Australian College of Veterinary Scientists

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