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IPHLEM EXAM PRECURSOR (LATEST) QUESTIONS WITH 100% CORRECT!!
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IPHLEM EXAM PRECURSOR (LATEST) QUESTIONS WITH 100% CORRECT!!
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IPHLEM EXAMPRECURSOR (LATEST)
QUESTIONS WITH
100% CORRECT!!
IPHLEM
Evatee 9/4/24 IPHLEM
,IPHLEM EXAM PRECURSOR (LATEST)
QUESTIONS WITH 100% CORRECT!!
· A 3 year old was scratched on the left side of her neck while playing with a pet
kitten. She developed raised red bumps around the scratch on day five
following the initial incident (image above).
What is the likely causative organism Answer - § Cat scratch fever due to
Bartonella henselae (carried by cats less than 1 year old)
§ First symptoms (lump at site of scratch) appear 3-10 days
§ In 1-7weeks the local lymph node begins to swell
o Apart from advising to avoid "rough play" with kittens, what other
preventative advice could you give to avoid infection with bartonella henselae
(cat scratch fever) Answer - § Avoid cat bites and scratches, wash cat bites and
scratches immediately with soap and running water
§ Do not allow cats to lick open wounds, cover open wounds with dressing,
control fleas
· The image above shows the sore foot of a care worker who had recently
returned from working in a remote rural community where he had reported a
large population of uncontrolled or poorly controlled dogs. Being tropical, he
had on occasion not worn shoes while out and about.
What could be the cause on his solar foot infection Answer - § Hookworm
dermatitis (eosinophilic perivascular dermatitis); Ancylostoma caninum (most
pathogenic), Ancylostoma Braziliense, Ucinaria stenocephala
,§ The lesion (erythematous papules) is cutaneous larval migrans due to skin
penetration of L3 of cat and dog hookworms
What clinical signs would you expect in a dog infected by hookworm such as
ancylostoma Answer - § Pale MM, Weakness (anaemia), weight loss, bloody
diarrhoea (a. caninum feeds on blood causing large amounts of blood loss,
worms change feeding sites 4-6 times leaving bleeding wounds), dull/dry coat,
growth retardation, coughing, death
o List six (6) steps of a thorough bovine lameness examination. Answer - o
Which leg is the cow lame in (observe wlaking - head up > forelimb, Down
>hindlimb)
o Is the leg swollen and painful above the claws (yes > infection - footrot, no -
examine claws)
o Examine the external surfaces of both claws and compare these with the
other leg (any cracks; sand cracks)
o Restrain cow and lift leg - clean external surface (look in Interdigital space for
swelling, foreign body, pain, smell, discharge, damaged skin footrot, body
penetration, pare bearing weight surface of claw
o Use hoof testers over weight bearing surface to search for sensitivity
(withdrawal reflex, brusining = rest, abscess = trim/pare or grind to remove)
o Carefully pare or sand away superficial outer surface of the sole (check for
discolouration, bruises, haemorrhage assoc. with laminitis, infection, track
pigmentation)
, o Carefully check the white line (white line disease- abscess at coronet)
o No abnormality in either claw - examine upper leg then stifle
Swimmer's itch is caused by Answer - larvae of schistosomes (blood fluke)
o Equine Lameness examination Answer - § History, age, breed, use
§ Examination (from distance, at trot in hand/lunge)
§ Identify lame legs
§ Nerve/joint blocks
§ Flexion tests
§ Palpate each limb joint/soft tissue structure
§ Hoof testers
§ Diagnostic imaging
§ Treatment Plan
§ HELNT PHIP
o Normal Cattle parameters Answer - § Pulse
· 60-80
§ Respiratory rate
· 20-30
§ Rectal temperature
· 38.5-39.2
§ Interval between rumen contraction
· 1-2min
§ Rumen pH
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