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Veterinary Emergency Medicine.pdf
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Australian and New Zealand College ofVeterinary Scientists
Fellowship Examination
June 2022
Veterinary Emergency Medicine and
Critical Care
Paper 1
Perusal time: Twenty (20) minutes
Time allowed: Four (4) hours after perusal
Section A: Answer ONE (1) question
Section B: Answer ALL FIVE (5) questions
Section C: Answer ALL TEN (10) questions
Section A: Answer ONE (1) essay-style question, worth 60 marks................... total 60 marks
Section B: Answer FIVE (5) short-answer questions, each worth 24 marks ..... total 120 marks
Section C: Answer TEN (10) short-answer questions, each worth 6 marks total 60 marks
,Section A: Answer one (1) question 1. (60 marks total)
1. Answer all sub-parts of this question:
a) Define shock and provide a detailed explanation of the mechanisms of shock in
critical illness. (20 marks)
b) Explain the physiologic considerations and clinical data that should be considered
in determining whether to administer intravenous fluid therapy to treat shock.
Include a discussion of how these considerations change during the phases of
treatment of critical illness. (15 marks)
c) Explain the physiologic considerations and clinical data that should be considered
in determining what type of intravenous fluid to administer to treat shock
(25 marks)
, Section B: Answer ALL five (5) short-answer questions (120 marks total)
1. Answer all parts of this question:
a) Explain the pathogenesis of feline asthma with respect to its effects on respiratory
system resistance and flow, emphasising differences between inspiration and
expiration. (12 marks)
b) Mechanistically explain the effects of each of the following systemic medications
on respiratory system resistance in feline asthma. (8 marks)
a. Prednisolone
b. Terbutaline
c. Theophylline
c) For each of prednisolone and terbutaline: justify whether it (or an inhaled
equivalent) should be administered on a regular ongoing basis, or only to treat
active clinical signs. (4 marks)
2. Answer all parts of this question:
Figure 1. Normal left ventricular pressure-volume loop
Question 2 is continued over the page
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