MEMBERSHIP EXAMINATION JUNE/JULY 2003
SMALL ANIMAL MEDICINE
PAPER 1
Perusal Time: 15 minutes
Time Allowed: TWO (2) Hours after perusal
ANSWER FOUR (4) Questions Only
ALL Questions are of equal value
Subsections of Questions are of equal value unless stated otherwise
- (a) Discuss the mechanisms responsible for hyperbilirubinaemia. (10 marks)
(b) Discuss the clinical and laboratory features that allow differentiation of the various causes of hyperbilirubinaemia. (15 marks)
- Discuss the meaning of upper motor neurone (UMN) and lower motor neurone (LMN) paralysis. Give FOUR (4) examples of an UMN lesion and FOUR (4) examples of a LMN lesion and discuss the mechanisms that cause each of them. (25 marks)
3. Explain the pathophysiological effects on cardiac function for THREE (3) of the following (81/3 marks each):
a) Pericardial effusion
b) Subaortic stenosis
c) Hypertrophic cardiomyopathy
d) Mitral valve insufficiency
e) Patent ductus arteriosus
4. Write brief notes on the mechanism of action, clinical indications for, and potential side effects of THREE (3) of the following therapeutic agents (81/3 marks each):
a) Vincristine
b) Melarsomine
c) Sulphasalazine
d) Dopamine
e) Enrofloxacin
Continued over/Small Animal Medicine 2003/Paper 1
Continued/Small Animal Medicine 2003/Paper 1
5. Discuss the physiological control of TWO (2) of the following (12½ marks each):
a) Vomiting
b) Body temperature
c) Ovulation
6. Discuss the indications, clinical significance, and limitations of TWO (2) of the following tests (121/2 marks each):
a) Serum protein electrophoresis
b) Buccal mucosal bleeding time
c) Serum trypsin-like reactivity (TLI)
d) Bone marrow cytology
END OF PAPER
MEMBERSHIP EXAMINATION JUNE/JULY 2003
SMALL ANIMAL MEDICINE
PAPER 2
Perusal Time : 15 minutes
Time Allowed : TWO (2) Hours after perusal
ANSWER FOUR (4) Questions Only ONE of which must be from Section B
ALL Questions are of equal value
Subsections of Questions are of equal value unless stated otherwise
ANSWER AT LEAST ONE QUESTION FROM SECTION B
Section A
1. Write brief notes on TWO (2) of the following (121/2 marks each):
a) Diagnostic approach to bilateral uveitis in a cat.
b) Initial management and diagnostic approach to respiratory distress in a cat.
c) Clinical signs and management of pyrethrin toxicity in cats.
2 Write brief notes on TWO (2) of the following (121/2 marks each):
a) Initial and long-term management of a dog that presents in an acute hypoadrenocorticoid (Addisonian) crisis.
b) Clinical signs and management of paraneoplastic conditions associated with canine mast cell tumours.
c) Management of canine calcium oxalate urolithiasis.
3. Discuss the management of TWO (2) of the following (121/2 marks each):
a) Chronic stomatitis in cats
b) Bacterial prostatitis in dogs
c) Parvoviral enteritis in dogs
4. Discuss the diagnostic approach to TWO (2) of the following. Include in your answer a list of likely differential diagnoses and the order in which you would perform appropriate diagnostic tests (121/2 marks each):
a) A 5-year-old Bull Terrier with urinalysis results that include a dipstick reading of 3+ for protein and a specific gravity of 1.015.
b) Bilateral purulent nasal discharge in a 5-year-old Rottweiler.
c) Positional nystagmus in a 10-year-old Boxer.
d) Unilateral renomegaly in a 14-year-old domestic short-haired cat.
End of Section A
Continued over Section B/Small Animal Medicine 2003/Paper 2
Continued/Small Animal Medicine 2003/Paper 2
SECTION B ANSWER AT LEAST ONE QUESTION FROM SECTION B
- A 5-year-old, female, neutered Golden Retriever is presented with a 1-week history of polydipsia, reduced appetite, and depression.
The findings on physical examination are: Normal body condition, vital signs within normal limits.
Haematology, serum biochemistry, and urinalysis reveal the following results:
HaematologyUnitsPatient valueReference Range
Haemoglobing/L165120-180
HCTL/L0.440.37-0.55
RBCx 1012/L6.85.5-8.5
WBCx 109/L18.46.0-17.0
Neutrophilsx 109/L16.33.0-11.5
Bandsx 109/L0.20.0-0.3
Lymphocytesx 109/L0.41.0-4.8
Monocytesx 109/L0.830.15-1.35
Eosinophilsx 109/L0.70.1-1.3
Plateletsx 109/L294200-500
BiochemistryUnitsPatient valueReference Range
ASTIU/L6810-60
ALTIU/L15421-142
ALPIU/L18520-184
LipaseIU/L4500-500
AmylaseIU/L2150750-3000
Ureammol/L16.52.5-9.5
Creatininemmol/L0.580.06-0.18
Glucosemmol/L5.53.6-6.8
Cholesterolmmol/L3.83.3-6.9
Sodiummmol/L141139-154
Potassiummmol/L4.63.4-5.3
Chloridemmol/L10599-120
Proteing/L7656-80
Albuming/L2824-38
Globuling/L4828-44
Calciummmol/L3.762.20-2.80
Phosphatemmol/L0.540.80-2.20
Urine – free catch
USG1.013
pH6.4
Protein++
Glucosenegative
Ketonesnegative
Urobilinogennormal
Bilirubinnegative
Bloodnegative
a) Define the problems based on the historical, physical examination, and laboratory findings for this dog. As part of your answer construct a differential diagnosis list. (15 marks)
b) Briefly explain your management plan for this dog including treatment, monitoring and further diagnostic procedures. (10 marks)
Continued Over/Small Animal Medicine 2003/Paper 2
Continued/Small Animal Medicine 2003/Paper 2
6.An 8-year-old, male, neutered domestic short-haired cat is presented with a 9-day history of progressive inappetence, weight loss, and lethargy. The owner has observed no vomiting, diarrhoea, or polydipsia.
On physical examination, the cat is found to be very depressed and reluctant to stand. It is severely dehydrated. Vital signs are within normal limits.
Haematology, serum biochemistry, and urinalysis reveal the following results:
HaematologyUnitsPatient valueReference Range
RBCx 1012/L13.35.0-10.0
Hbg/L17980-150
HCTL/L0.510.24-0.45
MCVfL3839-55
MCHpg1313-17
MCHCL/L351300-360
WBCx 109/L15.425.50-19.50
Neutrophilsx 109/L13.72.5-12.5
Lymphocytesx 109/L0.81.5-7.0
Monocytesx 109/L0.460.00-0.85
Eosinophilsx 109/L0.460.10-1.50
Basophilsx 109/L00.00-0.20
Platelets x 109/L335300-800
BiochemistryUnitsPatient valueReference Range
ALTIU/L765-80
ALPIU/L625-80
ASTIU/L4210-60
Total bilirubinumol/L02-10
Ureammol/L42.55.4-10.7
Creatininemmol/L0.410.07-0.16
Phosphorusmmol/L1.921.29-2.26
Calciummmol/L2.331.75-2.50
Sodiummmol/L145147-156
Potassiummmol/L3.93.8-4.6
Chloridemmol/L112115-123
Glucosemmol/L26.83.9-7.5
Cholesterolmmol/L5.591.9-3.9
Proteing/L8556-80
Albuming/L4322-35
Globuling/L4228-48
Urine - cystocentesis
USG1.025
pH6.0
Proteintrace
Bloodtrace
Glucose++++
Ketonesnegative
a) Define the problems based on the historical, physical examination, and laboratory findings for this cat. As part of your answer construct a differential diagnosis list. (15 marks)
b) Briefly explain your management plan for the next 48 hours for this cat including treatment, monitoring and further diagnostic procedures. (10 marks)
END OF PAPER