except?

Answer: A

Explanation:
Miralax is an osmotic-laxative. It works by holding water in the feces, softening it, and easing defecation. Lactulose, a more powerful osmotic-laxative, draws more water into the colon and can be dehydrating. Lactulose must be administered orally as a liquid, and cats aren't fans of the taste, while Miralax is a powder that is tasteless and can easily be mixed into a small tbsp of wet food.
Lactulose must be used with caution in patients with underlying kidney disease. It can cause significant fluid shifts and electrolyte imbalance and is more likely to cause clinical dehydration than Miralax. Miralax directions include a dose as well as titrating to effect. You want the cat's stool to have a tootsie-roll-like consistency. If diarrhea occurs, dehydration can occur as well, even with Miralax.


NEW QUESTION # 1058
You are prepping the surgical suite and patient for an exploratory and presumptive gastrotomy. An 8-MO MI Labrador ate the contents of the bathroom trashcan 60 minutes prior to presentation. The vet induced vomiting with apomorphine, and the dog vomited up most items, but something still remains. Radiographs confirm that whatever remains is still confined to the stomach.
In addition to the normal surgical pack, you also should have all of the following present and ready in case the surgeon requires it, except:

Answer: A

Explanation:
When performing a gastrotomy, you want to ensure your veterinarian has a complete sterile surgical pack appropriate for intestinal surgery. While you hope to only go into the stomach (based on radiographic findings), until the vet runs the intestines, you won't know. Having sufficient instruments at the ready is paramount to minimize anesthesia time and ensure a smooth surgery.
In addition to the routine instrument pack, one should also have:
*Balfour abdominal retractors: Self-retaining retractors are most commonly used in soft tissue surgeries. Because it has a cranial blade, in addition to helping lateralize the body walls, it can also aid in cranial retraction. This helps with the overall visualization of the surgical field.
*Sufficient sterile laparotomy sponges (as well as sterile fluid to keep them wet to protect organs as needed)
*Lavage fluid for flushing the stomach +/- abdomen if peritoneal contamination is suspected
*Suction
Army-Navy (or just called Army) retractors are handheld retractors that are double-ended. The blades are different lengths on either side. Because it lacks teeth, it is atraumatic save for too much pressure if excess force is applied. These are used for the retraction of muscle, skin, or fat. Usually, this type of retractor isn't necessary for a routine gastrotomy. Still, it is something you may need handy for a GDV and gastropexy surgery.


NEW QUESTION # 1059
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