vet assistant – Flashcards

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Rhonda likes to move around and enjoys hands-on projects. What is Rhonda's preferred style of learning?
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Kinesthetic
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You've just enrolled and you want your username and password so you can access the Ashworth College Student Portal. Where will you look for your login information?
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email sent to you from ash worth college
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If you want to make sure that you are registered for your course and that all of your fees have been paid, you can do this by checking ______.
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Accounts
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What important document would you reference to quickly see everything you'll be learning about in your program and the order of your lessons?
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Syllabus
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The overall learning goals for an educational program like the one you're taking are called _______.
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objectives
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Which of the following exam strategies would you apply to a multiple-choice exam?
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D. Read all options before selecting an answer
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You want to learn more about the goals and values of Ashworth College. In what important document will you find the school's mission statement and value statement?
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D. Student Handbook
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How can you review your grades on the Ashworth site?
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D. Access the course page, then click on Gradebook
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Nello has been asked to summarize what he learned in a reading assignment. In response, Nello should ______.
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C. cover the main points of the material he has read
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If you're able to understand directions more easily when you hear them instead of reading them, you are most likely a(n) _______ learner.
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B. auditory
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Juan has an essay due in English on Wednesday and a page of math homework due on Friday. How should Juan approach this work?
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D. Complete the English essay before moving to the math homework.
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The Check Your Learning assignments in your lesson materials are a good example of what type of assessment?
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D. Self-assessment
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The most effective way to do well on your online exams is to study _______.
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B. strategically
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Mia wrote out her notes, then recited them into a recording device. Afterward, she played the notes back to herself. Which type of learner is Mia? A. Kinesthetic B. Auditory C. Visual D. Hands-on
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B
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Individuals can earn the credential Certified Veterinary Practice Manager (CVPM) by meeting the educational and examination requirements of the A. AVMA. B. USDA. C. VHMA. D. CVTEA.
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C
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Which one of the following statements regarding the OSHA Right to Know Law is most accurate? A. It requires that all hospital staff members be informed of all chemicals they may be exposed to while at work. B. It advises that you wear safety glasses and gloves when working with hazardous chemicals. C. It recommends keeping a list of the type and location of all harmful chemicals that are used in the workplace. D. It's an unenforceable law.
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A
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The _______ contain(s) the principles that govern a profession. A. state's Veterinary Practice Act B. code of ethics C. model practice act D. State Department of Labor Regulations
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B
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The basic requirement for working in a veterinary practice is a A. desire to work with the public. B. love of animals. C. drive to educate others. D. need to feel involved.
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B
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The first formal programs for educating veterinary assistants were created in A. England. B. New York C. the United States Army. D. France.
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A
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Which one of the following activities may be delegated to a veterinary technician? A. Diagnosis of parasite infection B. Prescribing medication C. Performing a cat castration D. Administering anesthesia
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D
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Ethics may be defined as A. general acceptance toward others. B. the system of moral principles that determines appropriate behavior and actions within a specific group. C. the system of protocols among a specific group of professionals. D. differences among beliefs.
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B
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Which one of the following activities may be performed only by a veterinarian? A. Administering medication B. Collecting diagnostic samples C. Administering general anesthesia D. Forming a diagnosis
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D
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Which one of the following statements concerning controlled substances log book records is most accurate? A. By law, records must be made available to the OSHA inspector. B. Only state laws apply to controlled substances. C. All veterinary practice personnel may access the records. D. All records must be maintained for at least five years.
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D
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The _______ accredits college programs for educating veterinarians and veterinary technicians. A. VHMA B. AVMA C. NAVTA D. NAVLE
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B
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The likely outcome of a patient's disease or condition is the A. diagnosis. B. zoonosis. C. prognosis. D. stenosis.
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C
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Responsibilities of early veterinarians focused primarily on A. personal pets. B. farm animals. C. exotic pets. D. rare animals.
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B
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The federal agency responsible for enforcing regulations related to controlled drugs is the A. DEA. B. USDA. C. OSHA. D. CSA.
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A
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_______ would likely be patients at an exotic-animal practice. A. Dogs B. Cats C. Horses D. Birds
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D
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A veterinary technician who completes additional specialized training and passes a certifying examination is correctly referred to as a A. diplomate. B. VTS. C. DVMS. D. trainee.
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B
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DEA refers to the A. Drug Enforcement Agency. B. Data Employment Agency. C. Drug Employment Agency. D. Direct Employment Agency.
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A
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Which one of the following statements indicates proper telephone etiquette? A. Owners of hospitalized animals should be discouraged from calling to inquire about the condition of their animals. B. The telephone should be allowed to ring at least five times before answering so as to give the impression of a busy, thriving practice. C. The telephone should be answered before the end of the third ring. D. The phrases and tone of voice used to greet a caller are unimportant, as long as they convey competence.
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C
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_______ scheduling involves scheduling all clients that would be seen in one hour at the top of the hour and then seeing them in the order in which they arrive. A. Walk-in B. Flow C. On-demand D. Wave
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D
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Appointments for the evaluation of sick patients are usually allotted _______ minutes in the appointment schedule. A. 5 B. 10 C. 15 D. 30
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D
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When putting a client on hold, which one of the following phrases is most acceptable? A. "Hold, please." B. "May I put you on hold for a moment?" C. "We're very busy. I'll have to put you on hold for a minute." D. "You'll have to wait. I've got another call."
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B
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The difference between the cost of a product and the amount charged a client is called the A. markup. B. economic order quantity. C. copay. D. overstock percentage.
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A
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A _______ is the amount of a bill that the owner is responsible for after the pet insurance deductible has been met. A. premium B. copay C. deductible D. lifetime limit
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B
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The _______ released a landmark study in 1999 indicating that the increased use of veterinary pet health insurance could increase the demand for service, and, therefore, decrease the euthanasia rate in the United States. A. FDA B. USDA C. AVMA D. NCVEI
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D
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When greeting clients in the reception area, you should direct clients to place all pet carriers A. on the reception counter. B. on the floor in front of the reception counter. C. in an exam room. D. on a chair in the waiting room.
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B
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_______ scheduling involves scheduling each client according to the length of time that the particular type of appointment requires. A. Walk-in B. Flow C. On-demand D. Wave
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B
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Products dispensed to clients usually have a markup of A. $3-5. B. $5-10. C. $8-14. D. $15-20.
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C
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Accounts that can't be collected by the front office team need to be placed with a _______ agency. A. CareCredit B. collection C. catastrophic insurance D. copay
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B
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Inventory items should ideally be used within _______ of purchase. A. one month B. three to six months C. six to nine months D. one year
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B
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When making appointments for clients, it's best to offer A. two choices of appointment times. B. at least three choices of appointment times. C. an appointment at any time the client considers convenient. D. one specific appointment time with no alternatives.
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A
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The _______ is often responsible for verifying that all items are placed on shelves and other inventory locations. A. receptionist B. veterinary assistant C. practice manager D. veterinarian
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B
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Accounts receivable totals should never exceed _______ percent of the total gross revenue amount. A. 1 B. 3 C. 5 D. 10
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B
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Clients must usually fulfill a _______ before the insurance company will offer compensation for a clinic visit. A. premium B. copay C. deductible D. lifetime limit
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C
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Routine appointments for examinations and vaccinations are usually allotted _______ minutes in the appointment schedule. A. 5 B. 10 C. 15 D. 30
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C
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Total inventory costs shouldn't exceed about _______ percent of the overall practice income. A. 3 B. 5 C. 15 D. 30
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C
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According to the Fair Debt Rules, clients may not be called before _______ A.M. or after 9 P.M. A. 6 B. 7 C. 8 D. 9
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C
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_______ is the number of times per year that a particular inventory item is ordered. A. Reorder point B. Stock level C. Inventory turns per year D. Economic order quantity
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C
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Inactive medical records must be retained for _______ years. A. 2 B. 3 C. 7 D. 10
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C
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When a client arrives to pick up his or her pet being discharged from the hospital, the _______ should handle the billing prior to the owner receiving the animal. A. receptionist B. veterinarian C. practice manager D. accountant
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A
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Any history of allergies or hip dysplasia in the patient or other genetic diseases in the patient's parents or siblings are recorded in the _______ section of the SOAP. A. S B. O C. A D. P
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A
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A euthanasia form always authorizes A. the necropsy of a deceased pet. B. the disposal of a deceased pet. C. the death of a pet in a humane manner. D. heroic measures to save the pet.
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C
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The term that refers to the primary reason the client has made the appointment to bring the pet to the practice is A. subjective information. B. patient history information. C. presenting problem. D. POMR.
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C
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Which one of the following pieces of information about the vaccine is required on a rabies vaccination certificate? A. Route of administration B. Manufacturer of vaccine C. Volume of vaccine administered D. Date of last vaccine
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B
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Appointments for recheck visits should be made A. by calling the client the day after the procedure. B. by calling the client one week after the procedure. C. before the client leaves the clinic. D. before the initial procedure is performed.
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C
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For scheduled admissions, the patient record is retrieved A. one hour prior to the admission. B. one day prior to the admission. C. one week prior to the admission. D. when the client arrives at admission.
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B
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A(n) _______ form is signed by the client after all information regarding the procedure has been provided and the client has had the opportunity to ask questions. A. blanket consent B. treatment information C. client information D. informed consent
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D
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Information on where a pet was acquired is usually included on the _______ form. A. patient information B. treatment consent C. behavioral history D. client information
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A
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Observations made by the client are recorded in the _______ section of the SOAP. A. S B. O C. A D. P
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A
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Treatments, surgery, and medications are recorded in the _______ section of the SOAP. A. S B. O C. A D. P
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D
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Client and patient records can be shared with _______ without the owner's permission. A. boarding kennels B. social media sites C. other employees of the practice D. doctors at other hospitals
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C
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The definitive diagnosis is recorded in the _______ section of the SOAP. A. S B. O C. A D. P
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C
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Once solutions to conflict are identified, it's important to create a(n) _______ to implement solutions. A. meeting schedule B. action list C. problem list D. new work schedule
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B
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Body language accounts for almost _______ percent of communication. A. 60 B. 40 C. 20 D. 10
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A
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Before you begin to reply to someone, wait _______ until after he or she is finished and use that time to formulate your response. A. three seconds B. one second C. three minutes D. one minute
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A
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Words or phrases that have a high potential to elicit a negative response from others are referred to as A. environmental barriers. B. conflict resolving. C. language barriers. D. resolution implementation.
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C
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_______ is also known as secondary traumatic stress disorder. A. Stress B. Job burnout C. Compassion fatigue D. Trauma
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C
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_______ can be used for medical-record keeping to reduce the need to record repetitious entries on multiple records. A. Hospital manuals B. Computerized systems C. Digital backups D. Standard operating procedures
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D
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Managing compassion fatigue starts with _______ the condition. A. denial of B. therapy for C. treatment of D. awareness of
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D
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_______ and resolution are healing emotions when the client accepts the loss and may begin to consider obtaining another pet. A. Bargaining B. Anger C. Sorrow D. Guilt
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C
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To demonstrate that you're interested in what another person is saying, you should A. maintain eye contact. B. stare at the person. C. cross your arms. D. fold your hands.
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A
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In body language, folded arms generally indicate A. anger. B. defensiveness. C. discomfort. D. a sense of superiority.
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A
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The first stage of grief is usually A. anger. B. bargaining. C. guilt. D. denial.
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D
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In body language, _______ is generally regarded as aggressive. A. nodding B. tilting the head C. crossing the hands D. staring
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D
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Owners of _______ will likely feel pet loss intensely. A. family pets B. hunting dogs C. assistance dogs D. herding dogs
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C
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When dealing with an angry client, you should ask him or her to A. wait in a quiet room to cool off. B. join you in a separate area so you can listen to his or her concerns privately. C. wait until one of the veterinarians is available. D. leave the office with the promise that someone call him or her later.
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B
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Owners who are well bonded to their pets are more likely to A. request euthanasia so their pet doesn't suffer. B. become angry with the practice staff. C. get a new pet as soon as one dies. D. recognize signs of illness in their pets.
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D
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Methods to help strengthen the human-animal bond usually include A. choosing an active pet. B. recommending puppy or kitten socialization class and obedience training. C. getting a new pet as soon as one dies. D. choosing a sedentary pet.
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B
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_______ is a common root of conflict. A. Anger B. Perception C. Misunderstanding D. Laziness
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C
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Polyuria means A. decreased urine production. B. blood in the urine. C. pain in the urethra. D. much urine.
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D
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Which joint of the hindlimb would be equivalent to the human ankle? A. Withers B. Flank C. Palmar surface D. Hock
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D
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An intact male horse over four years old is referred to as a A. mare. B. sire. C. stallion. D. colt.
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C
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An abnormal accumulation of blood in the pleural cavity is called A. hemothorax. B. hemopleuritis. C. hemoptysis. D. hemopneumonia.
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A
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A young female cow before her first calf is referred to as a A. mare. B. dam. C. yearling. D. heifer.
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D
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Which term describes a female cat? A. Tom B. Queen C. Ewe D. Bitch
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B
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The lateral side of the abdomen between the last rib and the hindlimb is referred to as the A. withers. B. flank. C. palmar surface. D. hock.
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B
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The term that describes a direction towards the tail end of an animal is A. muzzle. B. cranial. C. rostral. D. caudal.
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D
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Dysuria means A. deficient urine production. B. painful or difficult urination. C. blood in the urine. D. pertaining to urination.
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B
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Anuric means A. pertaining to absence of urine. B. much production of urine. C. deficiency of urine. D. a condition of the urine.
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A
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The term that describes a direction towards the tip of the nose on the head is A. muzzle. B. cranial. C. rostral. D. caudal.
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C
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Polydipsia means A. decreased drinking. B. difficult drinking. C. no drinking. D. much drinking.
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D
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The correct term to describe fever is A. polytemp. B. polyfever. C. pyoxia. D. pyrexia.
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D
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Cystocentesis means A. movement of the thorax. B. sensation of the bladder. C. abnormal condition of the abdomen. D. surgical puncture of the bladder.
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D
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The correct spelling of the word meaning "bluish tinge to the skin and mucous membranes" is A. cianosis. B. cyianosis. C. cyanosis. D. cyanoses.
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C
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Enzymes contain the suffix A. -ase. B. -ate. C. -ac. D. an.
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A
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Myositis means A. inflammation of the muscles. B. inflammation of the spinal cord. C. a condition of the muscles. D. a condition of the spinal cord.
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A
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Polyuria A. is an abbreviated way of saying "renal failure." B. is the opposite of anuria. C. means "having more than one kidney." D. means "having multiple pouches developing from the urinary bladder."
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B
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Which suffix refers to surgical removal of a body part? A. -trophy B. -lytic C. -centesis D. -ectomy
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D
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The bones of the hindlimb include the A. humerus. B. femur. C. carpus. D. radius.
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B
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The _______ is a membrane-bound area within the cell that contains and protects the cell's DNA. A. Golgi apparatus B. mitochondria C. nucleus D. vacuole
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C
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The lungs receive blood from the A. right ventricle. B. alveoli. C. left ventricle. D. aorta.
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A
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Blood is a type of _______ tissue. A. epithelial B. squamous C. cartilage D. connective
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D
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_______ is a type of tissue that covers surfaces in the body, such as organs and body cavities. A. Connective B. Muscle C. Epithelial D. Nervous
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C
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Ligaments are an example of _______ tissue. A. connective B. muscle C. epithelial D. nervous
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A
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The _______ forms the ventral portion of the thorax. A. sternum B. atlas C. axis D. ribcage
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A
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Nearly all mammals have _______ cervical vertebrae. A. five B. seven C. three D. eleven
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B
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The _______ vertebrae form the animal's tail. A. sacral B. lumbar C. cervical D. coccygeal
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D
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The _______ is an accessory organ to the digestive system. A. esophagus B. ureters C. malleus D. pancreas
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D
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_______ is a general sense. A. Hearing B. Taste C. Vision D. Proprioception
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D
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The gestation period for dogs and cats is approximately A. six weeks. B. one month. C. two months. D. five months.
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C
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The _______ releases hormones that regulate hormone release from the other major endocrine glands. A. pancreas B. posterior pituitary C. hypothalamus D. adrenal gland
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C
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The liver secretes _______ to aid in digestion. A. chyme B. bile C. digestive enzymes D. saliva
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B
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A drug given intravenously as a single volume all at one time is described as a A. CRI. B. bolus. C. dosage. D. regimen.
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B
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Drugs that don't require a prescription are referred to as A. controlled. B. over-the-counter. C. dispensable. D. generic.
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B
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Amoxicillin is an example of a _______ name of a drug. A. proprietary B. generic C. trade D. chemical
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B
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Of these four needle-gauge numbers, which one represents the smallest-diameter needle? A. 18 B. 20 C. 22 D. 24
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D
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_______ is an inhalant anesthetic agent commonly used in veterinary medicine. A. Propofol B. Ketamine C. Sevoflurane D. Thiamylal
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C
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A(n) _______ is a drug that's capable of inhibiting bacterial replication. A. bacteriostatic B. bactericidal C. virucidal D. anthelmintic
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A
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A medication that's injected into the skin is abbreviated as A. IM. B. IV. C. ID. D. IP.
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C
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An antitussive is a type of drug that A. dilates the respiratory tract. B. thins mucous secretions. C. blocks the cough reflex. D. reduces congestion.
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C
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A medication that's injected into a blood vessel is abbreviated as A. IM. B. IV. C. ID. D. IP.
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B
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If a medication label states that the drug must be stored at 25 degrees C, it should be placed in A. a cabinet at room temperature. B. the refrigerator. C. the freezer. D. an incubator.
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A
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Which one of the following drugs is a commonly used analgesic in veterinary medicine? A. Yohimbine B. Fentanyl C. Phenobarbital D. Doxapram
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B
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The abbreviation po on a prescription indicates that the medication is to be administered A. by mouth. B. topically. C. in the eyes. D. by injection.
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A
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If the veterinarian writes a prescription for a patient indicating that the patient must be given two tablets of a medication b.i.d. for seven days, how many tablets must be dispensed? A. 2 B. 7 C. 14 D. 28
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D
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Prednisone is a type of _______ medication. A. anti-inflammatory B. NSAID C. fever-reducing D. anesthetic
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A
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The abbreviation prn on a prescription indicates that the medication is to be administered A. orally. B. daily. C. in the right eye. D. as needed.
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D
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Rewarding an animal with praise is effective when the praise is given within _______ of the correct behavior. A. one-half second B. 30 seconds C. 1 minute D. 10 minutes
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A
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To restrain a dog for the collection of blood from the jugular vein, a _______ recumbency would be used. A. sternal B. ventral-dorsal C. transverse D. lateral
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A
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_______ is the least appropriate for restraining an aggressive dog. A. Applying a gauze muzzle B. Crowding a dog into a corner of the room C. Standing restraint D. Sedating and holding a dog in lateral recumbency
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B
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Ethology refers to A. the ethical behaviors of trainers. B. behavioral acts done with no obvious reason. C. the treatment of behavior problems. D. the study of animal behavior.
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D
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The association of a particular activity with a punishment or reward is referred to as A. operant conditioning. B. classical conditioning. C. instinct. D. imprinting.
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A
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Stalking and pouncing behavior with no evidence of growling indicates A. separation anxiety. B. predatory aggression. C. interdog aggression. D. house soiling.
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B
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Which one of the following methods is most appropriate for lifting a 60-pound dog that's pregnant? A. Put one arm around the neck and one under the abdomen B. Put one arm around the chest and the other around the back legs C. Put the front legs on a table and boost up the back end D. Have one person control the neck and chest and another person control the other control the abdomen and rear
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D
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The most important socialization period in kittens is A. 2 to 7 weeks. B. 4 to 16 weeks. C. 3 to 6 months. D. 6 to 12 months.
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A
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A dog that has its head dropped lower than its shoulders, its eyes staring straight ahead, and its tail straight out, should be considered A. normal and well adjusted. B. nervous. C. frightened. D. aggressive.
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D
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How many litter boxes should there be per household? A. One B. One for each cat C. One in each room D. One for each cat plus an extra one
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D
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When assisting clients in choosing a new pet, be sure to A. use a puppy temperament test. B. match the client and pet activity level and lifestyle. C. recommend an older pet for older clients. D. verify that the pet can be obtained during the imprinting period.
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B
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Withholding affection when a dog jumps up to greet you is an example of A. positive reinforcement. B. negative reinforcement. C. positive punishment. D. negative punishment.
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D
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The _______ should only be used as a last resort to restrain a cat. A. cat lasso B. restraint bag C. burrito wrap D. easy nabber
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A
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Behaviors that bonds animals to their caretakers in early life are referred to as A. classical conditioning. B. operant conditioning. C. imprinting. D. instinct.
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C
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Maternal aggression is primarily A. directed at humans that aren't members of the household. B. a normal protective instinct. C. the result of an unpredictable environment. D. the result of lack of socialization
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B
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Territorial aggressive behavior in cats is usually directed toward A. people. B. dogs. C. other cats. D. furniture.
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C
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Positioning aids such as foam wedges or v-troughs may be needed to keep a large dog comfortable in _______ recumbency. A. dorsal B. sternal C. ventral D. supine
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A
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Transmission of disease that results from contact with an infectious agent on an inanimate object is referred to as A. direct transmission. B. indirect transmission. C. nosocomial infection. D. reservoir infection.
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B
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_______ is a fat-soluble vitamin. A. Thiamin B. Vitamin D C. Niacin D. Folic acid
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B
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A dog whose ribs are easily visible and has no palpable fat would be classified with a body condition score of A. 2. B. 4. C. 6. D. 8.
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A
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_______ is/are an energy-producing nutrient. A. Fat B. Water C. Vitamins D. Minerals
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A
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Vaccination against the _______ pathogen is considered non-core. A. canine distemper B. canine parvovirus C. rabies D. Borrelia burgdorferi
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D
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The organization that publishes guidelines for pet food ingredients is A. AVMA. B. NAVTA. C. AAFCO. D. SVBT.
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C
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Mammals can't digest A. fatty acids. B. insoluble carbohydrates. C. soluble carbohydrates. D. nonessential amino acids.
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B
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Infestation with Dirofilaria immitis causes A. heartworm disease. B. ringworm. C. kennel cough. D. sarcoptic mange.
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A
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Increased _______ is a sign of inflammation. A. redness B. sweating C. heart rate D. joint function
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A
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Puppies should gain approximately _______ g/kg of their adult body weight each day. A. 1 to 2 B. 2 to 4 C. 5 to 6 D. 6 to 10
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B
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Dogs with brachycephalic heads are prone to A. heat stress. B. diabetes. C. obesity. D. atopy.
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A
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Zoonotic diseases are those that are A. spread between animals and people. B. contagious to other animals. C. noninfectious. D. acquired while in the veterinary hospital.
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A
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The three major components of a preventive medicine program include A. housing, lighting, ventilation. B. husbandry, vaccination, sanitation. C. vaccination, sanitation, ventilation. D. husbandry, housing, sanitation.
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B
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The cause of a disease is referred to as its A. etiology. B. necropsy. C. pathology. D. histopathology.
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A
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_______ should be limited in a geriatric dog. A. Zinc B. Phosphorus C. Copper D. Vitamin B complex
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B
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When expressing anal sacs, the first step is to A. gently massage the sac. B. clean the patient's perineum. C. put on a disposable glove. D. palpate the anal sac.
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C
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_______ administration means "giving medication by injection." A. Topical B. Parenteral C. Semitendinosus D. Lavage
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B
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Small amounts of medications and fluids administered by SC injection are absorbed in approximately _______ minutes. A. 5 to 10 B. 20 to 30 C. 60 to 90 D. 120 to 180
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B
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Decubital ulcers are primarily caused by A. urine scalding. B. excessive moisture. C. pressure. D. delayed wound closure.
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C
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The recommended needle size when administering SC fluids to average-sized dogs and cats is A. 14. B. 16. C. 18. D. 22.
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C
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The best way to lavage a wound is by using A. gravity flow. B. a bulb syringe. C. a 35 mL to 60 mL syringe and needle. D. a turkey baster.
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C
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An animal would be placed in _______ for nasal administration of medications. A. sternal recumbency B. lateral recumbency C. a standing position D. dorsal recumbency
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A
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Recumbent patients should be turned every _______ minutes. A. 15 to 30 B. 30 to 40 C. 60 to 90 D. 120 to 240
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D
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If the quick is accidentally cut during nail trimming, the proper course of action is the A. application of pressure. B. application of ice. C. administration of pain medication. D. No action is needed.
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A
question
Which one of the following choices is an open-ended question? A. "Have you noticed Fluffy drinking more water than usual?" B. "Was this problem only observed in the last few days?" C. "How would you describe Fluffy's activity level?" D. "Does Fluffy have a fever?"
answer
C
question
A patient's vital signs include the patient's _______, respiratory rate, and heart or pulse rate. A. temperature B. blood type C. age D. vaccination status
answer
A
question
Pressure sores are also referred to as A. decubital ulcers. B. eschars. C. phlebitis. D. tenesmus.
answer
A
question
Skin testing is performing using _______ injection. A. SC B. IM C. ID D. IV
answer
C
question
_______ wounds are wounds that have happened very recently. A. Open B. Acute C. Chronic D. Closed
answer
B
question
SOAP?
answer
Subjective, objective, assesment, plan
question
What does the Subjective mean in soap?
answer
Onset Location Duration CHaracter (sharp, dull, etc.) Alleviating/Aggravating factors Radiation Temporal pattern (every morning, all day, etc.) Severity Variants on this mnemonic (more than one could be listed here) include OPQRST and LOCQSMAT Location Onset (when and mechanism of injury - if applicable) Chronology (better or worse since onset, episodic, variable, constant, etc.) Quality (sharp, dull, etc.) Severity (usually a pain rating) Modifying factors (what aggravates/reduces the symptoms - activities, postures, drugs, etc.) Additional symptoms (un/related or significant symptoms to the chief complaint) Treatment (has the patient seen another provider for this symptom?)
question
what does the Objective mean in soap?
answer
Vital signs and measurements, such as weight. Findings from physical examinations, including basic systems of cardiac and respiratory, the affected systems, possible involvement of other systems, pertinent normal findings and abnormalities. Results from laboratory and other diagnostic tests already completed. Medication list obtained from pharmacy or medical records.
question
what does assessment mean in soap?
answer
A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis, a list of other possible diagnoses usually in order of most likely to least likely.
question
what does plan mean in soap?
answer
The plan is what the health care provider will do to treat the patient's concerns - such as ordering further labs, radiological work up, referrals given, procedures performed, medications given and education provided. The plan will also include goals of therapy and patient-specific drug and disease-state monitoring parameters.
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