WorksheetsLarge Animal Clinical Chem
Total questions: 32
Worksheet time: 32mins
Name
Class
Date
1.
a)
Hyperkalemia
b)
Hypernatremia
c)
Elevated CPK
d)
Hypocalcemia
2.
Horses with primary hyperammonemia typically present with which clinicopathologic abnormalities?
a)
Fever, neutrophilic leukocytosis, hyperbilirubinemia, and colic
b)
Laminitis, azotemia, and polyuria
c)
Anorexia, weight loss, marked icterus, increased liver enzymes
d)
Enteric disease, acidosis, and severe neurologic signs
3.
a)
Virus isolation from nasopharyngeal swab
b)
Bacterial culture of purulent discharge
c)
Baermann technque to identify larvae in feces
d)
Microscopic examination of bronchial lavage sample
4.
What is the most common breed of horse with HYPP?
a)
Thoroughbred
b)
Quarter Horse
c)
Arabian
d)
Draft
5.
a)
Alanine aminotransferase and bile acids
b)
Aspartate aminotransferase and blood urea nitrogen
c)
Sorbitol dehydrogenase and γ-glutamyl transferase
d)
Alkaline phosphatase and creatinine kinase
6.
A 36-hour-old colt is presented for evaluation of stranguria, lethargy, and a distended abdomen.
Analysis of the peritoneal fluid would most likely reveal which one of the following?
Analysis of the peritoneal fluid would most likely reveal which one of the following?
a)
Pale yellow color, creatinine concentration twice that of serum
b)
Blood-tinged, lactate concentration 6.5 mmol/L, pH 5
c)
Milky color, total protein 3.5 g/dl, 8,100 nucleated cells/ul
d)
Brownish/green color, feed material, visible bacteria
7.
From which animal was this collected?
a)
Camelids
b)
Ferrets
c)
Reptiles
d)
Psittacines
8.
Which one of the following choices is the most specific test for acute hepatic necrosis in large animals?
a)
Aspartate aminotransferase
b)
Lactate dehydrogenase
c)
Urinary bilirubin
d)
Sorbitol dehydrogenase
9.
a)
Hypokalemia, hypophosphatemia
b)
Bilirubinemia
c)
HyPP positive
d)
Myoglobinuria
10.
Which one of the following choices is a simple and practical test that can be used to evaluate the adequacy of passive transfer in newborn crias?
a)
Serum albumin
b)
Immunglobulin level in colostrum
c)
Serum total protein
d)
Blood neutrophil count
11.
Horses with inflammatory bowel disease typically present with clinicopathologic abnormalities of weight loss, intermittent colic, and which of the following?
a)
Fever
b)
Peripheral neutrophilia
c)
Hyperalbuminemia
d)
Hypoproteinemia
12.
Which answer choice would you least likely see on a blood spear of a ruminant with a regenerative anemia?
a)
Polychromasia
b)
Macrocytes
c)
Basophilic stippling
d)
Reticulocytes
13.
What is the best liver function test in a horse?
a)
Bile acids
b)
Total bilirubin
c)
Ammonia
d)
SDH
14.
What is the most common cause of elevated total bilirubin in a horse?
a)
Theiler's disease
b)
Tyzzer's disease
c)
Anorexia
d)
Toxic damage
15.
Foals with portosystemic vascular anomalies (also referred to as portosystemic shunts) usually present with which of these clinical signs?
a)
Increased serum liver enzymes and isoerythrolysis
b)
Colic and decreased blood flow to the distal extremities
c)
Marked icterus and increased serum liver enzymes
d)
Neurologic signs and normal serum liver enzymes
16.
What is the best measure of GFR in horses and cattle?
a)
Creatinine
b)
BUN
c)
BUN & Creatinine
d)
SDMA
17.
Top differential of this pig's blood smear?
a)
Snake envenomation
b)
Dehydration
c)
Normal finding
d)
Glomerulonephritis
18.
What acid-base abnormality would be most likely in a dairy cow with a displaced abomasum?
a)
Metabolic alkalosis
b)
Respiratory alkalosis
c)
Metabolic acidosis
d)
Respiratory acidosis
19.
a)
Glucose
b)
Calcium
c)
Sodium bicarbonate
d)
Insulin
20.
A cow who recently freshened is appeared to be having tremors and is anorexic. Major abnormality noted on chemistry: hypocalcemia. Top differential?
a)
Grass tetany
b)
Milk fever
c)
Retained placenta
d)
Hard bag disease
21.
a)
Babesiosis
b)
Anaplasmosis
c)
Leptospira
d)
Anthrax
22.
In which animal is this a normal finding?
a)
Pot bellied pigs
b)
Goats
c)
Llamas
d)
Ferrets
23.
How do you detect a regenerative anemia in a horse?
a)
Serial PCVs
b)
Reticulocytes
c)
Polychromasia
d)
Horse's attitude
24.
Routine blood work was performed on Festus, the donkey.
GGT: 89 IU/L [RR: 0-30]. Top differential?
GGT: 89 IU/L [RR: 0-30]. Top differential?
a)
Acute hepatitis
b)
Theiler's disease
c)
Normal finding
d)
Red maple toxicity
25.
Sally the Holstein presents for an acute decrease in production and lethargy. Her PP:Fibrinogen = 21.
What does this indicate?
What does this indicate?
a)
Too ambiguous
b)
Dehydration
c)
Inflammation
d)
Death
26.
You just find a pile of lead batteries in the pasture where your free range pig herd is located. How concerned are you?
a)
Very! Ah, hemolysis!
b)
Meh.
c)
Only if the pigs are very young
d)
Only if the pigs are very old
27.
A neutropenia with a degenerative left shift is a common finding with acute inflammation in what species?
a)
Cattle
b)
Swine
c)
Horse
d)
Poultry
28.
What is the most common cause of hypercalcemia in the horse?
a)
Renal disease
b)
Colic
c)
Neoplasia
d)
Laminitis
29.
a)
Ostertagia spp
b)
Trichostrongylus axei
c)
Haemonchus spp
d)
Oesophagostomum spp
30.
You have diagnosed a cow with grass tetany. What do you expect to see on biochemistry panel?
a)
Hypomagnesemia
b)
Hypocalcemia
c)
Hyperphosphatemia
d)
Hyperglycemia
31.
A sheep presents for anorexia, weakness, and the owner noticed brown urine. On presentation her gums are icteric and she is anemic. Top differential?
a)
Copper toxicity
b)
Iodine toxicity
c)
Selenium deficiency
d)
Cobalt deficiency
32.
A horse who is stabled outside presents for acute ataxia. Her owner is very scared because she noticed brown urine when the horse peed. You notice yellow mucous membranes, tachycardia, brown-tinged serum, and heinz bodies are seen on blood smear. Top differential?
a)
Bracken fern toxicity
b)
Red maple toxicity
c)
Oak toxicity
d)
Exertional rhabdomyolysis
100 %
