Clinical examination quiz

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Question n°1

Which of the following statements relating to history taking is CORRECT? (one answer)

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Question n°2

An 8 year old labrador dog that has spent two years in Polynesia is brought for a consultation for “coughing, dyspnea, dejection, and unexplained weight loss”. Which condition comes to mind?

  • This condition is a high possibility as the dog has come from a region where dirofilariosis is endemic. To confirm this, an echocardiograph (right parasternal access, supra-aortic short-axis section) can be used to detect adults in the right pulmonary artery. A blood test (to detect microfilaria) and an X-ray (to evaluate the extent of pulmonary lesions) are then also indicated.

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Question n°3

In a young dog with a chronic cough in which standard antibiotic/corticoid/antitussive treatments produce no effect, what disorder should you think of when you learn that the dog often plays with snails in the garden?

  • Answer d) The intermediate host of this parasite (currently in expansion in northern zones) is a gastropod (snail or slug).

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Question n°4

In what order should the clinical examination be carried out?

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Question n°5

When auscultating the heart, which order should the analysis be carried out??

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Question n°6

How would you describe the characteristics of the cough for a dog with pulmonary oedema?

  • This type of cough is more commonly related to chronic bronchitis

  • This type of cough is more commonly related to tracheal collapse

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Question n°7

When teaching the owner to monitor respiratory rest at home, above what respiratory rate is it suggestive that pulmonary oedema may be returning?

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Question n°8

If you have a West Highland White terrier presenting with coughing, expiratory dyspnoea and pulmonary crackles, what is the first diagnostic test that should be performed?

  • West Highland Whites are very prone to interstitial pulmonary fibrosis, which can be diagnosed by visualising interstitial opacity on a lateral thoracic X-ray.

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